The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
Indian Oaks Living Center
Registered name: Harker Heights Nursing & Rehabilitation
Harker Heights, TX · Medicare-certified · 199 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Indian Oaks Living Center has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported nurse staffing is 3.40 hours per resident per day versus the 4.1 federal benchmark. It has had $64,760 in fines in the last 24 months, a recent federal penalty, and recent inspection citations for medication errors, accident hazards/supervision, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.3999 hrs/resident/day
Quality measures
Last inspection: July 16, 2026Penalties, last 24 months: $64,760recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3999.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.33
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.2%5.3%No change
Residents with a fall causing major injury
2.5%2.4%No change
Residents with pressure ulcers (bedsores)
3.4%2.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%1.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.1%17.8%Worsening
Residents whose ability to walk got worse
14.8%9.5%Improving
Long-stay residents on antianxiety or sleep medication
9.4%10.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.5%12%Improving
Residents with depressive symptoms
0.9%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.5%—
Long-stay residents given the pneumonia vaccine
86%95.2%Improving
Short-stay residents given the seasonal flu vaccine
—52.7%—
Short-stay residents given the pneumonia vaccine
46.7%71.1%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to properly dispose of garbage and other waste. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $12,441 was recorded.
- PENALTY
A federal fine of $52,319 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $64,760 in total fines.
- $12,441
Federal fine
Feb 7, 2025
- $52,319
Federal fine
Dec 5, 2024
Operator & ownership
Recent ownership change · Jun 1, 2022
Now operated by Harker Heights Nursing & Rehabilitation, previously Indian Oaks Living Center.
- Ownership
- For profit - Corporation
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.9 stars avg
- Occupancy
- 136.9 residents on an average day (69% of 199 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.