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
Harker Heights Nursing & Rehabilitation
Harker Heights, TX · Medicare-certified · 199 beds
Needs attention
For-profitChain member
2 of 5 overall
Harker Heights Nursing & Rehabilitation has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality measures rating. It reports 3.20 nurse hours per resident per day versus the 4.1 federal benchmark, $64,760 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2014 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $64,760recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2014.
Staffing detail
- Registered nurses
- 0.31
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.23
- Weekend nursing
- 2.96
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 53%
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
4.1%7.5%Worsening
Residents with a fall causing major injury
4%3.4%Improving
Residents with pressure ulcers (bedsores)
1.6%0.7%Improving
Residents with a urinary tract infection
0.8%0%Improving
Residents who lost too much weight
3%4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%28.4%Worsening
Residents whose ability to walk got worse
9%8%Improving
Long-stay residents on antianxiety or sleep medication
18.9%9.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0.7%0%Improving
Residents with new or worsening incontinence
20.7%8.9%Improving
Residents with depressive symptoms
0%0%No change
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
92.7%94.8%Improving
Short-stay residents given the seasonal flu vaccine
—52.7%—
Short-stay residents given the pneumonia vaccine
42.1%75.6%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 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
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 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
- Ownership
- For profit - Corporation
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
- Occupancy
- 140.7 residents on an average day (71% 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.