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 July 1, 2026
1 of 5 overall
Indian Oaks Living Center in Harker Heights, TX has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing. It has recent federal penalties, $64,760 in fines over the last 24 months, and reported nurse staffing of 3.40 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3999 hrs/resident/day
Quality measures
Last inspection: May 17, 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 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
- 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.