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Nursing home report

HERITAGE HOUSE AT KELLER REHAB & NURSING

KELLER, TX · Medicare-certified · 120 beds

Needs attention
Government-runChain member
5 of 5 overall

5-star overall rating, with strong health inspection and quality measures but weak staffing: 2-star staffing, 3.17 hours of nurse staffing per resident per day versus the 4.1 federal benchmark, plus $14,901 in fines over the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.1711 hrs/resident/day

Quality measures

Last inspection: March 28, 2026Penalties, last 24 months: $14,901recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1711.

Staffing detail

Registered nurses
0.51
Licensed practical nurses
0.91
Nurse aides
1.75
Weekend nursing
2.88

Hours per resident per day.

Total staff turnover: 38%
Registered nurse turnover: 58%

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

5.8%10.2%Worsening

Residents with a fall causing major injury

2.4%4.3%Worsening

Residents with pressure ulcers (bedsores)

3.3%3.7%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%1.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

4.9%19.3%Worsening

Residents whose ability to walk got worse

29.9%

Long-stay residents on antianxiety or sleep medication

10.9%11.5%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

18.9%15.6%Improving

Residents with depressive symptoms

2.4%1.6%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

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

99.1%

Short-stay residents given the pneumonia vaccine

99.5%99.3%No change

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 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 needed care and help with daily activities for residents who could not do them on their own. Cited August 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to provide bedroom privacy when residents needed it. Cited July 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 914 — 42 CFR §483.90 — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $14,901 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $22,347 in total fines.

  • Federal fine

    Nov 19, 2025

    $14,901
  • Federal fine

    Oct 24, 2023

    $7,446

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
Occupancy
116.5 residents on an average day (97% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.