Rosewood Heights in Killeen, TX has an overall 3-star rating. Its staffing is a major weak point at 1 star, with reported nurse staffing of 3.70 hours per resident day below the 4.1 federal benchmark, and it has had $25,948 in fines in the last 24 months plus a recent federal penalty.
Last inspection: August 14, 2025Penalties, last 24 months: $25,948recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6996.
Staffing detail
Registered nurses
0.41
Licensed practical nurses
1.29
Nurse aides
2.01
Weekend nursing
3.40
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 71%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—3%—
Residents with a fall causing major injury
5.4%2.9%Improving
Residents with pressure ulcers (bedsores)
4.4%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.7%0%Improving
Residents whose ability to walk got worse
—2.9%—
Long-stay residents on antianxiety or sleep medication
13.8%6.9%Improving
Short-stay residents newly given an antipsychotic
0%0.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.6%10.1%Improving
Residents with depressive symptoms
8.8%10.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
94.6%94.3%No change
Short-stay residents given the seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
93.6%60.7%Worsening
What the inspectors found
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 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 July 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 safe, appropriate pain management for a resident who needed it. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
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
PENALTY
A federal fine of $9,193 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $16,755 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $62,745 in total fines · 1 payment denial.
Federal fine
Apr 18, 2025
$9,193
Federal fine
Jul 11, 2024
$16,755
Medicare/Medicaid payment denial
Jun 2, 2023
6 days
Federal fine
Jun 2, 2023
$36,797
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
57.3 residents on an average day (90% of 64 beds)
Resident voice
Resident council
Medicare history
Certified for 41 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.