All states › Texas › Harker Heights › Harker Heights Nursing & Rehabilitation
415 Indian Oaks Dr Harker Heights, TX 76548 · Bell County
CMS certification number 675909 · See this home on Medicare Care Compare
Is Harker Heights Nursing & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harker Heights Nursing & Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.21 hours per resident per day at Harker Heights Nursing & Rehabilitation, about the same as the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.90 hours, 10% below its all-week average. 56.9% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Harker Heights Nursing & Rehabilitation: Medicare and Medicaid
Harker Heights Nursing & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 16, 2026 and found 6 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 51 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 51 citations at Harker Heights Nursing & Rehabilitation across 19 inspection dates, 29 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 7, 2025. The most common areas cited were quality of life and care (15) and pharmacy service (8). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, December 5, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 26, 2026 · 2 citations · includes complaint inspection
EProvide safe, appropriate pain management for a resident who requires such services.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 16, 2026 · 2 citations · includes complaint inspection
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 11, 2026 · 2 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
May 17, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 16, 2026 · 6 citations
FDispose of garbage and refuse properly.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
March 26, 2026 · 1 citation · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 28, 2026 · 1 citation · includes complaint inspection
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
November 18, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
September 16, 2025 · 1 citation · includes complaint inspection
DHave policies on smoking.
August 11, 2025 · 1 citation · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
July 3, 2025 · 2 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 14, 2025 · 1 citation · includes complaint inspection
EProvide safe, appropriate pain management for a resident who requires such services.
February 7, 2025 · 9 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DProvide and implement an infection prevention and control program.
February 3, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
December 5, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that residents are free from significant medication errors.
JProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure the activities program is directed by a qualified professional.
October 29, 2024 · 3 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
December 29, 2023 · 10 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
December 13, 2023 · 3 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DRespond appropriately to all alleged violations.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
October 26, 2023 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
Questions to ask on a tour of Harker Heights Nursing & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on December 5, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 16, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $64,760 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 7, 2025 | Fine | $12,441 |
| Dec 5, 2024 | Fine | $52,319 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
Add this rating badge to your websiteFree. Shows Harker Heights Nursing & Rehabilitation's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Harker Heights Nursing & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.3 mi
Seton Medical Center Harker Heights Harker HeightsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 54m for patients treated and sent home
-
7.7 mi
Darnall AMC (Ft Cavazos) Fort CavazosEmergency roomMedian ER visit 2h 59m for patients treated and sent home
-
8.7 mi
Adventhealth Central Texas KilleenEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 28m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Harker Heights Nursing & Rehabilitation › All nursing homes in Harker Heights ›
Compare Harker Heights Nursing & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Rosewood Heights · Killeen · 2 stars · 4.6 mi
- Avir at Killeen · Killeen · 2 stars · 5.1 mi
Other Touchstone Communities nursing homes in Texas
- The Heights of Alamo · Alamo · 5 stars
- The Heights of Atascosa · Pleasanton · 5 stars
- The Heights on Huebner · San Antonio · 5 stars
- The Heights on Valley Ranch · Porter · 4 stars
- Hill Country Heights · Copperas Cove · 4 stars
- West Oaks Nursing & Rehabilitation · Houston · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Touchstone Communities nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.