facebook tracking Rosewood Heights, Killeen TX: CMS Ratings & Inspections
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Rosewood Heights

All states › Texas › Killeen › Rosewood Heights

5700 E Central Texas Expwy Killeen, TX 76543 · Bell County

(254) 690-6169

All 2 nursing homes in Killeen, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 64 certified beds For profit

CMS certification number 455503 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Rosewood Heights 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 Rosewood Heights as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 15 citations in the last three years. CMS imposed 3 penalties, including $36,576 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.87 hours per resident per day at Rosewood Heights, above the Texas median of 3.30 (US median: 3.72). About 0.48 of those hours are from registered nurses. On weekends it falls to 3.29 hours, 15% below its all-week average. 61.1% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.87 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.48 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.29 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 64.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds64
Residents per day 59 About 92% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1984
Part of a chainTouchstone Communities
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY

Paying for care at Rosewood Heights: Medicare and Medicaid

Rosewood Heights 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 August 14, 2025 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 15 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 15 citations at Rosewood Heights across 9 inspection dates, 8 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 18, 2025 (complaint inspection). The most common areas cited were quality of life and care (5) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted" (tag F0655, level J, April 18, 2025).

April 17, 2026 · 1 citation · includes complaint inspection

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2026)

August 14, 2025 · 2 citations

EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Aug 22, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 22, 2025)

April 18, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

JCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Apr 19, 2025)

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 19, 2025)

October 2, 2024 · 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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Oct 17, 2024)

September 9, 2024 · 2 citations · includes complaint inspection

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Sep 13, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Sep 13, 2024)

July 30, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Past Non-Compliance (Jul 26, 2024)

July 11, 2024 · 1 citation

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 12, 2024)

October 2, 2023 · 1 citation · includes complaint inspection

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2023)

June 2, 2023 · 4 citations, includes actual harm

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Jul 7, 2023)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jul 7, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 11, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 7, 2023)

Questions to ask on a tour of Rosewood Heights

  1. Inspectors cited the home at the immediate-jeopardy level on April 18, 2025 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 61.1% a year. How many of the staff come from agencies?
  4. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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

3 penalties in the last three years, including $36,576 in fines.

DateTypeAmount or length
Apr 17, 2026 Fine $10,628
Apr 18, 2025 Fine $9,193
Jul 11, 2024 Fine $16,755

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 4/5
August 2026 3/5 3/5 2/5 4/5
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Location

Hospitals near Rosewood Heights

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 3.4 mi
    Darnall AMC (Ft Cavazos) Fort Cavazos
    Emergency room
    Median ER visit 2h 59m for patients treated and sent home
  • 3.8 mi
    Seton Medical Center Harker Heights Harker Heights
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 54m for patients treated and sent home
  • 4.8 mi
    Adventhealth Central Texas Killeen
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median 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

Avir at Killeen Killeen · 0.6 mi away ★★☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid
Harker Heights Nursing & Rehabilitation Harker Heights · 4.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 199 beds · Medicaid
Hill Country Heights Copperas Cove · 10.2 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 96 beds · Medicaid
Copperas Cove Nursing & Rehabilitation Copperas Cove · 11.0 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 123 beds · Medicaid
Creekside Terrace Rehabilitation Belton · 14.6 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 126 beds · Medicaid

More nursing homes near Rosewood Heights ›   All nursing homes in Killeen ›

Compare Rosewood Heights with the 3 closest homes side by side ›

Other Touchstone Communities nursing homes in Texas

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.

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https://www.nursinghomesineachstate.com/texas/killeen/rosewood-heights/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.