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Nursing HomeMedicaid Investigative

Harker Heights Nursing & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

415 Indian Oaks Dr, Harker Heights, TX 76548199 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 219 Google reviews

5
4
3
2
1
Harker Heights Nursing & Rehabilitation Nursing Home in Harker Heights, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High staff turnover (66%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · Below chain average · $83,951 in fines

Source: Medicare data

What this means for your family

This facility offers an excellent rehabilitation and therapy program and is frequently praised for its cleanliness and security. However, families should be extremely vigilant regarding hygiene and responsiveness, as multiple reports indicate issues with residents being left in soiled linens and unanswered call lights. We recommend conducting unannounced visits to ensure the standard of daily care meets your expectations.

Google Reviews

Google Reviews

219 reviews analyzed
Families considering Harker Heights Nursing & Rehabilitation will find a facility with a highly praised therapy and nursing team, with many reviewers highlighting the warmth and professionalism of the staff. However, there are serious, recurring allegations regarding neglect, specifically concerning hygiene, unresponsive call lights, and inadequate monitoring in the memory care unit. While the facility is often described as clean and modern, the quality of care appears to vary significantly depending on the specific unit and shift.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean8.0Activities9.0MedsN/AMemory2.0Comms4.0ValueN/A

Strengths

  • Attentive and professional therapy team
  • Clean and well-maintained environment
  • Warm and welcoming nursing staff
  • Advanced security and entry systems

Concerns

  • Neglect regarding hygiene and soiled linens (mentioned by 4 reviewers)
  • Unresponsive call lights and slow staff response (mentioned by 4 reviewers)
  • Poor communication between staff and families (mentioned by 3 reviewers)
  • Inconsistent food quality and variety (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(13)'20(10)'22(28)'24(16)'26(10)

Distribution

5
126
4
12
3
5
2
3
1
26

How They Respond to Reviews

97%response rate
Generic

The owner relies heavily on a set of standardized templates containing corporate slogans like 'Make Lives Better' and 'best-in-class, compassionate care.' While they attempt to personalize by including the reviewer's name, the core of the message is almost always a copy-pasted script.

Questions for Your Tour

  • 1We've heard wonderful things about your therapy team; could you tell us more about how they work with residents on their daily rehabilitation goals?
  • 2How does the nursing staff ensure that residents' personal hygiene and linen changes are handled promptly and consistently throughout the day?
  • 3What steps are in place to ensure that call lights are answered quickly, especially during busy shift changes?
  • 4How do you keep families updated on a loved one's health status and daily well-being to ensure we are always in the loop?
  • 5Could you describe the dining experience, specifically regarding how you maintain variety and quality in the daily meal menus?
  • 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The staff is amazing, they took good care of my dad. They have cameras in the rooms. Which was great. I got a calls for any changes.

Memory care family member · 2024★★★★★

The therapy department did an incredible job getting my father to work hard and get stronger and back home.

Rehab patient's family · 2019★★★★★

The facility was nice and clean. Although my mom didn't eat during her short stay there, the food always looked and smelled [good].

Hospice patient's family · 2023☆☆☆☆
Source: 219 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
12.1%
TX
2.5%
Bell
3.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
TX
9.4%
Bell
8.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
19.5%
TX
18.4%
Bell
21.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.0%
Worse than Avg
Here
90.0%
US
93.4%
TX
96.9%
Bell
90.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility93.5%
Worse than Avg
Here
93.5%
US
95.5%
TX
98.0%
Bell
96.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.2%
Mixed vs Avgs
Here
18.2%
US
19.4%
TX
14.2%
Bell
14.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.7%
Worse than Avg
Here
52.7%
US
79.7%
TX
88.0%
Bell
77.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.1%
Worse than Avg
Here
56.1%
US
81.8%
TX
89.2%
Bell
77.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bell
3.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
2penalties
Well above state avg (9.1)
26 complaint-triggered
$83,951 in fines

Families have filed multiple complaints against this facility, triggering many of the 57 total deficiencies across 17 surveys. The most recurring problems involve food safety and preparation, medication management, and basic daily care assistance. While the facility has correction dates for all violations, the persistent pattern of similar issues across multiple years—particularly around food service, pharmacy services, and resident care—suggests ongoing operational challenges that families should carefully investigate before placement.

Mar 26, 2026Complaint
1
0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 28, 2026Complaint
1
0761MinorCorrected

Pharmacy Service Deficiencies

Ensure 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.

Nov 18, 2025Complaint
1
0559MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Sep 16, 2025Complaint
1
0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

Aug 11, 2025Complaint
1
0584ModerateCorrected

Resident Rights Deficiencies

Honor 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.

Jul 3, 2025Complaint
2
0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

Federal Penalties

Fine

Feb 7, 2025

$12,441

Fine

Dec 5, 2024

$52,319

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES HARKER HEIGHTS, LLC

Administrator

LEONARDO GARCIA

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 18 of 27

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Fellbaum, Ernest

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Fellbaum, Kelly

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Studer, Laura

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Studer, Stanley

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Keybank National Association5% or Greater Mortgage InterestInternational Bank of Commerce5% or Greater Security InterestApolinar, AdamOfficer / DirectorTouchstone Strategies - Harker Heights LLCManagerBoening, ChristopherManager
Source: Medicare provider data

Contact

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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