Harker Heights Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 219 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“The therapy department did an incredible job getting my father to work hard and get stronger and back home.”
“The facility was nice and clean. Although my mom didn't eat during her short stay there, the food always looked and smelled [good].”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
4
measures
1
measures
Residents with depression symptoms
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 28, 2026Complaint1
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, 2025Complaint1
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, 2025Complaint1
Environmental Deficiencies
Have policies on smoking.
Aug 11, 2025Complaint1
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, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
Uvalde County Hospital Authority
for profit
TOUCHSTONE STRATEGIES HARKER HEIGHTS, LLC
LEONARDO GARCIA
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 18 of 27
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
219 reviews from families & visitors
Official Website
Visit harkerheightsnursingrehab.com
Medicare data downloads
Original nursing home datasets
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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.