Harker Heights Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
Harker Heights Nursing & Rehabilitation is a 199-bed for-profit nursing home in Harker Heights, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 2.33 nurse aide hours per resident per day, 16% above the Texas average of 2.00, and 55.9% nursing staff turnover (Texas average 55.3%).
Harker Heights Nursing & Rehabilitation
415 Indian Oaks DrHarker Heights, TX 76548
Bell County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harker Heights Nursing & Rehabilitation, nurse aides logged 2.33 hours per resident per day, 16% above the Texas average. With about 137 residents a day, that works out to roughly 319 aide hours a day, or about 40 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.33 | 2.00 | 2.32 |
| Licensed practical nurses | 0.66 | 0.95 | 0.86 |
| Registered nurses | 0.42 | 0.43 | 0.69 |
| All nursing staff | 3.40 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.09 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
55.9% of nursing staff at Harker Heights Nursing & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 56.3%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 16, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $64,760 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 7, 2025 | Fine | $12,441 |
| Dec 5, 2024 | Fine | $52,319 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harker Heights Nursing & Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About Harker Heights Nursing & Rehabilitation
- Ownership: For profit - Corporation
- Chain: Touchstone Communities, 25 homes
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Mar 11, 2002
- Councils: resident council
- Area: urban
Nursing homes near Harker Heights Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rosewood Heights Killeen | 4.6 | 64 | 2.18 | 3.81 | 67.6% | 3 | $42,298 |
| Avir at Killeen Killeen | 5.1 | 120 | 1.87 | 3.18 | 52.1% | 1 | $65,560 |
| Creekside Terrace Rehabilitation Belton | 10.5 | 126 | 2.21 | 3.41 | 50.0% | 4 | $13,070 |
| Avir at Belton Belton | 12.6 | 114 | 2.01 | 3.26 | 44.9% | 1 | $43,777 |
| Hill Country Heights Copperas Cove | 14.1 | 96 | 2.27 | 3.48 | 42.1% | 4 | $12,356 |
| Copperas Cove Nursing & Rehabilitation Copperas Cove | 15.0 | 123 | 1.90 | 2.88 | 60.9% | 1 | $24,242 |
| Morada Temple Temple | 17.1 | 60 | 2.77 | 4.77 | 55.6% | 2 | $14,722 |
| Avir at Temple West Temple | 17.1 | 104 | 1.94 | 3.26 | 66.7% | 3 | $7,257 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.