Rosewood Heights

5700 E Central Texas Expwy · Killeen, TX · 76543 · 2546906169

64 certified beds For profit - Corporation Chain: Touchstone Communities

Why this verdict

  • Federal penalties on record: $42,298 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 70
Staffing 20% 60
Federal penalties 15% 44
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day3.40≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)3 · $42,298

Inspection citations (15 in the current record)

  • Actual harm · G April 17, 2026 · found via complaint

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

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · E August 14, 2025

    Ensure 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.

    Corrected August 22, 2025 · Nutrition and Dietary

  • Potential for harm · E August 14, 2025

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

    Corrected August 22, 2025 · Nutrition and Dietary

  • Immediate jeopardy · J April 18, 2025 · found via complaint

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

    Corrected April 19, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J April 18, 2025 · found via complaint

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

    Corrected April 19, 2025 · Quality of Life and Care

  • Potential for harm · D October 2, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 9, 2024 · found via complaint

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

    Corrected September 13, 2024 · Pharmacy Service

  • Potential for harm · D September 9, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 13, 2024 · Pharmacy Service

  • Immediate jeopardy · J July 30, 2024 · found via complaint

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

    Corrected July 26, 2024 · Quality of Life and Care

  • Potential for harm · D July 11, 2024

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

    Corrected July 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 2, 2023 · found via complaint

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

    Corrected October 30, 2023 · Resident Assessment and Care Planning

  • Actual harm · G June 2, 2023

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

    Corrected July 7, 2023 · Quality of Life and Care

  • Potential for harm · E June 2, 2023

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

    Corrected July 7, 2023 · Quality of Life and Care

  • Potential for harm · D June 2, 2023

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

    Corrected August 11, 2023 · Pharmacy Service

  • Potential for harm · D June 2, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 7, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
April 17, 2026Fine$16,350
April 18, 2025Fine$9,193
July 11, 2024Fine$16,755

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455503 · certified since October 12, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.