Rosewood Heights in Killeen, Bell County, Texas
Killeen, Bell County, Texas 76543
Location and contact
- Address
- 5700 E Central Texas Expwy
Killeen, TX 76543
Open map (OpenStreetMap) - Phone
- (254) 690-6169
- HHSC facility ID
- 004288
- License number
- 308647
Medicare ratings
Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.
Staffing hours
Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.
| Measure | This facility | Texas average (this site) |
|---|---|---|
| Total nurse staffing | 3.87 hours | 3.42 hours n=1,152 |
| Registered nurse | 0.48 hours | 0.44 hours |
| LPN | 1.21 hours | 0.95 hours |
| Nurse aide | 2.18 hours | 2.03 hours |
| Weekend nurse staffing | 3.29 hours | 2.99 hours |
0.45 hours above this site’s computed Texas average.
- Total nursing staff turnover
- 61.1% (Texas average computed on this site: 50.8%, n=1,096)
- RN turnover
- 64.3%
- Average residents per day
- 59.1
- Certified beds (CMS)
- 64
Penalties in the CMS Provider Information file: 3 finestotaling $36,576; 3 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.
Fines and payment denials
Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.
| Date | Type | Fine amount | Payment denial |
|---|---|---|---|
| April 17, 2026 | Fine · Fine ID 138759 | $10,628 | — |
| April 18, 2025 | Fine · Fine ID 113785 | $9,193 | — |
| July 11, 2024 | Fine · Fine ID 113080 | $16,755 | — |
MDS quality measures
These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.
| Measure | Stay | Four-quarter average | Used in Five-Star QM rating |
|---|---|---|---|
Percentage of long-stay residents whose need for help with daily activities has increasedQuarterly scoresQ1 7.7% · Q2 0.0% · Q3 22.2% · Q4 6.3% · Period 2025Q3-2026Q2 · Measure code 401 | Long Stay | 9.2% | Yes, as published by CMS |
Percentage of long-stay residents with a catheter inserted and left in their bladderQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406 | Long Stay | 0.0% | Yes, as published by CMS |
Percentage of long-stay residents with a urinary tract infectionQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407 | Long Stay | 0.0% | Yes, as published by CMS |
Percentage of long-stay residents experiencing one or more falls with major injuryQuarterly scoresQ1 2.8% · Q2 2.9% · Q3 8.3% · Q4 4.9% · Period 2025Q3-2026Q2 · Measure code 410 | Long Stay | 4.7% | Yes, as published by CMS |
Percentage of long-stay residents whose ability to walk independently worsenedQuarterly scoresQ1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451 | Long Stay | 3.7% | Yes, as published by CMS |
Percentage of long-stay residents with pressure ulcersQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 4.4% · Q4 2.9% · Period 2025Q3-2026Q2 · Measure code 479 | Long Stay | 1.9% | Yes, as published by CMS |
Percentage of long-stay residents who received an antipsychotic medicationQuarterly scoresQ1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 481 | Long Stay | 1.6% | Yes, as published by CMS |
Percentage of long-stay residents who lose too much weightQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 3.3% · Q4 2.9% · Period 2025Q3-2026Q2 · Measure code 404 | Long Stay | 1.7% | No, as published by CMS |
Percentage of long-stay residents who have depressive symptomsQuarterly scoresQ1 8.3% · Q2 10.3% · Q3 5.9% · Q4 7.9% · Period 2025Q3-2026Q2 · Measure code 408 | Long Stay | 8.0% | No, as published by CMS |
Percentage of long-stay residents who were physically restrainedQuarterly scoresQ1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409 | Long Stay | 0.0% | No, as published by CMS |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineQuarterly scoresQ1 100.0% · Q2 94.3% · Q3 91.7% · Q4 97.6% · Period 2025Q3-2026Q2 · Measure code 415 | Long Stay | 95.9% | No, as published by CMS |
Percentage of long-stay residents who received an antianxiety or hypnotic medicationQuarterly scoresQ1 11.1% · Q2 6.9% · Q3 6.7% · Q4 5.9% · Period 2025Q3-2026Q2 · Measure code 452 | Long Stay | 7.5% | No, as published by CMS |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineQuarterly scoresQ1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454 | Long Stay | 95.0% | No, as published by CMS |
Percentage of long-stay residents with new or worsened bowel or bladder incontinenceQuarterly scoresQ1 14.2% · Q2 10.1% · Q3 9.2% · Q4 12.1% · Period 2025Q3-2026Q2 · Measure code 480 | Long Stay | 11.5% | No, as published by CMS |
Percentage of short-stay residents who newly received an antipsychotic medicationQuarterly scoresQ1 1.1% · Q2 0.8% · Q3 0.0% · Q4 0.9% · Period 2025Q3-2026Q2 · Measure code 434 | Short Stay | 0.7% | Yes, as published by CMS |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccineQuarterly scoresQ1 64.7% · Q2 60.7% · Q3 66.5% · Q4 83.7% · Period 2025Q3-2026Q2 · Measure code 430 | Short Stay | 68.9% | No, as published by CMS |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccineQuarterly scoresQ1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472 | Short Stay | 67.8% | No, as published by CMS |
Inspection citations
15 health citations in the CMS file (8 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.
The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.
Scope and severity letters (A–L)
CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm | G | H | I |
| Immediate jeopardy | J | K | L |
2026 — 1 citation
Tag 0686G
G — Isolated, actual harm
Complaint survey
Survey date: April 17, 2026
CMS records a correction date (April 24, 2026)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
2025 — 4 citations
Tag 0812E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 14, 2025
CMS records a correction date (August 22, 2025)
More detail
Nutrition and Dietary Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0803E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: August 14, 2025
CMS records a correction date (August 22, 2025)
More detail
Nutrition and Dietary Deficiencies
Survey type in the file: Health
Survey cycle in the file: 1
Tag 0689J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: April 18, 2025
CMS records a correction date (April 19, 2025)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0655J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: April 18, 2025
CMS records a correction date (April 19, 2025)
More detail
Resident Assessment and Care Planning Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
2024 — 5 citations
Tag 0842D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: October 2, 2024
CMS records a correction date (October 17, 2024)
More detail
Resident Assessment and Care Planning Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
Tag 0760D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: September 9, 2024
CMS records a correction date (September 13, 2024)
More detail
Pharmacy Service Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0755D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: September 9, 2024
CMS records a correction date (September 13, 2024)
More detail
Pharmacy Service Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0686J
J — Isolated, immediate jeopardy
Complaint survey
Survey date: July 30, 2024
Past non-compliance, as recorded by CMS (July 26, 2024)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0656D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: July 11, 2024
CMS records a correction date (July 12, 2024)
More detail
Resident Assessment and Care Planning Deficiencies
Survey type in the file: Health
Survey cycle in the file: 2
2023 — 5 citations
Tag 0657D
D — Isolated, potential for more than minimal harm
Complaint survey
Survey date: October 2, 2023
CMS records a correction date (October 30, 2023)
More detail
Resident Assessment and Care Planning Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0880D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: June 2, 2023
CMS records a correction date (July 7, 2023)
More detail
Infection Control Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0755D
D — Isolated, potential for more than minimal harm
Standard survey
Survey date: June 2, 2023
CMS records a correction date (August 11, 2023)
More detail
Pharmacy Service Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0697G
G — Isolated, actual harm
Standard survey
Survey date: June 2, 2023
CMS records a correction date (July 7, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
Tag 0695E
E — Pattern, potential for more than minimal harm
Standard survey
Survey date: June 2, 2023
CMS records a correction date (July 7, 2023)
More detail
Quality of Life and Care Deficiencies
Survey type in the file: Health
Survey cycle in the file: 3
License and identity (HHSC)
- License effective
- June 1, 2025
- License expires
- June 1, 2028
- Initial license date
- September 1, 1971
- Facility licensed
- Yes
- Facility certified (HHSC)
- Yes
- Service type
- MEDICARE/MEDICAID
- Total licensed capacity
- 64 beds
- Bed mix (HHSC)
- Licensed only 0; Medicaid only 0; Medicare only 3; Medicare/Medicaid 61; ICF/IID 0
- Alzheimer capacity
- 0
- Administrator
- Lisa R Stribling
- Management company
- Touchstone Strategies Killeen LLC
Ownership
Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.
CMS ownership type: For profit - Corporation · Affiliated / chain name in the file: TOUCHSTONE COMMUNITIES (25 facilities in the chain, as listed)
| Name | Role | Type | Share | Associated |
|---|---|---|---|---|
| KEYBANK NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 05/01/2024 |
| INTERNATIONAL BANK OF COMMERCE | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 05/01/2024 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2015 |
| TOUCHSTONE STRATEGIES - KILLEEN LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2024 |
| BOENING, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| CAMPBELL, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| CASTILLO, LYNNEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| LANDERS, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| SEHLKE, BRYON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| FELLBAUM, ERNEST | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/29/2025 |
| FELLBAUM, KELLY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/29/2025 |
25 more CMS ownership records
| Name | Role | Type | Share | Associated |
|---|---|---|---|---|
| STUDER, LAURA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/29/2025 |
| STUDER, STANLEY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/29/2025 |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| ALAMO ADVISORS LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| FELLBAUM 2023 DESCENDANTS TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| HC-RW ASSOCIATES, LTD. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| HEALTHCARE INVESTMENTS - KILLEEN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| HEALTHCARE SERVICES GROUP INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| JAN STUDER 2023 SPOUSAL TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| KELLY FELLBAUM 2023 SPOUSAL TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| PLANTE & MORAN PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| STUDER 2023 DESCENDANTS TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| THE BRYON AND RENA SEHLKE LIVING TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| TOUCHSTONE STRATEGIES - KILLEEN LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/29/2025 |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2024 |
| BOENING, CHRISTOPHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| CAMPBELL, LESLIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| CASTILLO, LYNNEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| LANDERS, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| OOMMEN, BIJU | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2024 |
| PALO, DEBBIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2024 |
| SEHLKE, BRYON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| ZUROVEC, DARRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
HHSC owner fields
- Owner (HHSC)
- Uvalde County Hospital Authority
- Type of entity (HHSC)
- HOSPITAL DISTRICT/AUTHORITY
Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.