PlainNursing
CMS Nursing Home Compare · August 2026

Rosewood Heights

5700 E Central Texas Expwy, Killeen, TX 76543

Rosewood Heights, a 64-bed for profit - corporation nursing facility in Killeen, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #498 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2546906169

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3 / 5
Average · CMS overall · nat'l 3.0
#498 of 1,165
In-state rank among rated TX homes
3.81
About average · nurse hrs/day · nat'l 3.86
15
Inspection findings · 5 serious

The verdict

Rosewood Heights, a 64-bed for profit - corporation nursing facility in Killeen, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #498 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#498 of 1,165
In-state rank among rated TX homes
3.81
Nurse hrs/resident-day · national 3.86
15
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
455503
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
64
Residents
59
In Hospital
No
County
Bell
Last Inspection
Aug 14, 2025

Staffing Data

How the 3.81 total nursing hours per resident-day are staffed:

RN Hours
0.40 (nat'l avg: 0.69)
LPN Hours
1.24
CNA Hours
2.18
Total Nursing Hours
3.81 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
67.6%
RN Turnover
75.0%

What the CMS Record Reveals About Rosewood Heights

According to CMS Nursing Home Compare, Rosewood Heights ranks #498 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Rosewood Heights operates 64 certified beds in Killeen, TX with approximately 59 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 2★ · quality 4★).

The inspection file contains 15 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $42K against this provider. Reported nurse staffing runs 3.81 total hours per resident day (national average 3.86); RN hours specifically are 0.40 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Rosewood Heights falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 67.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

G - Isolated - Actual harm Apr 17, 2026 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 24, 2026

E - Pattern - Minimal harm Aug 14, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 22, 2025

E - Pattern - Minimal harm Aug 14, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 22, 2025

J - Isolated - Jeopardy Apr 18, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2025

J - Isolated - Jeopardy Apr 18, 2025 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 19, 2025

D - Isolated - Minimal harm Oct 2, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 17, 2024

D - Isolated - Minimal harm Sep 9, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2024

D - Isolated - Minimal harm Sep 9, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2024

J - Isolated - Jeopardy Jul 30, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 26, 2024

D - Isolated - Minimal harm Jul 11, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 12, 2024

D - Isolated - Minimal harm Oct 2, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 30, 2023

D - Isolated - Minimal harm Jun 2, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2023

D - Isolated - Minimal harm Jun 2, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 11, 2023

E - Pattern - Minimal harm Jun 2, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2023

G - Isolated - Actual harm Jun 2, 2023 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 3.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 67.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 89.3% No

Penalty History 3 penalties totaling $42K

Date Type Amount
Apr 17, 2026 Fine $16K
Apr 18, 2025 Fine $9K
Jul 11, 2024 Fine $17K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Rosewood Heights, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Rosewood Heights

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 64 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Rosewood Heights?
Rosewood Heights has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (4★).
Where does Rosewood Heights rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Rosewood Heights ranks 498th among 1,165 rated nursing homes in TX (#498 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Rosewood Heights?
Rosewood Heights reports 3.81 total nursing hours per resident day (national average: 3.86). RN hours are 0.40 per resident day (national average: 0.69). Nursing staff turnover is 67.6%.
How many beds does Rosewood Heights have?
Rosewood Heights has 64 certified beds with approximately 59 residents. The facility is located at 5700 E Central Texas Expwy, Killeen, TX 76543.
Does Rosewood Heights have any deficiencies on record?
Yes, Rosewood Heights has 15 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Rosewood Heights received any fines or penalties?
Yes, Rosewood Heights has received 3 penalties totaling $42K.
Who owns Rosewood Heights?
Rosewood Heights is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Rosewood Heights last inspected?
The most recent health inspection for Rosewood Heights was on Aug 14, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Rosewood Heights?
Rosewood Heights is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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