Harker Heights Nursing & Rehabilitation

Penalties

• Feb 7, 2025 — Fine ($12,441)
• Dec 5, 2024 — Fine ($52,319)

Inspection findings

1. Jun 11, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Jun 12, 2026 · CMS health inspection

2. May 17, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected May 18, 2026 · CMS health inspection

3. Apr 16, 2026 Health · 8 findings
   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

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

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0111 Construction Deficiencies

     Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

     Corrected May 8, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected May 8, 2026 · CMS fire safety

4. Mar 26, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Mar 27, 2026 · CMS health inspection

5. Feb 28, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Mar 2, 2026 · CMS health inspection

6. Nov 18, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0559 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.

     Corrected Nov 20, 2025 · CMS health inspection

7. Sep 16, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected Sep 17, 2025 · CMS health inspection

8. Aug 11, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0584 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.

     Corrected Aug 12, 2025 · CMS health inspection

9. Jul 3, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 7, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jul 7, 2025 · CMS health inspection

10. Feb 14, 2025 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0697 Quality of Life and Care Deficiencies

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

      Corrected Feb 17, 2025 · CMS health inspection

11. Feb 7, 2025 Health · 15 findings
    • Not serious Scope/severity E

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Feb 10, 2025 · CMS health inspection

    • Serious Scope/severity J

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0755 Pharmacy Service Deficiencies

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

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0806 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Feb 10, 2025 · CMS health inspection

    • Not serious Scope/severity D

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Apr 10, 2025 · CMS fire safety

    • Not serious Scope/severity C

      K0341 Smoke Deficiencies

      Install a fire alarm system that can be heard throughout the facility.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0344 Smoke Deficiencies

      Have an alternate power supply for its alarm system.

      Corrected Mar 20, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Apr 10, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected Apr 10, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Apr 9, 2025 · CMS fire safety

12. Feb 3, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Feb 5, 2025 · CMS health inspection

13. Dec 5, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0680 Quality of Life and Care Deficiencies

      Ensure the activities program is directed by a qualified professional.

      Corrected Dec 6, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Dec 6, 2024 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Dec 6, 2024 · CMS health inspection

14. Oct 29, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Oct 31, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0584 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.

      Corrected Oct 31, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Oct 31, 2024 · CMS health inspection

15. Dec 29, 2023 Health · 12 findings
    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0695 Quality of Life and Care Deficiencies

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

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0761 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.

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 31, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Sep 25, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Oct 1, 2024 · CMS fire safety

16. Dec 13, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

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

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Dec 13, 2023 · CMS health inspection

17. Oct 26, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Nov 24, 2023 · CMS health inspection

18. Sep 22, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Oct 19, 2023 · CMS health inspection

19. Sep 1, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0561 Resident Rights Deficiencies

      Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      Corrected Sep 27, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 08/01/2015
• BOENING, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 05/01/2024
• BOENING, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• CAMPBELL, LESLIE — adp of the snf, NOT APPLICABLE, since 05/01/2024
• CAMPBELL, LESLIE — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• CASTILLO, LYNNEA — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• CASTILLO, LYNNEA — adp of the snf, NOT APPLICABLE, since 05/01/2024
• FELLBAUM, ERNEST — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/01/2025
• FELLBAUM, KELLY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/01/2025
• GARCIA, LEONARDO — operational/managerial control, NOT APPLICABLE, since 08/11/2025
• GARCIA, LEONARDO — adp of the snf, NOT APPLICABLE, since 08/11/2025
• PEREZ, ELIZABETH — adp of the snf, NOT APPLICABLE, since 03/16/2026
• PEREZ, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 03/16/2026
• SEHLKE, BRYON — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• SEHLKE, BRYON — adp of the snf, NOT APPLICABLE, since 05/01/2024
• STONE, DIANA — adp of the snf, NOT APPLICABLE, since 12/01/2024
• STUDER, LAURA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/01/2025
• STUDER, STANLEY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 09/01/2025
• ZUROVEC, DARRELL — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• ZUROVEC, DARRELL — adp of the snf, NOT APPLICABLE, since 05/01/2024
• AEGIS THERAPIES, INC. — adp of the snf, NOT APPLICABLE, since 05/01/2024
• ALAMO ADVISORS LP — adp of the snf, NOT APPLICABLE, since 05/01/2024
• CARVAJAL PHARMACY LTC — adp of the snf, NOT APPLICABLE, since 05/01/2024
• FELLBAUM 2023 DESCENDANTS TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2024
• H-C ASSOCIATES, LTD. — adp of the snf, NOT APPLICABLE, since 05/01/2024
• HEALTHCARE INVESTMENTS - KILLEEN LLC — adp of the snf, NOT APPLICABLE, since 05/01/2024
• HEALTHCARE SERVICES GROUP INC — adp of the snf, NOT APPLICABLE, since 05/01/2024
• INTERNATIONAL BANK OF COMMERCE — 5% or greater security interest, NOT APPLICABLE, since 05/01/2024
• JAN STUDER 2023 SPOUSAL TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2024
• KELLY FELLBAUM 2023 SPOUSAL TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2024
• KEYBANK NATIONAL ASSOCIATION — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2024
• PLANTE & MORAN PLLC — adp of the snf, NOT APPLICABLE, since 05/01/2024
• STUDER 2023 DESCENDANTS TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2024
• THE BRYON AND RENA SEHLKE LIVING TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2024
• TOUCHSTONE COMMUNITIES INC — adp of the snf, NOT APPLICABLE, since 05/01/2024
• TOUCHSTONE STRATEGIES - HARKER HEIGHTS LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2024
• TOUCHSTONE STRATEGIES - HARKER HEIGHTS LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• TRIDENT HEALTH SERVICES INC — adp of the snf, NOT APPLICABLE, since 05/01/2024