Nursing homeActive
Rosewood Heights
5700 E Central Texas Expwy, Killeen, TX 76543254690616964 certified beds · 59 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
15
● 0● 10● 5
Penalties · 3 yrs
$42,298
3 fines
Last survey
2026-04-17
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-08-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-04-18 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2024-10-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-30 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-07-11 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-06-02 | Standard | 031 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-24Record 455503-20260417-F686
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 455503-20250814-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 455503-20250814-F812
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-19Record 455503-20250418-F655
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-19Record 455503-20250418-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-17Record 455503-20241002-F842
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 455503-20240909-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 455503-20240909-F760
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-26Record 455503-20240730-F686
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-12Record 455503-20240711-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-30Record 455503-20231002-F657
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-07-07Record 455503-20230602-F697
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-07Record 455503-20230602-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 455503-20230602-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-07Record 455503-20230602-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-04-17 | Civil money penalty | $16,350 | CMS · Penalties |
| 2025-04-18 | Civil money penalty | $9,193 | CMS · Penalties |
| 2024-07-11 | Civil money penalty | $16,755 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.81
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.37
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover68%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover75%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.2% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.8% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.6% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Boening, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Landers, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Touchstone Strategies - Killeen LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aegis Therapies, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alamo Advisors LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Apolinar, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Boening, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carvajal Pharmacy Ltc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum 2023 Descendants Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Ernest Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Kelly Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hc-Rw Associates, Ltd. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Healthcare Investments - Killeen LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Healthcare Services Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| International Bank Of Commerce Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Jan Studer 2023 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelly Fellbaum 2023 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keybank National Association Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Landers, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Oommen, Biju Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Palo, Debbie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Plante & Moran Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer 2023 Descendants Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Laura Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Stanley Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Bryon And Rena Sehlke Living Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Strategies - Killeen LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trident Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Touchstone Communities — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Bell.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir at Killeen Killeen | 0.6 mi | 2026-06-11 | 1407 |
| Harker Heights Nursing & Rehabilitation Harker Heights | 4.6 mi | 2026-06-11 | 0453 |
| Hill Country Heights Copperas Cove | 10.2 mi | 2026-05-21 | 1211 |
| Copperas Cove Nursing & Rehabilitation Copperas Cove | 11.0 mi | 2026-04-13 | 0232 |
| Creekside Terrace Rehabilitation Belton | 14.6 mi | 2026-06-08 | 0171 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |