Rosewood Heights
Killeen, Bell County, Texas · CCN 455503 · For-profit (Corporation) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)
CMS rates Rosewood Heights 3 of 5 overall as of August 2026. 64 certified beds, 59 residents a day on average. 15 citations on record from the current inspection cycles, 3 at immediate jeopardy; 3 fines totalling $42,298.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.81452 hours per resident per day |
|---|---|
| Registered nurses | 0.39813 hours per resident per day |
| Weekend total | 3.36748 hours per resident per day |
| Nursing staff turnover | 67.6% (registered nurses 75%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-17 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-04-24 |
| 2025-08-14 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-22 |
| 2025-08-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-22 |
| 2025-04-18 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-04-19 |
| 2025-04-18 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-04-19 |
| 2024-10-02 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-17 |
| 2024-09-09 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-09-09 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-07-30 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-07-26 |
| 2024-07-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-12 |
| 2023-10-02 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-30 |
| 2023-06-02 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-07-07 |
| 2023-06-02 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-07 |
| 2023-06-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-11 |
| 2023-06-02 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-07 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-17 | Fine | $16,350 |
| 2025-04-18 | Fine | $9,193 |
| 2024-07-11 | Fine | $16,755 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Keybank National Association Organization | 5% or greater mortgage interest | — | 2024-05-01 |
| International Bank Of Commerce Organization | 5% or greater security interest | — | 2024-05-01 |
| Aegis Therapies, Inc. Organization | adp of the snf | — | 2024-05-01 |
| Alamo Advisors Lp Organization | adp of the snf | — | 2024-05-01 |
| Carvajal Pharmacy Ltc Organization | adp of the snf | — | 2024-05-01 |
| Fellbaum 2023 Descendants Trust Organization | adp of the snf | — | 2024-05-01 |
| Hc-Rw Associates, Ltd. Organization | adp of the snf | — | 2024-05-01 |
| Healthcare Investments - Killeen LLC Organization | adp of the snf | — | 2024-05-01 |
| Healthcare Services Group Inc. Organization | adp of the snf | — | 2024-05-01 |
| Jan Studer 2023 Spousal Trust Organization | adp of the snf | — | 2024-05-01 |
| Kelly Fellbaum 2023 Spousal Trust Organization | adp of the snf | — | 2024-05-01 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2024-05-01 |
| Studer 2023 Descendants Trust Organization | adp of the snf | — | 2024-05-01 |
| The Bryon And Rena Sehlke Living Trust Organization | adp of the snf | — | 2024-05-01 |
| Touchstone Communities Inc. Organization | adp of the snf | — | 2024-05-01 |
| Touchstone Strategies - Killeen LLC Organization | adp of the snf | — | 2025-08-29 |
| Trident Health Services Inc. Organization | adp of the snf | — | 2024-05-01 |
| Touchstone Strategies - Killeen LLC Organization | operational/managerial control | — | 2024-05-01 |
| Boening, Christopher Individual | adp of the snf | — | 2024-05-01 |
| Campbell, Leslie Individual | adp of the snf | — | 2024-05-01 |
| Castillo, Lynnea Individual | adp of the snf | — | 2024-05-01 |
| Landers, Lisa Individual | adp of the snf | — | 2024-05-01 |
| Oommen, Biju Individual | adp of the snf | — | 2024-12-01 |
| Palo, Debbie Individual | adp of the snf | — | 2024-09-30 |
| Sehlke, Bryon Individual | adp of the snf | — | 2024-05-01 |
| Zurovec, Darrell Individual | adp of the snf | — | 2024-05-01 |
| Apolinar, Adam Individual | corporate officer | — | 2015-08-01 |
| Fellbaum, Ernest Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-29 |
| Fellbaum, Kelly Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-29 |
| Studer, Laura Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-29 |
| Studer, Stanley Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-29 |
| Boening, Christopher Individual | operational/managerial control | — | 2024-05-01 |
| Campbell, Leslie Individual | operational/managerial control | — | 2024-05-01 |
| Castillo, Lynnea Individual | operational/managerial control | — | 2024-05-01 |
| Landers, Lisa Individual | operational/managerial control | — | 2024-05-01 |
| Sehlke, Bryon Individual | operational/managerial control | — | 2024-05-01 |
| Zurovec, Darrell Individual | operational/managerial control | — | 2024-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Rosewood Heights.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bell County.