D

ROSEWOOD HEIGHTS

5700 E CENTRAL TEXAS EXPWY, KILLEEN, TX 76543
Score: 40 / 100

Rosewood Heights faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 44th percentile among Texas nursing homes, suggesting significant room for improvement.

Staffing at Rosewood Heights is near the national average, with 3.95 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 14 deficiencies at Rosewood Heights, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.95 3.8 Average
Registered Nurses (RN) 0.54 0.7 Below Average
Licensed Practical Nurses (LPN) 1.21 0.7 Above Average
Certified Nursing Assistants (CNA) 2.20 2.4 Average
Weekend Total Nursing 3.54 3.8 Average
Weekend RN Hours 0.29 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Aug 13, 2025
Most Recent Inspection
🟠 11 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0803 Severity E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee
    Aug 13, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 13, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0655 Severity J
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Apr 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Oct 1, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.4% 4.5% Worse
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 6.3% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 13.3% 14.0% Average
Excessive weight loss 3.5% 7.5% Better
New/worsened incontinence 18.5% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $62,745

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
64
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 13, 2025
Deficiencies (Cycle 1)
4