Harker Heights Nursing & Rehabilitation has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Harker Heights facility should carefully review its inspection history and quality metrics.
Staffing at Harker Heights Nursing & Rehabilitation is near the national average, with 3.56 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 45 deficiencies at Harker Heights Nursing & Rehabilitation, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.56 | 3.8 | Average |
| Registered Nurses (RN) | 0.37 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.41 | 2.4 | Average |
| Weekend Total Nursing | 3.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0559 Severity DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Nov 17, 2025 · Resident Rights Deficiencies
- Tag 0926 Severity DHave policies on smoking.Sep 15, 2025 · Environmental Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 10, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Jul 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 2, 2025 · Nutrition and Dietary 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 | 2.5% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 5.4% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 10.1% | 14.0% | Better |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 22.8% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $83,951
How This Grade Was Calculated
This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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