Total health inspections
8
Texas average 7.4
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Rosewood Villas
Nursing Home, Assisted Living, Memory Care, Respite Care & Skilled Nursing · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rosewood Villas
Nursing Home, Assisted Living, Memory Care, Respite Care & Skilled Nursing · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Rosewood Villas accepts Medicaid, Medicare, and private pay.
Settled in beautiful community of Killeen, TX, the Rosewood Villas is a welcoming senior living community that offers long-term care, skilled nursing services, memory care, and rehabilitation. Here, residents can select from convenient and well-appointed accommodations tailored to the needs and preferences of its residents. In terms of memory care, the community provides personalized care programs for those with cognitive conditions like Alzheimer’s disease and dementia.
Offering exceptional amenities and services, residents can enjoy the following: numerous resident elevators with emergency generators, covered parking, storage areas, concierge, and transportation services. Attend community activities such as private gatherings and public exhibits and meet new friends. Explore the amazing shared spaces of this beautiful community. With Rosewood Villas, seniors are assured of a wondrous living experience.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 68th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 68th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 0m per day
Rank #68 / 289Nurse hours — State benchmarkedThis home is ranked 68th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
+6%
Standout metric
Weekend Total Nursing is +19% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 31m per day | ▲ 19% State avg: 2h 58m per day · National avg: 3h 25m per day |
Types of Care at Rosewood Villas
Assisted Living
Memory Care
Respite Care
Skilled Nursing
Capacity and availability
This home usually has availability
Occupancy rate
81.3%
Rank #54 / 297Occupancy rate — State benchmarkedThis home is ranked 54th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
42 days
64-bed community Rank #567 / 987Bed count — State benchmarkedThis home is ranked 567th out of 987 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 24 / 100 Rank #1040 / 1392Walk Score — State benchmarkedThis home is ranked 1040th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeType B
StatusLicensed
ExpirationJanuary 5, 2027
CountyBell
License Number312041
QualificationNursing
Rosewood Villas is legally operated by Touchstone Strategies - Killeen Llc, and administrated by Christopher Green.
Management CompanyTOUCHSTONE COMMUNITIES, INC
OwnerUvalde County Hospital Authority
Ownership TypeLimited Liability Company (LLC)
Staffing
Key information about the people who lead and staff this community.
Administrator Email[email protected]
No Alzheimer's certification
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. TX average
0 Worse
No metrics in this bucket.
3 Better
Metrics better than Texas average:
• Total citations (17% below)
• Health citations (50% below)
• Life safety citations (33% below)
• Total citations (17% below)
• Health citations (50% below)
• Life safety citations (33% below)
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 6 | This facility has 17% fewer total citations than a typical Texas nursing home (5 vs. TX avg 6).↓ 17% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 6 | This facility has 33% fewer life safety citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Rosewood Villas underwent a comprehensive inspection on May 15, 2024, but no Health Code or Life Safety Code deficiencies were detected during the assessment. The facility had no state standard violations listed in either category. There were no recurring issues or correction dates noted for any of the cited standards. In terms of enforcement, no actions were taken against Rosewood Villas following this inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
14
Rank #56 / 292Health citations — State benchmarkedThis home is ranked 56th out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
1.75
Rank #12 / 292Citations per inspection — State benchmarkedThis home is ranked 12th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 14 citations resulted from standard inspections; and 7 of 14 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical health citations
3
50% worse than Texas averageTexas average: 2
Serious health citations
1
150% worse than Texas averageTexas average: 0.4
Citations history (last 3 years)
Nutrition moderate citation
Aug 14, 2025
Corrected
Nutrition moderate citation
Aug 14, 2025
Corrected
Quality of Care critical citation
Apr 18, 2025
Corrected
Care Planning critical citation
Apr 18, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
120
Employees
93
Contractors
27
Staff to resident ratio
2.31:1
56% better than Texas average
Avg staff/day
35
Average shift
7.3 hours
10% worse than Texas average
Total staff hours (quarter)
23,665
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13.2%
3,120 contractor hours this quarter
Speech Language Pathologist: 7
Physical Therapy Aide: 6
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 5
Qualified Social Worker: 2
Certified Nursing Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 1 | 46 | 10,203 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 29 | 0 | 29 | 5,860 | 92 | 100% | 8.8 |
| Registered Nurse | 7 | 0 | 7 | 1,570 | 90 | 98% | 9.3 |
| RN Director of Nursing | 3 | 0 | 3 | 915 | 77 | 84% | 7.7 |
| Physical Therapy Aide | 0 | 6 | 6 | 855 | 86 | 93% | 5.3 |
| Speech Language Pathologist | 0 | 7 | 7 | 653 | 81 | 88% | 5 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 549 | 73 | 79% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 517 | 64 | 70% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 487 | 65 | 71% | 7.5 |
| Administrator | 1 | 0 | 1 | 476 | 59 | 64% | 8.1 |
| Dietitian | 1 | 0 | 1 | 456 | 62 | 67% | 7.4 |
| Physical Therapy Assistant | 0 | 5 | 5 | 416 | 68 | 74% | 5.5 |
| Nurse Aide in Training | 4 | 0 | 4 | 377 | 47 | 51% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 285 | 58 | 63% | 4.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 48 | 6 | 7% | 8 |
46 Certified Nursing Assistant
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
98%
3 RN Director of Nursing
% of Days
84%
6 Physical Therapy Aide
% of Days
93%
7 Speech Language Pathologist
% of Days
88%
6 Respiratory Therapy Technician
% of Days
79%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
71%
1 Administrator
% of Days
64%
1 Dietitian
% of Days
67%
5 Physical Therapy Assistant
% of Days
74%
4 Nurse Aide in Training
% of Days
51%
2 Qualified Social Worker
% of Days
63%
1 Clinical Nurse Specialist
% of Days
7%
Penalties and fines
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$63K Rank #217 / 294Federal fines — State benchmarkedThis home is ranked 217th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
22% lower than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$63K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 2, 2023
$37K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 2, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 2, 2023
6 days
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
15% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.1
12% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.9%
Percent of long-stay residents whose need for help with daily activities has increased
13.9%
14% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.3%
Percent of long-stay residents whose ability to move independently worsened
8.3%
49% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.0%
28% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
Percent of long-stay residents experiencing one or more falls with major injury
5.0%
54% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.2%
Percent of long-stay high risk residents with pressure ulcers
6.2%
41% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.7%
Percent of long-stay residents who have depressive symptoms
7.7%
168% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
In line with Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
In line with Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
71% of new residents, often for short stays.
Typical stay
22 days
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52
Medicare
19
36.5% of residents
Medicaid
19
36.5% of residents
Private pay or other
14
26.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Rosewood Villas based on CMS SNF Cost Reports.
Occupancy Rate
81.3%
↓ 2.2pp vs 2023
Net Income
-$795.5K
↓ ~$477.5K vs 2023
Total Payroll
$4.1M
↑ ~$175.1K vs 2023
Profit Margin
-9.3%
↓ 5.8pp vs 2023
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$9.1M
Operating deficit
-$795.5K
Governmental community
Operated by state authorities.
Home revenue
$9.1M Rank #201 / 297Revenue — State benchmarkedThis home is ranked 201st out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$795.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #215 / 297Payroll — State benchmarkedThis home is ranked 215th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #215 / 297Payroll — State benchmarkedThis home is ranked 215th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.4M
What does this home offer?
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Rosewood Villas
15.1 miles from city center
Estimated distance in miles from Killeen's city center to Rosewood Villas's address, calculated via Google Maps.
Calculate Travel Distance to Rosewood Villas
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Financial Assistance for
Nursing Home in Texas
Rosewood Villas is located in Killeen, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Rosewood Villas
What neighborhood is Rosewood Villas in?
Rosewood Villas is in the Killeen neighborhood of Killeen.
Who is the owner of Rosewood Villas?
The legal owner and operator of Rosewood Villas is Touchstone Strategies - Killeen Llc.
Is Rosewood Villas in a walkable area?
Rosewood Villas has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of Rosewood Villas?
According to TX state health department records, Rosewood Villas's license number is 312041.
When does Rosewood Villas's license expire?
According to TX state health department records, Rosewood Villas's license expires on January 5, 2027.
Who is the administrator of Rosewood Villas?
Christopher Green is the administrator of Rosewood Villas.
How many beds does Rosewood Villas have?
Rosewood Villas has 64 beds.
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