Rosewood Villas

Assisted Living in Bell County

CMS overall rating Info 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.
Rosewood Villas

Assisted Living in Bell County

CMS overall rating Info 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.

Overview of Rosewood Villas

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.

(833) 297-0084

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5 ■ Avg Texas average: 3.0/5
Health Inspection Info 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.
2/5 ▼ 0.9 Texas average: 2.9/5
Staffing Info 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.
3/5 ▲ 0.6 Texas average: 2.4/5
Quality Measures Info 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.
5/5 ▲ 1.1 Texas average: 4.0/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Texas state averages

Total nursing care / resident Info This home is ranked 67th out of 246 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
This facility Texas avg (3h 47m per day)
vs Texas avg
+6%

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 64

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average: 63.5%
Occupancy rate 81.3%
Avg. Length of Stay 42 days
Occupancy rate
81.3%
Avg. Length of Stay
42 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

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

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
Operating deficit
-$795.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.4M
37.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.0M
Total costs $9.4M
Bed community size
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 24 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License Details

Facility TypeType B
StatusLicensed
ExpirationJanuary 5, 2027
CountyBell
License Number312041
QualificationNursing

Ownership & Operating Entity

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.

Leadership

Administrator Email [email protected]

Memory & Specialized Care

1 service
Alzheimer's Certification

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Rosewood Villas

Assisted Living Memory Care Respite Care Skilled Nursing

Contact Rosewood Villas

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

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.

5 total citations

1 health citation 4 life safety citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Texas average: 6 citations

Texas average: 2 health citations

Texas average: 6 life safety citations

Inspection Report Summary for Rosewood Villas

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.

Health Inspection History

Inspections
Total health inspections 8

Texas average 7.4


Last Health inspection on Aug 2025

Total health citations 14

Texas average 25.9

Citations per inspection
1.75

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 More info 3
50% worse than Texas average

Texas average: 2


Serious Health citations More info 1
150% worse than Texas average

Texas average: 0.4

3 critical citations More info Texas average: 2

1 serious citation More info Texas average: 0.4

10 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 14, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 14, 2025
Corrected

Quality of Care critical citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 18, 2025
Corrected

Care Planning critical citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 18, 2025
Corrected

Compare Assisted Living around Bell County The information below is reported by the Texas Health and Human Services Commission.

Filter by care type
Sodalis Temple
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Temple 74 Yes 51 - - Ec Opco Cottonwood, Llc 4 1 3 -
Rosewood Villas
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Killeen 64 No 24 - - Touchstone Strategies - Killeen Llc 5 1 4 -
Stoney Brook of Copperas Cove
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Copperas Cove 52 No 27 16 A+ 4-K Housing, Inc. 3 1 2 -
Platinum Resort Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Georgetown 16 Yes 2 5 A+ Platinum Resort Mesa, Llc 0 0 0 -
Silver Creek Assisted Living Lampasas
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lampasas 16 No 50 20 - Scal Lampasas, Llc 5 1 4 -

Financial Assistance for
Assisted Living in Texas

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized
General TX resident, low-income.
Income Limits (2025) ~$3,970/month 185% FPL
Asset Limits Not assessed.
TX

Priority for elderly/disabled; covers gas, electric, propane.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+
General unemployed, low-income, TX resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified.
TX

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Places of interest near Rosewood Villas

Address 15.1 miles from city center Info Estimated distance in miles from Killeen's city center to Rosewood Villas's address, calculated via Google Maps.

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 127
Employees 103
Contractors 24
Staff to resident ratio 2.44:1
62% better than Texas average

Texas average ratio: 1.51:1

Avg staff/day 36
Average shift 7.2 hours
11% worse than Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 23,737
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

11.9%

2,814 contractor hours this quarter

Physical Therapy Assistant: 7 Speech Language Pathologist: 5 Physical Therapy Aide: 5 Respiratory Therapy Technician: 3 Certified Nursing Assistant: 2 Qualified Social Worker: 2
Staff by category
Certified Nursing Assistant 56 2 58 10,878 91 100% 6.9
Licensed Practical Nurse 16 0 16 3,603 91 100% 8.4
Registered Nurse 13 0 13 3,311 91 100% 8.6
Speech Language Pathologist 0 5 5 751 76 84% 6.5
RN Director of Nursing 2 0 2 621 69 76% 7
Physical Therapy Aide 0 5 5 621 77 85% 5.5
Clinical Nurse Specialist 4 0 4 608 65 71% 7.7
Nurse Practitioner 1 0 1 513 63 69% 8.1
Nurse Aide in Training 8 0 8 508 46 51% 6.9
Mental Health Service Worker 1 0 1 503 67 74% 7.5
Administrator 1 0 1 502 62 68% 8.1
Respiratory Therapy Technician 0 3 3 486 72 79% 6.7
Dietitian 1 0 1 415 54 59% 7.7
Physical Therapy Assistant 0 7 7 291 73 80% 3.6
Qualified Social Worker 0 2 2 127 60 66% 2.1
58 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
5 Speech Language Pathologist
% of Days 84%
2 RN Director of Nursing
% of Days 76%
5 Physical Therapy Aide
% of Days 85%
4 Clinical Nurse Specialist
% of Days 71%
1 Nurse Practitioner
% of Days 69%
8 Nurse Aide in Training
% of Days 51%
1 Mental Health Service Worker
% of Days 74%
1 Administrator
% of Days 68%
3 Respiratory Therapy Technician
% of Days 79%
1 Dietitian
% of Days 59%
7 Physical Therapy Assistant
% of Days 80%
2 Qualified Social Worker
% of Days 66%

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.

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 Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.1
12% better than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.9%
14% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.3%
49% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.0%
28% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.0%
54% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.2%
41% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
In line with Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.7%
168% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
In line with Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.3%
In line with Texas average

Texas average: 88.0%

Penalties and fines

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
22% lower than Texas average

Texas average: $80K

Number of fines 3
21% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
354% more payment denials than Texas average

Texas 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.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 18, 2025
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 11, 2024
$17K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 2, 2023
$37K
Payment Denial Info 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

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