Harker Heights Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Harker Heights Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF584Aug 11, 2025

  Based on observation, interviews, and record reviews the facility failed to ensure that the resident environment remained safe, clean, comfortable, and homelike including keeping the facility comfortable and safe temperature levels. Facilities initially certified after October 1, 1990, must maintain a temperature range of 71 to 81 F; for 1 of 1 memory care unit.The facility failed to maintain comfortable and safe temperature levels in the memory care unit when the local temperatures were at 97 Degrees Fahrenheit (F) and the temperature inside the memory care unit was 93 degrees (F) on 08/09/2025. An IJ was identified on 08/09/2025. The IJ template was provided to the facility on [DATE] at 8:47pm. […]

• Immediate jeopardy, patternF760Dec 5, 2024

  Based on interview and record review, the facility failed to ensure residents were free of any significant medication errors for one (Resident #1) of four residents reviewed for medication errors. The facility failed to: -Ensure Resident #1's order for insulin was instated upon admission from the hospital on 10/18/24. -Ensure Resident #1's medication orders were accurate as she was being administered two anti-seizure medications in which she did not have a diagnosis for which resulted in a sudden change in consciousness/responsiveness and she had to be sent to the hospital. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 12/03/24 at 5:19 PM and an IJ template was given. […]

• Immediate jeopardy, patternF600Apr 13, 2021

  Based on observation, interview and record review the facility failed to ensure residents were free from neglect, when it failed to provide required structures and processes in order to meet the needs of residents. The facility failed to provide the necessary care and services and ensure staff knowledge of their skin management system for four (4) of eight (8) residents reviewed for quality of care and four (4) of thirteen (13) residents reviewed for pharmaceutical services in that: A) The facility failed to ensure residents (Resident #1, #2, #3 and #4) with diabetic stasis ulcers and pressure ulcers were routinely assessed, monitored for decline, and treated per physician instruction and orders. […]

• Immediate jeopardy, patternF684Apr 13, 2021

  Based on observation, interview and record review, the facility failed to assess and provide treatment in accordance with professional standards of practice and based on the comprehensive person-centered care plan for four (4) out of eight (8) residents reviewed for quality of care. (Resident #1, #2, #3 and #4) A. The facility failed to ensure Resident #2's diabetic stasis ulcers to her left lower extremity and left anterior foot were assessed weekly to ensure Resident #2's ulcers did not decline. The facility further failed to ensure a plan of care was in place for Resident #2's diabetic ulcers, ensure physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . B. The facility failed to ensure Resident #4's diabetic ulcers to her bilateral heels were treated daily per physician orders. C. […]

• Immediate jeopardy, patternF755Apr 13, 2021

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring and administering of all drugs to meet the needs of the residents, for 4 Residents (R#1, R#3, R#5, R#6,) of 11 residents selected on the sample for medication and treatment administrations, in that: The facility failed to have a system in place for Resident's medications and treatments administration in the event there is a power outage, disasters or computer system failure, thereby causing Residents to not receive scheduled medications and treatments on 04/09/2021 from 12:30pm to 9:55pm, as evidence by the following: A. […]