CCN 455503 · Bell County, Texas

Rosewood Heights

5700 E Central Texas Expwy, Killeen, TX 76543

Rosewood Heights is a 64-bed for-profit nursing home in Killeen, Texas, first certified for Medicare or Medicaid in 1984. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 58.9 residents a day, about 92% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
64
Average residents per day
58.9 (92.0% of beds)
Ownership type
For profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Uvalde County Hospital Authority
Certified since
Oct 12, 1984
Chain or affiliated group
Touchstone Communities (25 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating3 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections3 of 5
Quality measures4 of 5
Staffing2 of 5
Total nurse hours per resident per day3.813.273.68
RN hours per resident per day0.400.380.58
Weekend nurse hours per resident per day3.37
Nursing staff turnover67.6%52.1%44.9%
Occupancy (residents / beds)92.0%68.6%85.7%
Fines reported by CMS3 totaling $42,298
Health deficiencies, latest standard survey3 (Aug 14, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Rosewood Heights meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Keybank National AssociationOrganizationMortgage Interestn/a05/01/2024
International Bank of CommerceOrganizationSecurity Interestn/a05/01/2024
Touchstone Strategies - Killeen LLCOrganizationOperational / Managerial Controln/a05/01/2024
Boening, ChristopherIndividualOperational / Managerial Controln/a05/01/2024
Campbell, LeslieIndividualOperational / Managerial Controln/a05/01/2024
Castillo, LynneaIndividualOperational / Managerial Controln/a05/01/2024
Landers, LisaIndividualOperational / Managerial Controln/a05/01/2024
Sehlke, BryonIndividualOperational / Managerial Controln/a05/01/2024
Zurovec, DarrellIndividualOperational / Managerial Controln/a05/01/2024

Holders of a 5% or greater mortgage interest reported in the enrollment record: Keybank National Association.

Changes of ownership

EffectiveBuyerSeller
Jun 1, 2022Uvalde County Hospital AuthorityPm Management - Killeen I Nc LLC

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.