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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.

Rosewood Villas

5700 E Central Texas Expy, Killeen, TX 76543 View map
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
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
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
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
Texas average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 0m per day

This home provides 6% more nursing time per resident than the Texas average.

Texas average: 3h 46m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 85

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 81.3%
Residents per day (avg) 56
Occupancy rate
81.3%
Residents per day (avg)
56

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
$9,095,052.00
Operating deficit
$-795,451.00
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
85-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 24 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License details

Facility type
Assisted Living
Status Licensed
Expiration January 5, 2027
County: BELL

Additional licensing details

License number: 312041

Ownership & operating entity

Rosewood Villas is legally operated by TOUCHSTONE STRATEGIES - KILLEEN LLC, and administrated by CHRISTOPHER GREEN.

Management company: TOUCHSTONE COMMUNITIES, INC
Owner: TOUCHSTONE STRATEGIES KILLEEN LLC
Ownership type: Limited Liability Company (LLC)

Staffing

Key information about the people who lead and staff this community.

Leadership

Care Services

Provides Memory Care
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

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.

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
0
0
0
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
28
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

Places of interest near Rosewood Villas

Address 15.1 miles from city center

Address 5700 E Central Texas Expy, Killeen, TX 76543

Calculate Travel Distance to Rosewood Villas

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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 Assistant5625810,87891100%6.9
Licensed Practical Nurse160163,60391100%8.4
Registered Nurse130133,31191100%8.6
Speech Language Pathologist0557517684%6.5
RN Director of Nursing2026216976%7
Physical Therapy Aide0556217785%5.5
Clinical Nurse Specialist4046086571%7.7
Nurse Practitioner1015136369%8.1
Nurse Aide in Training8085084651%6.9
Mental Health Service Worker1015036774%7.5
Administrator1015026268%8.1
Respiratory Therapy Technician0334867279%6.7
Dietitian1014155459%7.7
Physical Therapy Assistant0772917380%3.6
Qualified Social Worker0221276066%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 census
52 residents
Residents by payment source
Medicare
19 residents (36.5%)
Medicaid
19 residents (36.5%)
Private pay or other
14 residents (26.9%)
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

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Texas Seniors

Get financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

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

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

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

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

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

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