Chains › Touchstone Communities
Touchstone Communities
Nursing home chain, as named in the CMS provider file.
Touchstone Communities operates 25 Medicare-certified nursing homes in 1 state, with 3,213 certified beds; the largest presence is in Texas.
36% of its facilities are rated 1 or 2 stars overall (national: 41%). Citations run at 18.6 per 100 beds against 26.8 nationally, and fines in the period covered total $696K.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026. Chain membership is as recorded by CMS and can lag ownership changes.
| Measure | Touchstone Communities | US |
|---|---|---|
| Median overall rating | 3 | 3 |
| Median citations per facility | 22 | 23 |
| Median nurse hours per resident day | 3.2 | 3.7 |
| Median nursing turnover | 45.0% | 44.9% |
| Facilities with the abuse icon | 0 | 1426 |
Rating distribution
States
| State | Facilities |
|---|---|
| Texas | 25 |
Most-cited tags
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 51 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 39 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 34 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 34 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 33 |
| F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 29 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 24 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 22 |
Penalties by year
Facilities
| Facility | City | State | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|---|
| Country Care Manor | La Vernia | TX | 91 | 4 | 4 | 2 | 12 | 13.2 | $22K | 17 Dec 2025 |
| Del Rio Nursing and Rehabilitation Center | Del Rio | TX | 60 | 5 | 4 | 3 | 26 | 43.3 | $8K | 17 Jun 2026 |
| Harker Heights Nursing & Rehabilitation | Harker Heights | TX | 199 | 1 | 1 | 2 | 49 | 24.6 | $65K | 11 Jun 2026 |
| Hill Country Heights | Copperas Cove | TX | 96 | 4 | 4 | 2 | 23 | 24.0 | $12K | 21 May 2026 |
| La Frontera Nursing & Rehabilitation | Laredo | TX | 186 | 3 | 4 | 1 | 11 | 5.9 | $8K | 29 May 2025 |
| Laredo Nursing and Rehabilitation Center | Laredo | TX | 120 | 1 | 1 | 2 | 28 | 23.3 | $94K | 16 Jun 2026 |
| Las Alturas De Penitas | Penitas | TX | 130 | 3 | 2 | 2 | 17 | 13.1 | $166K | 28 May 2026 |
| Las Alturas Nursing & Transitional Care | Laredo | TX | 138 | 3 | 3 | 1 | 22 | 15.9 | — | 1 Mar 2026 |
| Mid Valley Nursing & Rehabilitation | Mercedes | TX | 123 | 2 | 2 | 1 | 28 | 22.8 | $17K | 10 Jun 2026 |
| Rosewood Heights | Killeen | TX | 64 | 3 | 3 | 2 | 15 | 23.4 | $42K | 17 Apr 2026 |
| Stone Oak Care Center | San Antonio | TX | 152 | 2 | 3 | 1 | 40 | 26.3 | $9K | 4 Jun 2026 |
| The Enclave | San Antonio | TX | 142 | 1 | 2 | 1 | 46 | 32.4 | $10K | 26 Feb 2026 |
| The Heights At Medical Center | San Antonio | TX | 134 | 1 | 2 | 1 | 44 | 32.8 | $22K | 15 Aug 2025 |
| The Heights of Alamo | Alamo | TX | 130 | 5 | 4 | 2 | 12 | 9.2 | $8K | 13 Nov 2025 |
| The Heights of Atascosa | Pleasanton | TX | 100 | 4 | 4 | 2 | 16 | 16.0 | — | 24 Nov 2025 |
| The Heights of Bulverde | Spring Branch | TX | 124 | 2 | 2 | 2 | 47 | 37.9 | — | 1 Apr 2026 |
| The Heights of Gonzales | Gonzales | TX | 132 | 4 | 4 | 2 | 22 | 16.7 | — | 27 Mar 2026 |
| The Heights of League City | League City | TX | 194 | 1 | 1 | 1 | 28 | 14.4 | $145K | 24 Apr 2026 |
| The Heights of Magnolia | Magnolia | TX | 138 | — | — | — | 2 | 1.4 | — | 10 Jun 2026 |
| The Heights of North Houston | Houston | TX | 131 | 2 | 2 | 2 | 26 | 19.8 | $32K | 18 Jun 2026 |
| The Heights of Tomball | Tomball | TX | 131 | 4 | 4 | 1 | 14 | 10.7 | $22K | 12 May 2025 |
| The Heights of Tyler | Tyler | TX | 120 | 3 | 4 | 1 | 21 | 17.5 | $14K | 24 Mar 2026 |
| The Heights On Huebner | San Antonio | TX | 120 | 4 | 4 | 2 | 18 | 15.0 | — | 14 Jan 2026 |
| The Heights On Valley Ranch | Porter | TX | 122 | 4 | 4 | 3 | 16 | 13.1 | — | 15 May 2025 |
| West Oaks Nursing & Rehabilitation | Houston | TX | 136 | 4 | 4 | 2 | 14 | 10.3 | — | 13 Mar 2026 |
Questions and answers
How many nursing homes does Touchstone Communities operate?
25 Medicare-certified facilities in 1 state, with 3,213 certified beds, according to the chain name in the CMS provider file.
How are Touchstone Communities facilities rated?
36% are rated 1–2 stars overall and 2 hold 5 stars; the median overall rating is 3. Nationally 41% are rated 1–2 stars.
Has Touchstone Communities been fined?
CMS lists 34 fines totalling $696K and 3 payment denials across its facilities in the period the penalties file covers.