Texas › Bexar County › San Antonio
The Heights At Medical Center
3935 Medical Drive, San Antonio, TX 78229
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Heights At Medical Center, in San Antonio, Texas, is certified for 134 beds under for-profit, limited liability company ownership and belongs to the Touchstone Communities chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (9, 13, 22 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 32.8 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $22K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 56.3%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 38 | 25 | 28.7 |
| Citations per 100 beds | 32.8 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.3% | 50.0% | 52.1% | 45.8% |
| Fines listed | $22,052 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Aug 2025, 18 Jul 2024.
Severity mix: J ×3 D ×34 E ×5 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Aug 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Aug 2025 |
| 15 Aug 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 16 Aug 2025 |
| 4 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 5 Aug 2025 |
| 4 Aug 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 5 Aug 2025 |
| 18 Jul 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 19 Jul 2024 |
| 18 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Jul 2024 |
| 23 Jun 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 24 Jun 2024 |
| 23 Jun 2024 | 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. | D | Complaint investigation | 24 Jun 2024 |
| 23 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Jun 2024 |
| 28 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 29 May 2024 |
| 28 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 29 May 2024 |
| 28 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 May 2024 |
| 28 May 2024 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 29 May 2024 |
| 19 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 20 Apr 2024 |
| 19 Apr 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 20 Apr 2024 |
| 27 Mar 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 28 Mar 2024 |
| 27 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Mar 2024 |
| 12 Oct 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint investigation | 13 Oct 2023 |
| 12 Oct 2023 | 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. | D | Complaint investigation | 13 Oct 2023 |
| 5 May 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 6 May 2023 |
| 5 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 May 2023 |
| 5 May 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | 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. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 May 2023 |
| 5 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 May 2024 | Payment denial | — | 57 days |
| 28 May 2024 | Fine | $13,881 | |
| 28 May 2024 | Fine | $8,171 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.3%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.1% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Uvalde County Hospital Authority. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Touchstone Strategies - Med Center LLC | Operational/managerial control | NOT APPLICABLE | 11/24/2024 |
| Touchstone Strategies - Med Center LLC | Adp of the snf | NOT APPLICABLE | 11/24/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has The Heights At Medical Center been cited for?
44 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Heights At Medical Center been fined?
Yes. CMS lists fines totalling $22K in the period covered, plus 1 payment denial.
How does staffing at The Heights At Medical Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Heights At Medical Center?
It is part of the Touchstone Communities chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Touchstone Strategies - Med Center LLC. Individual owners and managers are not listed on this site.
When was The Heights At Medical Center last inspected?
The most recent survey or investigation in the CMS record is dated 15 Aug 2025; the most recent standard health survey was 15 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.