Texas › Hidalgo County › Alamo
The Heights of Alamo
1214 S. Alamo Road, Alamo, TX 78516
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 of Alamo is a For-profit, corporation nursing home in Alamo, Texas, certified for 130 beds and caring for about 113 residents a day.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 5.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (9, 3, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.2 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 38.9%.
Compared with county, state and nation
| Measure | This facility | Hidalgo Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 24 | 25 | 28.7 |
| Citations per 100 beds | 9.2 | 18.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 38.9% | 40.0% | 52.1% | 45.8% |
| Fines listed | $8,414 | $16,611 | $16,801 | — |
County and state figures are medians across facilities (22 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: 5 Jun 2025, 11 Apr 2024.
Severity mix: G ×1 D ×11
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 |
|---|---|---|---|---|---|
| 13 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Nov 2025 |
| 13 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 Nov 2025 |
| 5 Jun 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 9 Jun 2025 |
| 5 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Jun 2025 |
| 5 Jun 2025 | 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 | 9 Jun 2025 |
| 5 Jun 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 | 9 Jun 2025 |
| 5 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 9 Jun 2025 |
| 5 Jun 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 | 9 Jun 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Jun 2025 |
| 5 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 May 2025 |
| 5 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 6 May 2025 |
| 5 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 May 2025 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 May 2025 | Fine | $8,414 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 38.9%, RNs 25.0%; 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 | 18.7% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.8% | 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, corporation. Legal business name: Uvalde County Hospital Authority. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Capital Funding Group, Inc. | 5% or greater mortgage interest | NOT APPLICABLE | 10/15/2020 |
| Touchstone Strategies - Alamo LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Touchstone Realty - Alamo LLC | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Touchstone Strategies - Alamo LLC | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
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 Hidalgo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Grand Terrace Rehabilitation and Healthcare | Mcallen | 93 | 5 | 5 | 2 | 16 | 17.2 | — | 17 Jun 2026 |
| Windsor Las Palmas Nursing and Rehabilitation Cent | Mcallen | 120 | 5 | 5 | 2 | 7 | 5.8 | $38K | 6 Sep 2025 |
| Mcallen Transitional Care Center | Mcallen | 100 | 4 | 3 | 3 | 18 | 18.0 | $9K | 11 Mar 2026 |
| Mission Nursing and Rehabilitation Center | Mission | 170 | 4 | 4 | 2 | 24 | 14.1 | $8K | 2 Apr 2026 |
| Mission Valley Nursing and Transitional Care | Mission | 120 | 4 | 3 | 2 | 18 | 15.0 | $39K | 11 Feb 2026 |
| San Juan Nursing Home, Inc. | San Juan | 114 | 4 | 4 | 3 | 11 | 9.6 | — | 18 Jun 2026 |
| Weslaco Nursing and Rehabilitation Center | Weslaco | 120 | 4 | 4 | 1 | 26 | 21.7 | — | 24 Apr 2026 |
| Windsor Arbor View | Edinburg | 120 | 4 | 3 | 2 | 22 | 18.3 | $8K | 5 Jun 2026 |
All 22 facilities in Hidalgo County
Questions and answers
How many deficiencies has The Heights of Alamo been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Heights of Alamo been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at The Heights of Alamo compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Heights of Alamo?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Touchstone Strategies - Alamo LLC. Individual owners and managers are not listed on this site.
When was The Heights of Alamo last inspected?
The most recent survey or investigation in the CMS record is dated 13 Nov 2025; the most recent standard health survey was 5 Jun 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.