Texas › Atascosa County › Pleasanton
The Heights of Atascosa
1855 W Goodwin, Pleasanton, TX 78064
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 Atascosa, in Pleasanton, Texas, is certified for 100 beds under for-profit, corporation ownership and belongs to the Touchstone Communities chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (7, 3, 6 by cycle, most recent first), none at the actual-harm level. That is 16.0 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 41.2%.
Compared with county, state and nation
| Measure | This facility | Atascosa Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 35 | 25 | 28.7 |
| Citations per 100 beds | 16.0 | 51.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 2.8 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 41.2% | 47.3% | 52.1% | 45.8% |
| Fines listed | $0 | $28,334 | $16,801 | — |
County and state figures are medians across facilities (5 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: 16 May 2025, 22 Mar 2024.
Severity mix: D ×13 E ×3
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 |
|---|---|---|---|---|---|
| 24 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 25 Nov 2025 |
| 16 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 May 2025 |
| 16 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 17 May 2025 |
| 16 May 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 | 17 May 2025 |
| 16 May 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 | 17 May 2025 |
| 16 May 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 | 17 May 2025 |
| 16 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 May 2025 |
| 22 Mar 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 23 Mar 2024 |
| 22 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Mar 2024 |
| 22 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Mar 2024 |
| 10 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 11 Feb 2023 |
| 10 Feb 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 | 11 Feb 2023 |
| 10 Feb 2023 | 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 | 11 Feb 2023 |
| 10 Feb 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | 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. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 41.2%, RNs 16.7%; 1 administrator 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 | 7.7% | 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 | 1.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.1% | 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, corporation. Legal business name: Bexar County Hospital District. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bexar County Hospital District | 5% or greater direct ownership interest | 100% | 02/28/2015 |
| Lument Real Estate Capital LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/05/2014 |
| Touchstone Strategies - Pleasanton LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Alamo Advisors LP | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 07/01/2017 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Touchstone Realty - Atascosa LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Touchstone Strategies - Pleasanton LLC | Adp of the snf | NOT APPLICABLE | 07/10/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
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 Atascosa County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pleasanton South Nursing and Rehabilitation | Pleasanton | 88 | 4 | 3 | 2 | 35 | 39.8 | $9K | 18 Jun 2026 |
| Jourdanton Nursing and Rehabilitation | Jourdanton | 60 | 2 | 3 | 1 | 31 | 51.7 | $28K | 16 Jan 2026 |
| Lytle Nursing Home | Lytle | 70 | 1 | 2 | 1 | 43 | 61.4 | $56K | 17 Jul 2025 |
| Pleasanton North Nursing and Rehabilitation | Pleasanton | 46 | 1 | 1 | 2 | 48 | 104.3 | $168K | 26 Jun 2026 |
All 5 facilities in Atascosa County
Questions and answers
How many deficiencies has The Heights of Atascosa been cited for?
16 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Heights of Atascosa been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Heights of Atascosa compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Heights of Atascosa?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bexar County Hospital District and Touchstone Strategies - Pleasanton LLC. Individual owners and managers are not listed on this site.
When was The Heights of Atascosa last inspected?
The most recent survey or investigation in the CMS record is dated 24 Nov 2025; the most recent standard health survey was 16 May 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.