Texas › Comal County › Spring Branch
The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070
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.
Certified for 124 beds, The Heights of Bulverde serves Spring Branch in Comal County, Texas and has taken Medicare and Medicaid residents since 2017.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (16, 24, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.9 per 100 beds, more 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 3.1 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 55.9%.
Compared with county, state and nation
| Measure | This facility | Comal Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 47 | 25 | 28.7 |
| Citations per 100 beds | 37.9 | 31.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 55.9% | 49.5% | 52.1% | 45.8% |
| Fines listed | $0 | $29,026 | $16,801 | — |
County and state figures are medians across facilities (6 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: 25 Jun 2025, 5 May 2024.
Severity mix: J ×1 D ×31 E ×13 F ×2
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 |
|---|---|---|---|---|---|
| 1 Apr 2026 | 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. | E | Complaint investigation | 2 Apr 2026 |
| 13 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 14 Jan 2026 |
| 10 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 11 Dec 2025 |
| 10 Dec 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Complaint investigation | 11 Dec 2025 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Dec 2025 |
| 9 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 10 Dec 2025 |
| 9 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 10 Dec 2025 |
| 9 Dec 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 | Complaint investigation | 10 Dec 2025 |
| 25 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Jun 2025 |
| 25 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Jun 2025 |
| 25 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 | 26 Jun 2025 |
| 25 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 | 26 Jun 2025 |
| 25 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Jun 2025 |
| 25 Jun 2025 | 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 | 26 Jun 2025 |
| 25 Jun 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 | 26 Jun 2025 |
| 25 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 26 Jun 2025 |
| 24 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 25 Apr 2025 |
| 24 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 25 Apr 2025 |
| 19 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 20 Apr 2025 |
| 21 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Mar 2025 |
| 21 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Mar 2025 |
| 21 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Mar 2025 |
| 21 Mar 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 | 24 Dec 2024 |
| 21 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 22 Mar 2025 |
| 22 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 | Complaint investigation | 23 Jul 2024 |
| 22 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Jul 2024 |
| 5 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 May 2024 |
| 5 May 2024 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 6 May 2024 |
| 5 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Complaint investigation | 6 May 2024 |
| 5 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 May 2024 |
| 5 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 6 May 2024 |
| 5 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 6 May 2024 |
| 5 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 6 May 2024 |
| 5 May 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 6 May 2024 |
| 5 May 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. | D | Standard survey | 6 May 2024 |
| 5 May 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 6 May 2024 |
| 5 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 6 May 2024 |
| 5 May 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 | 6 May 2024 |
| 5 May 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 | Standard survey | 6 May 2024 |
| 5 May 2024 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard survey | 6 May 2024 |
| 5 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 6 May 2024 |
| 5 May 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 6 May 2024 |
| 21 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 22 Mar 2024 |
| 24 Mar 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 | 25 Mar 2023 |
| 24 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Mar 2023 |
| 24 Mar 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 25 Mar 2023 |
| 24 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 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 55.9%, RNs 30.0%; 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 | 13.6% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.4% | 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 |
|---|---|---|---|
| Frost Bank | 5% or greater security interest | NOT APPLICABLE | 05/23/2024 |
| Touchstone Strategies - Bulverde LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Alamo Advisors LP | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Realty - Bulverde LLC | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
| Touchstone Strategies - Bulverde LLC | Adp of the snf | NOT APPLICABLE | 08/26/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 04/01/2019 |
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 Comal County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eden Home | New Braunfels | 122 | 3 | 3 | 4 | 28 | 23.0 | $45K | 1 May 2026 |
| Legend Oaks Healthcare and Rehabilitation - New Br | New Braunfels | 126 | 3 | 3 | 2 | 38 | 30.2 | — | 20 May 2026 |
| Kirkwood Manor | New Braunfels | 162 | 2 | 2 | 2 | 51 | 31.5 | $29K | 17 Jun 2026 |
| Sundance Inn Health Centerabuse icon | New Braunfels | 128 | 2 | 2 | 2 | 27 | 21.1 | $6K | 30 Apr 2026 |
| Avir At New Braunfelsabuse icon | New Braunfels | 154 | 1 | 1 | 2 | 53 | 34.4 | $164K | 23 May 2026 |
All 6 facilities in Comal County
Questions and answers
How many deficiencies has The Heights of Bulverde been cited for?
47 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 Bulverde been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Heights of Bulverde compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Heights of Bulverde?
It is part of the Touchstone Communities chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Touchstone Strategies - Bulverde LLC. Individual owners and managers are not listed on this site.
When was The Heights of Bulverde last inspected?
The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 25 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.