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The Heights at Medical Center

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3935 Medical Drive, San Antonio, TX 78229 (opens Google Maps) · Bexar County · (210) 614-4888· 134 certified beds · avg 86 residents/day · certified since Oct 4, 2001 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)

2/5
Health inspection rating (on-site)
inspected Aug 15, 2025
3
Serious findings on record
most recent May 28, 2024
$22,052
Fines, last 3 years
2.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · May 28, 2024 · F-0580 · triggered by a complaint

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 29, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 28, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 29, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · May 28, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 29, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 44 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  2. D · Potential for more than minimal harm, isolated

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. F-0690

View all 44 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 15, 2025B · Potential for minimal harm, patternThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640
Aug 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint · F-0627
Aug 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Jul 18, 2024F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Jul 18, 2024E · Potential for more than minimal harm, patternThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Jul 18, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 18, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791
Jul 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 23, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Jun 23, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Jun 23, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
May 28, 2024▲ J · Immediate jeopardy, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
May 28, 2024▲ J · Immediate jeopardy, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 28, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Apr 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Apr 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint · F-0849
Mar 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573
Mar 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Oct 12, 2023D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693
Oct 12, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
May 5, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
May 5, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 5, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 11
Serious citations (G–L): 0
2024
All citations: 24
Serious citations (G–L): 3
2025
All citations: 9
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023110E
2024243J ▲
202590D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $22,052, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 28, 2024Fine$8,171
May 28, 2024Fine$13,881
May 28, 2024Payment Denial57 days from Jul 4, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.87
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.21
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.59
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.873.463.95bottom 16% in Texas; bottom 10% in the U.S.
Registered Nurse hours0.210.440.69bottom 8% in Texas; bottom 3% in the U.S.
Weekend total nurse staffing2.593.043.50bottom 22% in Texas; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)0.230.340.48bottom 33% in Texas; bottom 18% in the U.S.
Total nursing staff turnover (%)56.355.345.8bottom 41% in Texas; bottom 22% in the U.S.
RN turnover (%)66.754.642.9bottom 34% in Texas; bottom 15% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.00, RN 0.21, weekend 2.71.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.00 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Heights at Medical Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Apolinar, AdamIndividualCorporate DirectorNOT APPLICABLE03/01/2024
Oommen, BijuIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2025
Oommen, BijuIndividualADP of the SNFNOT APPLICABLE10/01/2025
Robinson, LarryIndividualOperational/Managerial ControlNOT APPLICABLE09/17/2024
Robinson, LarryIndividualADP of the SNFNOT APPLICABLE04/01/2025
Touchstone Strategies - Med Center LLCOrganizationOperational/Managerial ControlNOT APPLICABLE11/24/2024
Touchstone Strategies - Med Center LLCOrganizationADP of the SNFNOT APPLICABLE11/24/2024

All 7 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Touchstone Communities — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "If my family member falls or their condition changes, exactly when and how will I be notified?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 65 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Wurzbach Nursing and Rehabilitation0.9 miSan Antonio, TX★★☆☆☆2/5
The Lev at San Antonio1.0 miSan Antonio, TX★☆☆☆☆2/5
The Atrium Rehabilitation Center1.0 miSan Antonio, TX★★★★☆4/5
Oak Park Nursing and Rehabilitation Center1.5 miSan Antonio, TX★★☆☆☆2/5
Patriot Heights Health Care Center1.6 miSan Antonio, TX★★☆☆☆2/5abuse
Remington Transitional Care of San Antonio1.9 miSan Antonio, TX★★★★☆3/5
Sorrento1.9 miSan Antonio, TX★★☆☆☆2/5
The Heights on Huebner1.9 miSan Antonio, TX★★★★☆4/5
Mesa Vista Inn Health Center2.4 miSan Antonio, TX★☆☆☆☆2/5
Avir at San Knoll2.4 miSan Antonio, TX★☆☆☆☆1/5
Ignite Medical Resort San Antonio, LLC2.5 miSan Antonio, TX★★★☆☆2/5
Huebner Creek Health & Rehabilitation Center2.7 miSan Antonio, TX★☆☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Bexar, TX — 62 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 675890.

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