The Heights of Alamo
1214 S. Alamo Road, Alamo, TX 78516 · Hidalgo County · 130 certified beds · avg 113 residents/day · certified since Apr 5, 2018
Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 5, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 6, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 13, 2025 | D · Potential for harm, one-off | The 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. · from a complaint |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 5, 2025 | D · Potential for harm, one-off | The 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | The 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 5, 2025 | D · Potential for harm, one-off | The 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. |
| May 5, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 5, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| May 5, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 12 | 1 | G ▲ |
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)
1 fine totaling $8,414.
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2025 | Fine | $8,414 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.07 | 3.46 | 3.95 | bottom 27% in Texas; bottom 16% in the U.S. |
| Registered Nurse hours | 0.29 | 0.44 | 0.69 | bottom 25% in Texas; bottom 8% in the U.S. |
| Weekend total nurse staffing | 2.60 | 3.04 | 3.50 | bottom 22% in Texas; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.34 | 0.48 | bottom 17% in Texas; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 55.3 | 45.8 | top 18% in Texas; top 34% in the U.S. |
| RN turnover (%) | 25.0 | 54.6 | 42.9 | top 11% in Texas; top 20% in the U.S. |
Hours are per resident per day, 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 3.18, RN 0.30, weekend 2.69. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Apolinar, Adam | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2015 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Cantu Garcia, Ismael | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Capital Funding Group, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/15/2020 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Carvajal, Charles | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Carvajal, Mark | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Carvajal, Raymond | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Gilcrease, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Gilcrease, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| McGarity, Jessica | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| McKee, Janet | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Peterson, Daniel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/11/2025 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| San Juan Nursing Home, INC. | 2.7 mi | San Juan, TX | ★★★★☆ | 4/5 | |
| Windsor Las Palmas Nursing and Rehabilitation Cent | 5.3 mi | McAllen, TX | ★★★★★ | 5/5 | |
| McAllen Transitional Care Center | 5.4 mi | McAllen, TX | ★★★★☆ | 3/5 | |
| Alfredo Gonzalez Texas State Veterans Home | 5.9 mi | McAllen, TX | ★★☆☆☆ | 2/5 | abuse |
| McAllen Nursing Center | 6.3 mi | McAllen, TX | ★★☆☆☆ | 2/5 | |
| Grand Terrace Rehabilitation and Healthcare | 6.7 mi | McAllen, TX | ★★★★★ | 5/5 | |
| Colonial Manor Advanced Rehab & Healthcare | 6.8 mi | Pharr, TX | ★☆☆☆☆ | 2/5 | |
| Windsor Nursing and Rehabilitation Center of McAll | 7.0 mi | McAllen, TX | ★★★☆☆ | 4/5 | |
| Edinburg Nursing and Rehabilitation Center | 7.4 mi | Edinburg, TX | ★★☆☆☆ | 3/5 | |
| Hidalgo Nursing and Rehabilitation Center | 7.8 mi | Edinburg, TX | ★☆☆☆☆ | 2/5 | abuse |
| Weslaco Nursing and Rehabilitation Center | 8.9 mi | Weslaco, TX | ★★★★☆ | 4/5 | |
| Windsor Nursing and Rehabilitation Center of Edinb | 9.0 mi | Edinburg, TX | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676441.