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No fines or payment denials in the published 3-year window.
1855 W Goodwin, Pleasanton, TX 78064 (opens Google Maps) · Atascosa County · (830) 281-8202· 100 certified beds · avg 85 residents/day · certified since May 16, 2008 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
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 F-0609
The 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
The facility did not keep residents' personal and medical information private and confidential. F-0583
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 24, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0609 |
| May 16, 2025 | D · Potential for more than minimal harm, isolated | The 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 |
| May 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| May 16, 2025 | 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 |
| May 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| May 16, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| May 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Mar 22, 2024 | 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 |
| Mar 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 10, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 10, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 7 | 0 | E |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.20 | 3.46 | 3.95 | bottom 39% in Texas; bottom 21% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 20% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.70 | 3.04 | 3.50 | bottom 30% in Texas; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.34 | 0.48 | bottom 8% in Texas; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 41.2 | 55.3 | 45.8 | top 23% in Texas; top 40% in the U.S. |
| RN turnover (%) | 16.7 | 54.6 | 42.9 | top 4% in Texas; top 9% 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 3.42, RN 0.28, weekend 2.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Heights of Atascosa. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bexar County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/28/2015 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Alamo Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2017 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2015 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Clayton, Jonathon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Clayton, Jonathon | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Duenes, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/17/2020 |
| Duenes, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 08/17/2020 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Hurley, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 09/26/2014 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/05/2014 |
| Morris, Nicole | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Morris, Nicole | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Sehlke, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2016 |
Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pleasanton South Nursing and Rehabilitation | 1.9 mi | Pleasanton, TX | ★★★★☆ | 3/5 | |
| Pleasanton North Nursing and Rehabilitation | 2.2 mi | Pleasanton, TX | ★☆☆☆☆ | 1/5 | |
| Jourdanton Nursing and Rehabilitation | 3.0 mi | Jourdanton, TX | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Atascosa, TX — 5 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.
Facility data as of CMS processing date 2026-08-01. CCN 676181.
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