Texas ›Pleasanton

The Heights of Atascosa

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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★)

4/5
Health inspection rating (on-site)
inspected May 16, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.20
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: ★★★★☆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.

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

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

    The facility did not keep residents' personal and medical information private and confidential. F-0583

View all 16 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
Nov 24, 2025E · Potential for more than minimal harm, patternThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
May 16, 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
May 16, 2025D · 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
May 16, 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
May 16, 2025D · 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
Mar 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Mar 22, 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
Mar 22, 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
Feb 10, 2023E · Potential for more than minimal harm, patternThe 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, 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
Feb 10, 2023D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Feb 10, 2023D · Potential for more than minimal harm, isolatedThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Feb 10, 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 increased between the last two inspection cycles (3 → 6).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202360E
202430D
202570E

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 →

No fines or payment denials in the published 3-year window.

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: 3.20
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.27
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.70
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)3.203.463.95bottom 39% in Texas; bottom 21% in the U.S.
Registered Nurse hours0.270.440.69bottom 20% in Texas; bottom 7% in the U.S.
Weekend total nurse staffing2.703.043.50bottom 30% in Texas; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.150.340.48bottom 8% in Texas; bottom 5% in the U.S.
Total nursing staff turnover (%)41.255.345.8top 23% in Texas; top 40% in the U.S.
RN turnover (%)16.754.642.9top 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.

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 of Atascosa. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

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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 - Corporation

Owner / managerTypeRoleStakeSince
Bexar County Hospital DistrictOrganization5% or Greater Direct Ownership Interest100%02/28/2015
Aegis Therapies, INC.OrganizationADP of the SNFNOT APPLICABLE02/28/2015
Alamo Advisors LPOrganizationADP of the SNFNOT APPLICABLE02/28/2015
Campbell, LeslieIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2020
Campbell, LeslieIndividualADP of the SNFNOT APPLICABLE04/01/2020
Carvajal Pharmacy LTCOrganizationADP of the SNFNOT APPLICABLE07/01/2017
Castillo, LynneaIndividualOperational/Managerial ControlNOT APPLICABLE02/28/2015
Castillo, LynneaIndividualADP of the SNFNOT APPLICABLE02/28/2015
Clayton, JonathonIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2023
Clayton, JonathonIndividualADP of the SNFNOT APPLICABLE05/01/2023
Duenes, MariaIndividualOperational/Managerial ControlNOT APPLICABLE08/17/2020
Duenes, MariaIndividualADP of the SNFNOT APPLICABLE08/17/2020
Fellbaum, ErnestIndividualADP of the SNFNOT APPLICABLE02/28/2015
Hurley, ChristopherIndividualCorporate OfficerNOT APPLICABLE09/26/2014
Lument Real Estate Capital LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE05/05/2014
Morris, NicoleIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2025
Morris, NicoleIndividualADP of the SNFNOT APPLICABLE10/01/2025
Nutritious Lifestyles, INC.OrganizationADP of the SNFNOT APPLICABLE02/28/2015
Plante & Moran PLLCOrganizationADP of the SNFNOT APPLICABLE02/28/2015
Sehlke, BryonIndividualOperational/Managerial ControlNOT APPLICABLE12/16/2016

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.

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.

  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "How do you keep residents' medical records accurate, complete, and secure?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"

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 41% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 31 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Pleasanton South Nursing and Rehabilitation1.9 miPleasanton, TX★★★★☆3/5
Pleasanton North Nursing and Rehabilitation2.2 miPleasanton, TX★☆☆☆☆1/5
Jourdanton Nursing and Rehabilitation3.0 miJourdanton, TX★★☆☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

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.

All facilities in Pleasanton →

Facility data as of CMS processing date 2026-08-01. CCN 676181.

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