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The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 (opens Google Maps) · Comal County · (830) 438-1276· 124 certified beds · avg 97 residents/day · certified since Mar 15, 2017 · 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 Jun 25, 2025
1
Serious findings on record
most recent Mar 21, 2025
$0
Fines, last 3 years
2.73
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: 2/5 · 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 · Mar 21, 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.
▲ Immediate jeopardy, isolated · Mar 21, 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 (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: Mar 22, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 47 inspection findings. Open the full record below to read every finding.
The 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
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. · from a complaint F-0880
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
View all 47 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 1, 2026 | E · Potential for more than minimal harm, pattern | The 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 |
| Jan 13, 2026 | 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. · from a complaint · F-0880 |
| Dec 10, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Dec 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint · F-0603 |
| Dec 10, 2025 | 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. · from a complaint · F-0880 |
| Dec 9, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Dec 9, 2025 | 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. · from a complaint · F-0641 |
| Dec 9, 2025 | 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. · from a complaint · F-0690 |
| Jun 25, 2025 | 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 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Jun 25, 2025 | 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 |
| Jun 25, 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 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Jun 25, 2025 | D · Potential for more than minimal harm, isolated | The 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 |
| Jun 25, 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 |
| Jun 25, 2025 | 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 |
| Apr 24, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Apr 24, 2025 | 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. · from a complaint · F-0641 |
| Apr 19, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 21, 2025 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Mar 21, 2025 | D · Potential for more than minimal harm, isolated | 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 |
| Mar 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Mar 21, 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. · from a complaint · F-0656 |
| Mar 21, 2025 | 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. · from a complaint · F-0880 |
| Jul 22, 2024 | 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. · from a complaint · F-0656 |
| Jul 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| May 5, 2024 | F · Potential for more than minimal harm, widespread | 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. · from a complaint · F-0812 |
| May 5, 2024 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · from a complaint · F-0814 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint · F-0582 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | The 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 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0689 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| May 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| May 5, 2024 | 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 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · F-0635 |
| May 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| May 5, 2024 | 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 |
| May 5, 2024 | D · Potential for more than minimal harm, isolated | The 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, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · F-0773 |
| May 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint · F-0806 |
| May 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint · F-0813 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Mar 24, 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 |
| Mar 24, 2023 | 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 24, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808 |
| Mar 24, 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 8).
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 19
Serious citations (G–L): 0
2025
All citations: 22
Serious citations (G–L): 1
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 19 | 0 | F |
| 2025 | 22 | 1 | J ▲ |
| 2026 | 2 | 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.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.73
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.46
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.28
Texas average: 3.04
U.S. average: 3.50
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) | 2.73 | 3.46 | 3.95 | bottom 9% in Texas; bottom 7% in the U.S. |
| Registered Nurse hours | 0.46 | 0.44 | 0.69 | top 33% in Texas; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.28 | 3.04 | 3.50 | bottom 6% in Texas; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.34 | 0.48 | top 25% in Texas; top 47% in the U.S. |
| Total nursing staff turnover (%) | 55.9 | 55.3 | 45.8 | bottom 41% in Texas; bottom 23% in the U.S. |
| RN turnover (%) | 30.0 | 54.6 | 42.9 | top 18% in Texas; top 29% 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 3.13, RN 0.52, weekend 2.61.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.13 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: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Heights of Bulverde. 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.
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Alamo Advisors LP | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Apolinar, Adam | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2015 |
| 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 | 04/01/2019 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Clayton, Jonathon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Clayton, Jonathon | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Dentino, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Dentino, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Frost Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/23/2024 |
| Hackett, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Hackett, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Prado, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/28/2024 |
| Prado, Aaron | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2024 |
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.
- The Heights of Gonzales — Gonzales, TX · overall 4/5
- The Heights of League City — League City, TX · overall 1/5
- The Heights of Magnolia — Magnolia, TX · overall —/5
- The Heights of North Houston — Houston, TX · overall 2/5
- The Heights of Tomball — Tomball, TX · overall 4/5
- The Heights of Tyler — Tyler, TX · overall 3/5
- The Heights on Huebner — San Antonio, TX · overall 4/5
- The Heights on Valley Ranch — Porter, TX · overall 4/5
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
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 how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
- "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?"
- "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?"
- "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 (12 closest of 20 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Coronado at Stone Oak | 12.8 mi | San Antonio, TX | ★★★★★ | 4/5 | |
| The Enclave | 13.5 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Stone Oak Care Center | 13.6 mi | San Antonio, TX | ★★☆☆☆ | 3/5 | |
| Sonterra Health Center | 14.1 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| San Antonio Wellness & Rehabilitation | 15.4 mi | San Antonio, TX | ★★☆☆☆ | 2/5 | |
| Trucare Living Centers - Selma | 16.0 mi | Selma, TX | ★★☆☆☆ | 3/5 | |
| Avir at Schertz | 16.2 mi | Schertz, TX | ★★☆☆☆ | 1/5 | abuse |
| Cibolo Creek | 17.7 mi | Boerne, TX | ★★☆☆☆ | 2/5 | |
| Avir at Boerne | 17.7 mi | Boerne, TX | ★☆☆☆☆ | 1/5 | |
| Kirkwood Manor | 17.8 mi | New Braunfels, TX | ★★☆☆☆ | 2/5 | |
| Estates at Shavano Park | 17.9 mi | Shavano Park, TX | ★★★☆☆ | 3/5 | |
| Eden Home | 18.5 mi | New Braunfels, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Comal, TX — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Avir at New Braunfels — New Braunfels, TX · overall 1/5abuse
- Legend Oaks Healthcare and Rehabilitation - New Br — New Braunfels, TX · overall 3/5
- Sundance Inn Health Center — New Braunfels, TX · overall 2/5abuse
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 676418.
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