The Heights of Gonzales

Name: The Heights of Gonzales
Address: 701 N SARAH DEWITT, Gonzales, TX, 78629, US
Telephone: 8306724530

701 N Sarah Dewitt, Gonzales, TX 78629 · Gonzales County · 132 certified beds · avg 93 residents/day · certified since May 22, 2007

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.39

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (22)

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
Mar 27, 2026	D · Potential for 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.
Mar 27, 2026	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.
Mar 27, 2026	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.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 27, 2026	D · Potential for harm, one-off	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.
Jan 28, 2026	C · Minimal risk, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Dec 13, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Dec 13, 2024	E · Potential for harm, repeated	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.
Dec 13, 2024	D · Potential for harm, one-off	The 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.
Dec 13, 2024	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.
Dec 13, 2024	D · Potential for harm, one-off	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.
Dec 13, 2024	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.
Dec 13, 2024	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Apr 1, 2024	E · Potential for harm, repeated	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. · from a complaint
Oct 20, 2023	E · Potential for harm, repeated	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.
Oct 20, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Oct 20, 2023	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.
Oct 20, 2023	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.
Oct 20, 2023	D · Potential for harm, one-off	The 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.
Oct 20, 2023	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.
Oct 20, 2023	D · Potential for harm, one-off	The 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.
Oct 6, 2023	D · Potential for 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

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Worst severity that year
2023	8	E
2024	8	E
2026	6	D

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)

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

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)	3.39	3.46	3.95	top 43% in Texas; bottom 31% in the U.S.
Registered Nurse hours	0.28	0.44	0.69	bottom 24% in Texas; bottom 8% in the U.S.
Weekend total nurse staffing	2.90	3.04	3.50	bottom 49% in Texas; bottom 26% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.15	0.34	0.48	bottom 9% in Texas; bottom 5% in the U.S.
Total nursing staff turnover (%)	44.9	55.3	45.8	top 33% in Texas; top 50% in the U.S.
RN turnover (%)	50.0	54.6	42.9	top 41% in Texas; bottom 39% 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 3.25, RN 0.27, weekend 2.77. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gonzales Healthcare Systems	Organization	5% or Greater Direct Ownership Interest	100%	12/31/2013
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2013
Anzaldua, Brandon	Individual	Corporate Officer	NOT APPLICABLE	08/01/2023
Boening, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	01/13/2020
Boening, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	01/13/2020
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	12/31/2013
Castillo, Lynnea	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2013
Castillo, Lynnea	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2013
Dyer, Roger	Individual	Operational/Managerial Control	NOT APPLICABLE	07/20/2015
Dyer, Roger	Individual	ADP of the SNF	NOT APPLICABLE	07/20/2015
Fellbaum, Ernest	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2013
Hisey, Commie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/10/2017
Hisey, Commie	Individual	ADP of the SNF	NOT APPLICABLE	08/10/2017
Johnson, Teri	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Johnson, Teri	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Keybank National Association	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	07/01/2021
Nutritious Lifestyles, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2013
Plante & Moran PLLC	Organization	ADP of the SNF	NOT APPLICABLE	12/31/2013

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?"
"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?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Avir at Gonzales	0.6 mi	Gonzales, TX	★★☆☆☆	3/5
Diversicare of Luling	15.0 mi	Luling, TX	★★★☆☆	4/5
Avir at Magnolia	16.9 mi	Luling, TX	★★☆☆☆	2/5	abuse
Avir at Luling	17.1 mi	Luling, TX	★★☆☆☆	1/5
Shiner Nursing and Rehabilitation Center	18.0 mi	Shiner, TX	★★★☆☆	3/5
Shady Oak Nursing and Rehabilitation	18.9 mi	Moulton, TX	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Gonzales →

Facility data as of CMS processing date 2026-08-01. CCN 676138.

The Care File

Visit checklist — The Heights of Gonzales

701 N Sarah Dewitt, Gonzales, TX 78629 · 8306724530

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676138 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)