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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasThe Heights at Medical Center

The Heights at Medical Center

3935 Medical Dr, San Antonio, TX 782292106144888
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
134
certified
2 fine(s) totaling $22,052

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 134 certified beds with an average of 78.8 residents per day (59% occupancy)

• Last health inspection found 9 deficiencies (inspected Aug 15, 2025)

• Has been fined a total of $22,052 across 2 fine(s)

• Total nursing staff: 3.31 hours per resident per day

• Staff turnover rate: 74.7% (high)

• Part of the Touchstone Communities chain (29 facilities)

The Heights at Medical Center is a 1-star Medicare and Medicaid certified nursing home in San Antonio, Texas with 134 certified beds. It has been operating since 2001. The facility scored below average compared to Texas facilities.

Beds
134
Avg Residents/Day
78.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 4, 2001
Sprinklers
Yes
Council
None
County
Bexar
Last Inspection
Aug 15, 2025
Deficiencies (Cycle 1)
9
Weighted Score
105.0
Infection Citations
0

Deficiency Citations (46)

F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: Aug 4, 2025Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Aug 4, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0640Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jun 23, 2024Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jun 23, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 23, 2024Corrected: NoCycle: 2
F0563Potential for Harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Survey: May 28, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 28, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 28, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 28, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Apr 19, 2024Corrected: NoCycle: 2
F0573Potential for Harm

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Survey: Mar 27, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 27, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 18, 2024Corrected: NoCycle: 2
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Jul 18, 2024Corrected: NoCycle: 2

+ 16 more deficiencies

Total Fines
$22,052
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineMay 28, 2024
$8,171
FineMay 28, 2024
$13,881
Payment DenialMay 28, 2024
57 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.04 hrs
National avg: 2.35 hrs
LPN0.89 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.68 hrs
Total Nursing3.31 hrs
National avg: 3.89 hrs
Weekend Total2.84 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
74.7%
RN Turnover
72.7%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
UVALDE COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2024
TOUCHSTONE STRATEGIES - MED CENTER LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 24, 2024
ROBINSON, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 17, 2024
APOLINAR, ADAMCORPORATE DIRECTORIndividualN/AMar 1, 2024

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Frequently Asked Questions

What is the CMS rating for The Heights at Medical Center?▾
The Heights at Medical Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has The Heights at Medical Center had any health inspection violations?▾
The Heights at Medical Center had 9 deficiency citations in its most recent health inspection (Aug 15, 2025). The facility has been fined a total of $22,052 across 2 fine(s).
What are the staffing levels at The Heights at Medical Center?▾
The Heights at Medical Center provides 3.31 total nursing staff hours per resident per day, including 0.38 RN hours, 0.89 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 74.7%.
How many beds does The Heights at Medical Center have?▾
The Heights at Medical Center has 134 certified beds with an average of 78.8 residents per day, resulting in approximately 59% occupancy. The facility is For profit - Limited Liability company owned and is part of the Touchstone Communities chain.
Are there other nursing homes near The Heights at Medical Center?▾
Yes, there are 57 other nursing homes in San Antonio, Texas with an average rating of 2.5/5. You can compare all facilities on the San Antonio nursing homes page.

Part of Touchstone Communities

This chain operates 29 facilities. View all →