CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
The Heights of Bulverde is a 2-star Medicare and Medicaid certified nursing home in Spring Branch, Texas with 124 certified beds. It has been operating since 2017. Its overall CMS rating is 2 out of 5.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 17 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FROST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | May 23, 2024 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | N/A | Aug 1, 2015 |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2019 |
| CAMPBELL, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2020 |
| CASTILLO, LYNNEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2019 |
| CLAYTON, JONATHON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2023 |
| DENTINO, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| HACKETT, EDWARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2025 |
| PRADO, AARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 28, 2024 |
| SEHLKE, BRYON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2019 |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2019 |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| ALAMO ADVISORS LP | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| NUTRITIOUS LIFESTYLES, INC. | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| PLANTE & MORAN PLLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| THE BRYON AND RENA SEHLKE LIVING TRUST | ADP OF THE SNF | Organization | N/A | Jan 1, 2023 |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| TOUCHSTONE REALTY - BULVERDE LLC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | ADP OF THE SNF | Organization | N/A | Aug 26, 2025 |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | Organization | N/A | Apr 1, 2019 |
| CAMPBELL, LESLIE | ADP OF THE SNF | Individual | N/A | Apr 1, 2020 |
| CASTILLO, LYNNEA | ADP OF THE SNF | Individual | N/A | Apr 1, 2019 |
| CLAYTON, JONATHON | ADP OF THE SNF | Individual | N/A | May 1, 2023 |
| DENTINO, ANDREW | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| FELLBAUM, ERNEST | ADP OF THE SNF | Individual | N/A | Apr 1, 2019 |
| HACKETT, EDWARD | ADP OF THE SNF | Individual | N/A | Sep 1, 2025 |
| PRADO, AARON | ADP OF THE SNF | Individual | N/A | Mar 28, 2024 |
| SEHLKE, BRYON | ADP OF THE SNF | Individual | N/A | Apr 1, 2019 |
| STUDER, STANLEY | ADP OF THE SNF | Individual | N/A | Apr 1, 2019 |
| ZUROVEC, DARRELL | ADP OF THE SNF | Individual | N/A | Apr 1, 2019 |
Compare CMS ratings and recorded fines for The Heights of Bulverde and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 25 facilities. View all →