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HomeTexasThe Heights of Bulverde

The Heights of Bulverde

384 Harmony Hills, Spring Branch, TX 780708304381276WebsiteGoogle Maps
4.3on Google(115 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
4/5
Beds
124
certified

How The Heights of Bulverde Compares in Texas

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.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.13 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.52 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
55.9%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.13 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.52 hours per resident per day, above the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
27
deficiency citations
Inspected May 5, 2024
Most recent cycle
16
deficiency citations
Inspected Jun 25, 2025
The most recent cycle recorded 11 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Comal County 65+
30,283
18.3% of county
County Population
165,201
Comal County

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.

Beds
124
Avg Residents/Day
97.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Mar 15, 2017
Sprinklers
Yes
Council
Resident
County
Comal
Last Inspection
Jun 25, 2025
Deficiencies (Cycle 1)
16
Weighted Score
118.8
Infection Citations
0

Deficiency Citations (47)

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: Apr 1, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 13, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0603Potential for Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 9, 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: Dec 9, 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: Jun 25, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Jun 25, 2025Corrected: NoCycle: 1
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: Jun 25, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jun 25, 2025Corrected: NoCycle: 1
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 25, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 25, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 24, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 24, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 19, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

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

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 21, 2025Corrected: 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: Mar 21, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2025Corrected: 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 22, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 22, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: May 5, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: May 5, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: May 5, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: May 5, 2024Corrected: NoCycle: 2

+ 17 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide1.74 hrs
National avg: 2.32 hrs
LPN0.86 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.69 hrs
Total Nursing3.13 hrs
National avg: 3.86 hrs
Weekend Total2.61 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
55.9%
RN Turnover
30.0%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (31)

NameRoleTypeOwnership %Since
FROST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AMay 23, 2024
APOLINAR, ADAMCORPORATE OFFICERIndividualN/AAug 1, 2015
TOUCHSTONE STRATEGIES - BULVERDE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2019
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2020
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
CLAYTON, JONATHONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
DENTINO, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
HACKETT, EDWARDOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2025
PRADO, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 28, 2024
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
AEGIS THERAPIES, INC.ADP OF THE SNFOrganizationN/AApr 1, 2019
ALAMO ADVISORS LPADP OF THE SNFOrganizationN/AApr 1, 2019
CARVAJAL PHARMACY LTCADP OF THE SNFOrganizationN/AApr 1, 2019
NUTRITIOUS LIFESTYLES, INC.ADP OF THE SNFOrganizationN/AApr 1, 2019
PLANTE & MORAN PLLCADP OF THE SNFOrganizationN/AApr 1, 2019
THE BRYON AND RENA SEHLKE LIVING TRUSTADP OF THE SNFOrganizationN/AJan 1, 2023
TOUCHSTONE COMMUNITIES INCADP OF THE SNFOrganizationN/AApr 1, 2019
TOUCHSTONE REALTY - BULVERDE LLCADP OF THE SNFOrganizationN/AApr 1, 2019
TOUCHSTONE STRATEGIES - BULVERDE LLCADP OF THE SNFOrganizationN/AAug 26, 2025
TRIDENT HEALTH SERVICES INCADP OF THE SNFOrganizationN/AApr 1, 2019
CAMPBELL, LESLIEADP OF THE SNFIndividualN/AApr 1, 2020
CASTILLO, LYNNEAADP OF THE SNFIndividualN/AApr 1, 2019
CLAYTON, JONATHONADP OF THE SNFIndividualN/AMay 1, 2023
DENTINO, ANDREWADP OF THE SNFIndividualN/AOct 1, 2025
FELLBAUM, ERNESTADP OF THE SNFIndividualN/AApr 1, 2019
HACKETT, EDWARDADP OF THE SNFIndividualN/ASep 1, 2025
PRADO, AARONADP OF THE SNFIndividualN/AMar 28, 2024
SEHLKE, BRYONADP OF THE SNFIndividualN/AApr 1, 2019
STUDER, STANLEYADP OF THE SNFIndividualN/AApr 1, 2019
ZUROVEC, DARRELLADP OF THE SNFIndividualN/AApr 1, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Heights of Bulverde and nearby alternatives.

All Texas facilities
The Heights of Bulverde
Spring Branch, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Coronado at Stone Oak
San Antonio, TX12.8 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
The Enclave
San Antonio, TX13.5 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $10,039
Stone Oak Care Center
San Antonio, TX13.6 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $9,087
Sonterra Health Center
San Antonio, TX14.1 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $80,964
San Antonio Wellness & Rehabilitation
San Antonio, TX15.2 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $104,627
Trucare Living Centers - Selma
Selma, TX16.0 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
The Heights of Bulverde
Spring Branch, TX · Current facility
—2/52/52/5None recorded
Coronado at Stone Oak
San Antonio, TX
12.8 mi5/54/53/5None recorded
The Enclave
San Antonio, TX
13.5 mi1/52/51/5$10,039
Stone Oak Care Center
San Antonio, TX
13.6 mi2/53/51/5$9,087
Sonterra Health Center
San Antonio, TX
14.1 mi1/52/51/5$80,964
San Antonio Wellness & Rehabilitation
San Antonio, TX
15.2 mi2/52/52/5$104,627
Trucare Living Centers - Selma
Selma, TX
16.0 mi2/53/51/5None recorded

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.

Frequently Asked Questions

What is the CMS rating for The Heights of Bulverde?▾
The Heights of Bulverde has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does The Heights of Bulverde cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Heights of Bulverde participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Heights of Bulverde had any health inspection violations?▾
The Heights of Bulverde had 16 deficiency citations in its most recent health inspection (Jun 25, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at The Heights of Bulverde?▾
The Heights of Bulverde provides 3.13 total nursing staff hours per resident per day, including 0.52 RN hours, 0.86 LPN hours, and 1.74 nurse aide hours. The total staff turnover rate is 55.9%.
How many beds does The Heights of Bulverde have?▾
The Heights of Bulverde has 124 certified beds with an average of 97.3 residents per day, resulting in approximately 78% occupancy. The facility is For profit - Corporation owned and is part of the Touchstone Communities chain.
Are there other nursing homes near The Heights of Bulverde?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Heights of Bulverde?▾
On Google Maps, The Heights of Bulverde has a rating of 4.3 out of 5 based on 115 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Touchstone Communities

This chain operates 25 facilities. View all →