• CMS rates this facility 1/5 stars (below average)
• Has 124 certified beds with an average of 104.1 residents per day (84% occupancy)
• Last health inspection found 22 deficiencies (inspected Jun 25, 2025)
• No fines on record
• Total nursing staff: 3.03 hours per resident per day
• Staff turnover rate: 69.8% (high)
• Part of the Touchstone Communities chain (29 facilities)
The Heights of Bulverde is a 1-star Medicare and Medicaid certified nursing home in Spring Branch, Texas with 124 certified beds. It has been operating since 2017. The facility scored below average compared to Texas facilities.
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 and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure each resident receives an accurate assessment.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
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 medication error rates are not 5 percent or greater.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
+ 15 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 |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2019 |
| 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 |
| APOLINAR, ADAM | CORPORATE OFFICER | Individual | N/A | Aug 1, 2015 |
| FROST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | May 23, 2024 |
This chain operates 29 facilities. View all →