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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 of Bulverde

The Heights of Bulverde

384 Harmony Hills, Spring Branch, TX 780708304381276
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
124
certified

Key Findings

• 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.

Beds
124
Avg Residents/Day
104.1
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)
22
Weighted Score
170.3
Infection Citations
0

Deficiency Citations (45)

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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 10, 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
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: Apr 24, 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: 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 19, 2025Corrected: NoCycle: 1
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: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 21, 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: Mar 21, 2025Corrected: NoCycle: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 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
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
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
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
F0609Potential for Harm

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

Survey: Mar 21, 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: May 5, 2024Corrected: NoCycle: 2
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 5, 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: May 5, 2024Corrected: NoCycle: 2

+ 15 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 Aide1.84 hrs
National avg: 2.35 hrs
LPN0.78 hrs
National avg: 0.86 hrs
RN0.41 hrs
National avg: 0.68 hrs
Total Nursing3.03 hrs
National avg: 3.89 hrs
Weekend Total2.55 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
69.8%
RN Turnover
57.1%
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 (12)

NameRoleTypeOwnership %Since
UVALDE COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2019
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
APOLINAR, ADAMCORPORATE OFFICERIndividualN/AAug 1, 2015
FROST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AMay 23, 2024

Frequently Asked Questions

What is the CMS rating for The Heights of Bulverde?▾
The Heights of Bulverde 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 of Bulverde had any health inspection violations?▾
The Heights of Bulverde had 22 deficiency citations in its most recent health inspection (Jun 25, 2025). The facility has no fines on record.
What are the staffing levels at The Heights of Bulverde?▾
The Heights of Bulverde provides 3.03 total nursing staff hours per resident per day, including 0.41 RN hours, 0.78 LPN hours, and 1.84 nurse aide hours. The total staff turnover rate is 69.8%.
How many beds does The Heights of Bulverde have?▾
The Heights of Bulverde has 124 certified beds with an average of 104.1 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Corporation owned and is part of the Touchstone Communities chain.

Part of Touchstone Communities

This chain operates 29 facilities. View all →