THE HEIGHTS OF BULVERDE
384 HARMONY HILLS, SPRING BRANCH, TX 78070 · CCN 676418
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 104.1
- Phone
- 8304381276
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-25 | 23 | 9.1 | 9.5 | +13.9 worse |
| 2 | 2024-05-05 | 19 | 9.4 | 9.8 | +9.6 worse |
| 3 | 2023-03-24 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 9 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.03 | 69.8% |
| RN staffing (reported) | 0.41 | 57.1% |
| Total nurse staffing (adjusted) | 2.67 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- TOUCHSTONE COMMUNITIES
- Facilities in chain
- 28
- Chain avg overall
- 2.80 / 5
Inspection citations (46)1 immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2026-01-13 · Health · corrected 2026-01-14
Potential for more than minimal harm
- DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-12-09 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-09 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-09 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0578Honor 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.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0761Ensure 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.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-24 · Health · corrected 2025-04-25
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-24 · Health · corrected 2025-04-25
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-19 · Health · corrected 2025-04-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-21 · Health · corrected 2025-03-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-03-21 · Health · corrected 2025-03-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-21 · Health · corrected 2024-12-24
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-21 · Health · corrected 2025-03-22
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2025-03-21 · Health · corrected 2025-03-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-22 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-22 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0584Honor 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.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-05-05 · Health · corrected 2024-05-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-21 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| UVALDE COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| CAMPBELL, LESLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-04-01 |
| CASTILLO, LYNNEA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| CLAYTON, JONATHON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| DENTINO, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 |
| HACKETT, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 |
| PRADO, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-28 |
| SEHLKE, BRYON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| ZUROVEC, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| APOLINAR, ADAM | Individual | CORPORATE OFFICER | — | 2015-08-01 |
| FROST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-05-23 |
Other facilities in SPRING BRANCH
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.