Alamo, TX

The Heights Of Alamo

5-star overall rating with 4-star inspections with $8,414 in total fines with 12 recent health deficiencies

1214 S. Alamo Road, Alamo, TX

(956) 715-8600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

103

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Touchstone Communities

Operator or chain grouping

Approved since

2018-04-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.31

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.17

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

3.19

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,060

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.45

Baseline 19.23% · Performance 19.37% · Measure score 4.45 · Achievement 4.45 · Improvement 0

Healthcare-associated infections

5.94

Baseline 6.51% · Performance 6.06% · Measure score 5.94 · Achievement 5.94 · Improvement 2.48

Total nurse turnover

1.72

Performance 56.67% · Measure score 1.72 · Achievement 1.72 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.25

Baseline 2.76 hours · Performance 2.99 hours · Measure score 0.25 · Achievement 0 · Improvement 0.25

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.28%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 121 · Observed rate 11.57% · Lower 95% interval 6.89%
Discharge to community	58.81%	50.57% 8.2 pts better	No Different than the National Rate · Eligible stays 110 · Observed rate 48.18% · Lower 95% interval 49.19%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	98.33%	95.27% 3.1 pts better	Numerator 59 · Denominator 60
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 60
Discharge self-care score	78.38%	53.69% 24.7 pts better	Numerator 29 · Denominator 37
Discharge mobility score	62.16%	50.94% 11.2 pts better	Numerator 23 · Denominator 37
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 60 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.06%	7.12% 1.1 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage	2.15%	8.2% 6 pts worse	Numerator 2 · Denominator 93
Staff flu vaccination coverage	5.44%	42% 36.6 pts worse	Numerator 37 · Denominator 680
Discharge function score	75.68%	56.45% 19.2 pts better	Numerator 28 · Denominator 37
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 35 · Denominator 35
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	15.63%	25.2% 9.6 pts worse	Numerator 5 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.2%	97.9% 7.7 pts worse	95.5% 5.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.2%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.3% 2.3 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.3% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	2.7% 1 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.8% · Q3 1.6% · Q4 0.0% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	3.6%	3.3% 0.3 pts worse	5.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 6.6% · Q3 3.1% · Q4 3.1% · 4Q avg 3.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.0%	18.9% 12.9 pts better	19.6% 13.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.6% · Q3 6.2% · Q4 6.2% · 4Q avg 6.0%
Percentage of long-stay residents who received an antipsychotic medication	11.3%	10.8% 0.5 pts worse	16.7% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 8.9% · Q3 13.6% · Q4 13.6% · 4Q avg 11.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.5%	15.4% 4.9 pts better	16.3% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q4 8.4% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.5%	16.1% 3.4 pts worse	14.9% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 24.5% · Q3 3.9% · Q4 28.6% · 4Q avg 19.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.4%	15.0% 3.6 pts better	19.8% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 11.8% · Q3 12.1% · Q4 16.2% · 4Q avg 11.4%
Percentage of long-stay residents with pressure ulcers	8.1%	4.2% 3.9 pts worse	5.1% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 8.1% · Q3 10.4% · Q4 6.1% · 4Q avg 8.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	89.7% 9.7 pts better	81.7% 17.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 98.8% · Q3 99.4% · Q4 100.0% · 4Q avg 99.4%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	12.0% 2.8 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 10.2% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.5% 1.1 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	62.3%	88.0% 25.7 pts worse	79.7% 17.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 62.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.0%	25.9% 1.9 pts better	23.9% 0.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 28.8% · Expected 28.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2023-02-10 · Fire 2023-02-10

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-15

E · Potential for more than minimal harm 2024-04-11

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-11-14

D · Potential for more than minimal harm 2025-11-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-11-14