Federal inspection record · CMS data as of October 1, 2026
The Heights Of Alamo
1214 S. Alamo Road, Alamo, TX · (956) 715-8600
- Certified beds
- 130
- Residents per day
- 106
- Ownership
- For-Profit
- Chain
- Touchstone Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 5, 2018
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Heights Of Alamo carries 47 inspection points. That is fewer than 70% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation5D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning5D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3D
- D
Keep residents' personal and medical records private and confidential.
- D
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.
- D
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.
Nutrition and Dietary3D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care2D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2026-08-05
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-06-05
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-04-11
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 25 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,414 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-05 | Fine | $8,414 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.9 pts worse | 87.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts better | 2.1% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 0.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 2.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9 pts better | 8.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 9.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.4 pts better | 10.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 20.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.8 pts better | 10.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 4.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts better | 96.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.7 pts better | 6.5% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.2 pts worse | 48.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11 pts better | 14.5% | 25.5% | 23.4% |
·
Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aegis Therapies, Inc. | Adp Of The SNF · Organization | 0% | 35 facilities |
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Campbell, Leslie | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Campbell, Leslie | Adp Of The SNF · Individual | 0% | 22 facilities |
| Cantu Garcia, Ismael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Capital Funding Group, Inc. | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Carvajal Pharmacy Ltc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Carvajal, Charles | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Carvajal, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Carvajal, Raymond | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Castillo, Lynnea | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Castillo, Lynnea | Adp Of The SNF · Individual | 0% | 23 facilities |
| Fellbaum, Ernest | Adp Of The SNF · Individual | 0% | 27 facilities |
| Gilcrease, Cynthia | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Gilcrease, Cynthia | Adp Of The SNF · Individual | 0% | 7 facilities |
| Mcgarity, Jessica | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Mckee, Janet | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Nutritious Lifestyles, Inc. | Adp Of The SNF · Organization | 0% | 19 facilities |
| Peterson, Daniel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Plante & Moran Pllc | Adp Of The SNF · Organization | 0% | 65 facilities |
| Salinas Rodriguez, Monica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Salinas Rodriguez, Monica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sehlke, Bryon | Operational/Managerial Control · Individual | 0% | 22 facilities |
| Sehlke, Bryon | Adp Of The SNF · Individual | 0% | 22 facilities |
| Studer, Stanley | Adp Of The SNF · Individual | 0% | 26 facilities |
| Stutzner, Federico | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stutzner, Federico | Adp Of The SNF · Individual | 0% | 1 facilities |
| The Bryon And Rena Sehlke Living Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
| Touchstone Communities Inc | Adp Of The SNF · Organization | 0% | 23 facilities |
| Touchstone Realty - Alamo LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Touchstone Strategies - Alamo LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Touchstone Strategies - Alamo LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Trident Health Services Inc | Adp Of The SNF · Organization | 0% | 22 facilities |
| Zurovec, Darrell | Operational/Managerial Control · Individual | 0% | 23 facilities |
| Zurovec, Darrell | Adp Of The SNF · Individual | 0% | 23 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
San Juan Nursing Home, Inc.
San Juan, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
-
Windsor Las Palmas Nursing And Rehabilitation Cent
Mcallen, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 18 min
- Fines
- $38,393
-
McAllen Transitional Care Center
McAllen, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 46 min
- Fines
- $8,827