The Heights At Medical Center
Nursing home · 3935 MEDICAL DRIVE, San Antonio, TX 78229 · Bexar County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 134
- State license
- 100670
- Medicare CCN
- 675890
- Licensed entity
- UVALDE COUNTY HOSPITAL AUTHORITY
- Chain
- TOUCHSTONE COMMUNITIES
- Ownership
- For profit - Limited Liability company
- Phone
- (210) 614-4888
- Nurse staffing
- 3.00 hours per resident per day; 56.3% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 1★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- May 28, 2024 — Fine ($8,171)
- May 28, 2024 — Payment Denial · payment denial 57 days
- May 28, 2024 — Fine ($13,881)
Inspection findings
-
Aug 15, 2025 Fire Safety · 13 findings
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Aug 18, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity B
F0640 Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 16, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Sep 10, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Sep 10, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Sep 29, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Aug 16, 2025 · CMS fire safety
-
Not serious
Scope/severity F
-
Aug 4, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0627 Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected Aug 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Aug 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 18, 2024 Fire Safety · 24 findings
-
Not serious
Scope/severity F
E0007 Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0024 Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
E0032 Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0584 Resident Rights Deficiencies
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.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0801 Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 19, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0223 Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0761 Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Aug 30, 2024 · CMS fire safety
-
Not serious
Scope/severity F
-
Jun 23, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Jun 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Jun 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 24, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 28, 2024 Health · 4 findings
-
Not serious
Scope/severity D
Complaint
F0563 Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected May 29, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 29, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 29, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 29, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 19, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Apr 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0849 Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected Apr 20, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 27, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0573 Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected Mar 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 28, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 12, 2023 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Oct 13, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Oct 13, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 5, 2023 Health · 11 findings
-
Not serious
Scope/severity D
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0584 Resident Rights Deficiencies
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.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 6, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected May 6, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0929 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected May 6, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- APOLINAR, ADAM — corporate director, NOT APPLICABLE, since 03/01/2024
- OOMMEN, BIJU — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- OOMMEN, BIJU — adp of the snf, NOT APPLICABLE, since 10/01/2025
- ROBINSON, LARRY — operational/managerial control, NOT APPLICABLE, since 09/17/2024
- ROBINSON, LARRY — adp of the snf, NOT APPLICABLE, since 04/01/2025
- TOUCHSTONE STRATEGIES - MED CENTER LLC — operational/managerial control, NOT APPLICABLE, since 11/24/2024
- TOUCHSTONE STRATEGIES - MED CENTER LLC — adp of the snf, NOT APPLICABLE, since 11/24/2024
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.