The Heights Of Bulverde
Nursing home · 384 HARMONY HILLS, Bulverde, TX 78070 · Comal 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
- 124
- State license
- 106817
- Medicare CCN
- 676418
- Licensed entity
- UVALDE COUNTY HOSPITAL AUTHORITY
- Chain
- TOUCHSTONE COMMUNITIES
- Ownership
- For profit - Corporation
- Phone
- (830) 438-1276
- Nurse staffing
- 3.13 hours per resident per day; 55.9% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 2★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Inspection findings
-
Apr 1, 2026 Health · 1 finding
-
Not serious
Scope/severity E
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 Apr 2, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Jan 13, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jan 14, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 10, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0603 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected Dec 11, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
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 Dec 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 11, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 9, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Dec 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 Dec 10, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
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 Dec 10, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 25, 2025 Health · 9 findings
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Jun 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
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.
Corrected Jun 26, 2025 · 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 Jun 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Jun 26, 2025 · 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 Jun 26, 2025 · 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 Jun 26, 2025 · 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 Jun 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 26, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 25, 2025 · CMS fire safety
-
Not serious
Scope/severity D
-
Apr 24, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Apr 25, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
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 Apr 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 19, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
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 Apr 20, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Mar 21, 2025 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
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 Dec 24, 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 Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 22, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
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 23, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jul 23, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 5, 2024 Health · 20 findings
-
Not serious
Scope/severity E
Complaint
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 6, 2024 · CMS health inspection
-
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 May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0635 Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
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 6, 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 May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected May 6, 2024 · 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, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0773 Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
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, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected May 7, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
Complaint
-
Mar 21, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 24, 2023 Health · 7 findings
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0808 Nutrition and Dietary Deficiencies
Ensure 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.
Corrected Mar 25, 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 Mar 25, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 25, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Mar 24, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 24, 2023 · 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 Mar 24, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 08/01/2015
- CAMPBELL, LESLIE — adp of the snf, NOT APPLICABLE, since 04/01/2020
- CAMPBELL, LESLIE — operational/managerial control, NOT APPLICABLE, since 04/01/2020
- CASTILLO, LYNNEA — operational/managerial control, NOT APPLICABLE, since 04/01/2019
- CASTILLO, LYNNEA — adp of the snf, NOT APPLICABLE, since 04/01/2019
- CLAYTON, JONATHON — operational/managerial control, NOT APPLICABLE, since 05/01/2023
- CLAYTON, JONATHON — adp of the snf, NOT APPLICABLE, since 05/01/2023
- DENTINO, ANDREW — adp of the snf, NOT APPLICABLE, since 10/01/2025
- DENTINO, ANDREW — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- FELLBAUM, ERNEST — adp of the snf, NOT APPLICABLE, since 04/01/2019
- HACKETT, EDWARD — adp of the snf, NOT APPLICABLE, since 09/01/2025
- HACKETT, EDWARD — operational/managerial control, NOT APPLICABLE, since 09/01/2025
- PRADO, AARON — adp of the snf, NOT APPLICABLE, since 03/28/2024
- PRADO, AARON — operational/managerial control, NOT APPLICABLE, since 03/28/2024
- SEHLKE, BRYON — adp of the snf, NOT APPLICABLE, since 04/01/2019
- SEHLKE, BRYON — operational/managerial control, NOT APPLICABLE, since 04/01/2019
- STUDER, STANLEY — adp of the snf, NOT APPLICABLE, since 04/01/2019
- ZUROVEC, DARRELL — operational/managerial control, NOT APPLICABLE, since 04/01/2019
- ZUROVEC, DARRELL — adp of the snf, NOT APPLICABLE, since 04/01/2019
- AEGIS THERAPIES, INC. — adp of the snf, NOT APPLICABLE, since 04/01/2019
- ALAMO ADVISORS LP — adp of the snf, NOT APPLICABLE, since 04/01/2019
- CARVAJAL PHARMACY LTC — adp of the snf, NOT APPLICABLE, since 04/01/2019
- FROST BANK — 5% or greater security interest, NOT APPLICABLE, since 05/23/2024
- NUTRITIOUS LIFESTYLES, INC. — adp of the snf, NOT APPLICABLE, since 04/01/2019
- PLANTE & MORAN PLLC — adp of the snf, NOT APPLICABLE, since 04/01/2019
- THE BRYON AND RENA SEHLKE LIVING TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2023
- TOUCHSTONE COMMUNITIES INC — adp of the snf, NOT APPLICABLE, since 04/01/2019
- TOUCHSTONE REALTY - BULVERDE LLC — adp of the snf, NOT APPLICABLE, since 04/01/2019
- TOUCHSTONE STRATEGIES - BULVERDE LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2019
- TOUCHSTONE STRATEGIES - BULVERDE LLC — adp of the snf, NOT APPLICABLE, since 08/26/2025
- TRIDENT HEALTH SERVICES INC — adp of the snf, NOT APPLICABLE, since 04/01/2019
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.