For profit - Corporation · 130 certified beds · CMS number 676441
The Heights of Alamo, Alamo, TX
CMS records 12 health deficiencies at The Heights of Alamo in Alamo, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $8,414 in the last three years.
- 12deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $8,414fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Heights of Alamo as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Heights of Alamo may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Jun 5, 2025. CMS counts 9 health deficiencies and 0 fire safety deficiencies in this cycle.
Nov 13, 2025 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 14, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 14, 2025
Jun 5, 2025 · Standard inspection
7 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
Previous cycle: 3 deficiencies (standard inspection Apr 11, 2024)
Standard inspection Apr 11, 2024. CMS counts 3 health deficiencies and 3 fire safety deficiencies in this cycle.
May 5, 2025 · Complaint inspection
3 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 6, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2025
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 6, 2025
Earlier cycle: 0 deficiencies (standard inspection Feb 10, 2023)
Standard inspection Feb 10, 2023. CMS counts 0 health deficiencies and 0 fire safety deficiencies in this cycle.
No health deficiencies in this cycle.
Tags cited in more than one inspection
1 tag cited on more than one inspection date at The Heights of Alamo; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Nov 13, 2025; Jun 5, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2025 | Fine | $8,414 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.18 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.69 h
- Nursing staff turnover
- 38.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for The Heights of Alamo, copied as published; Texas medians are ours.
Facility details
- Address
- 1214 S. Alamo Road, Alamo, TX 78516
- Phone
- (956) 715-8600
- County
- Hidalgo
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 130
- Average residents per day
- 112.6
- In Medicare/Medicaid since
- Apr 5, 2018
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- None
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
- How does the home keep track of residents' valuables and personal items? (F602, cited 1 time)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
Other nursing homes in Alamo and the same chain
- Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.