For profit - Corporation · 132 certified beds · CMS number 676138
The Heights of Gonzales, Gonzales, TX
CMS records 23 health deficiencies at The Heights of Gonzales in Gonzales, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 27, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Heights of Gonzales as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Heights of Gonzales may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Mar 27, 2026. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 31, 2026 · Complaint inspection
1 deficiency, 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 Aug 7, 2026
Mar 27, 2026 · Standard inspection
5 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2026
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
- Correction date Apr 3, 2026
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
- Correction date Apr 3, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
Jan 28, 2026 · Complaint inspection
1 deficiency, highest C
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jan 30, 2026
Previous cycle: 7 deficiencies (standard inspection Dec 13, 2024)
Standard inspection Dec 13, 2024. CMS counts 7 health deficiencies and 4 fire safety deficiencies in this cycle.
Dec 13, 2024 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 16, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 16, 2024
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
- Correction date Dec 14, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2024
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
- Correction date Dec 16, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 14, 2024
Earlier cycle: 9 deficiencies (standard inspection Oct 20, 2023)
Standard inspection Oct 20, 2023. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 1, 2024 · Complaint inspection
1 deficiency, highest E
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 19, 2024
Oct 20, 2023 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 3, 2023
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 24, 2023
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 Oct 27, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
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
- Correction date Oct 24, 2023
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 Nov 3, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 3, 2023
Oct 6, 2023 · Complaint inspection
1 deficiency, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Mar 24, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at The Heights of Gonzales; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F583 Personal privacy and confidential records | 2 | Dec 13, 2024; Oct 20, 2023 |
| F657 Care plan timing and team review | 2 | Dec 13, 2024; Oct 20, 2023 |
| F689 Accident prevention and supervision | 2 | Mar 27, 2026; Oct 6, 2023 (PNC) |
| F690 Bladder, bowel, and catheter care | 2 | Mar 27, 2026; Dec 13, 2024 |
| F695 Respiratory and oxygen care | 2 | Mar 27, 2026; Apr 1, 2024 |
| F761 Drug labeling and secure storage | 2 | Mar 27, 2026; Dec 13, 2024 |
| F842 Complete, confidential medical records | 2 | Jul 31, 2026; Oct 20, 2023 |
| F880 Infection prevention and control program | 2 | Dec 13, 2024; Oct 20, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.25 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.27 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.77 h
- Nursing staff turnover
- 44.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for The Heights of Gonzales, copied as published; Texas medians are ours.
Facility details
- Address
- 701 N Sarah Dewitt, Gonzales, TX 78629
- Phone
- (830) 672-4530
- County
- Gonzales
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 132
- Average residents per day
- 93.4
- In Medicare/Medicaid since
- May 22, 2007
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 2 times)
- Who sits on the care planning team, and how are family members invited? (F657, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
Other nursing homes in Gonzales and the same chain
- Avir at Gonzales
Gonzales · 41 deficiencies - 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.