For profit - Corporation · 130 certified beds · CMS number 745000
Las Alturas de Penitas, Penitas, TX
CMS records 17 health deficiencies at Las Alturas de Penitas in Penitas, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 28, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 5 citations were at the immediate jeopardy level. CMS lists 4 fines totaling $166,236 in the last three years.
- 17deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $166,236fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Las Alturas de Penitas as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Las Alturas de Penitas may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection May 28, 2026. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.
May 28, 2026 · Standard inspection
4 deficiencies, highest D
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 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 Jun 11, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
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
- Correction date Jun 11, 2026
Mar 30, 2026 · Complaint inspection
1 deficiency, highest D
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 Apr 23, 2026
Previous cycle: 6 deficiencies (standard inspection Mar 12, 2025)
Standard inspection Mar 12, 2025. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 12, 2025 · Standard inspection
2 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
- Correction date Mar 13, 2025
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 Mar 13, 2025
Feb 1, 2025 · Complaint inspection
4 deficiencies, highest J
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 Feb 2, 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 Feb 2, 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 Feb 2, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Feb 2, 2025
Earlier cycle: 6 deficiencies (standard inspection Dec 18, 2023)
Standard inspection Dec 18, 2023. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Jan 26, 2024 · Complaint inspection
2 deficiencies, highest K
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jan 29, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jan 29, 2024
Dec 18, 2023 · Standard + complaint inspection
3 deficiencies, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 20, 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 Dec 20, 2023
Oct 3, 2023 · Complaint inspection
1 deficiency, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Oct 13, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Las Alturas de Penitas; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 3 | Feb 1, 2025; Dec 18, 2023; Oct 3, 2023 |
| F609 Reporting suspected abuse and crimes | 2 | Feb 1, 2025; Dec 18, 2023 |
| F695 Respiratory and oxygen care | 2 | May 28, 2026; Mar 12, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 1, 2025 | Fine | $11,164 |
| Jan 26, 2024 | Fine | $51,887 |
| Dec 18, 2023 | Fine | $87,292 |
| Oct 3, 2023 | Fine | $15,893 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.31 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.94 h
- Nursing staff turnover
- 35.1% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Las Alturas de Penitas, copied as published; Texas medians are ours.
Facility details
- Address
- 414 Liberty Boulevard, Penitas, TX 78576
- Phone
- (210) 828-5686
- County
- Hidalgo
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 130
- Average residents per day
- 88.7
- In Medicare/Medicaid since
- Jul 8, 2021
- Inside a hospital
- Yes
- 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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
Other nursing homes in Penitas 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.