Government - Hospital district · 100 certified beds · CMS number 676181
The Heights of Atascosa, Pleasanton, TX
CMS records 14 health deficiencies at The Heights of Atascosa in Pleasanton, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 1, 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.
- 14deficiencies, 3 cycles (TX median 25)
- 5in 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 Atascosa as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Heights of Atascosa may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Jul 1, 2026. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 1, 2026 · Standard inspection
4 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 2, 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 Jul 2, 2026
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 Jul 2, 2026
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 Jul 2, 2026
Nov 24, 2025 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 25, 2025
Previous cycle: 6 deficiencies (standard inspection May 16, 2025)
Standard inspection May 16, 2025. CMS counts 6 health deficiencies and 11 fire safety deficiencies in this cycle.
May 16, 2025 · Standard inspection
6 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 May 17, 2025
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 May 17, 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 May 17, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 17, 2025
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 May 17, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 17, 2025
Earlier cycle: 3 deficiencies (standard inspection Mar 22, 2024)
Standard inspection Mar 22, 2024. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 22, 2024 · Standard inspection
3 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 23, 2024
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 Mar 23, 2024
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 Mar 23, 2024
Tags cited in more than one inspection
4 tags cited on more than one inspection date at The Heights of Atascosa; 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 | May 16, 2025; Mar 22, 2024 |
| F641 Accurate resident assessments | 2 | Jul 1, 2026; Mar 22, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Jul 1, 2026; May 16, 2025 |
| F812 Food safety and sanitation | 2 | Jul 1, 2026; May 16, 2025 |
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
- 3.42 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.28 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.88 h
- Nursing staff turnover
- 41.2% (Texas median 52.1%)
- Administrators who left
- 1
- 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 Atascosa, copied as published; Texas medians are ours.
Facility details
- Address
- 1855 W Goodwin, Pleasanton, TX 78064
- Phone
- (830) 281-8202
- County
- Atascosa
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 100
- Average residents per day
- 85.2
- In Medicare/Medicaid since
- May 16, 2008
- 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)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
Other nursing homes in Pleasanton and the same chain
- Pleasanton North Nursing and Rehabilitation
Pleasanton · 48 deficiencies - Pleasanton South Nursing and Rehabilitation
Pleasanton · 35 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.