THE HEIGHTS AT MEDICAL CENTER (SAN ANTONIO, TX) has an overall rating of 1 out of 5 stars, with especially weak staffing at 1 star and nurse staffing below the federal benchmark (3.19 vs 4.1 hours per resident per day). It also has a recent federal penalty, $22,052 in fines over the last 24 months, and health inspection issues tied to communication, care, and accident prevention, though its quality measures rating is 4 stars.
Last inspection: August 15, 2025Penalties, last 24 months: $22,052recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1854.
Staffing detail
Registered nurses
0.27
Licensed practical nurses
0.86
Nurse aides
2.05
Weekend nursing
2.83
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.1%Improving
Residents with a fall causing major injury
3.9%Improving
Residents with pressure ulcers (bedsores)
2.8%Worsening
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
1.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.2%Improving
Residents whose ability to walk got worse
7.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.5%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
5.7%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
91.5%Steady
Long-stay residents given the pneumonia vaccine
96.1%Improving
Short-stay residents given the seasonal flu vaccine
83.3%Steady
Short-stay residents given the pneumonia vaccine
93%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $13,881 was recorded.
PENALTY
A federal fine of $8,171 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $22,052 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
May 28, 2024
57 days
Federal fine
May 28, 2024
$13,881
Federal fine
May 28, 2024
$8,171
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
81.8 residents on an average day (61% of 134 beds)
Medicare history
Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.