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Nursing home report

THE HEIGHTS AT MEDICAL CENTER

SAN ANTONIO, TX · Medicare-certified · 134 beds

Needs attention
For-profitChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.1854 hrs/resident/day

Quality measures

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal payment denial was recorded.

  6. PENALTY

    A federal fine of $13,881 was recorded.

  7. 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.