The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
THE HEIGHTS OF ALAMO
ALAMO, TX · Medicare-certified · 130 beds
Needs attention
For-profitChain member
5 of 5 overall
THE HEIGHTS OF ALAMO (Alamo, TX) has an overall 5-star rating, with strong quality measures and a 4-star health inspection rating, but weaker staffing at 2 stars and 3.22 nurse hours per resident per day below the 4.1 federal benchmark. It also has $8,414 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.216 hrs/resident/day
Quality measures
Last inspection: November 13, 2025Penalties, last 24 months: $8,414recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.216.
Staffing detail
- Registered nurses
- 0.27
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.12
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.4%Worsening
Residents with a fall causing major injury
1%Improving
Residents with pressure ulcers (bedsores)
7.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.7%Improving
Residents whose ability to walk got worse
12.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
7.7%Worsening
Short-stay residents newly given an antipsychotic
0.8%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.4%Improving
Residents with depressive symptoms
0.8%Improving
Long-stay residents given the seasonal flu vaccine
90.2%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
62.3%Steady
Short-stay residents given the pneumonia vaccine
97.5%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,414 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,414 in total fines.
- $8,414
Federal fine
May 5, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
- Occupancy
- 115.1 residents on an average day (89% of 130 beds)
- Medicare history
- Certified for 8 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.