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
Data as of July 1, 2026
5 of 5 overall
The Heights of Alamo in Alamo, TX has an overall 5-star rating, with strong quality and health inspection scores but a low 2-star staffing rating; reported staffing is 3.18 hours per resident per day versus the 4.1 federal benchmark, and it had $8,414 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1803 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 3.1803.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.86
- Nurse aides
- 2.02
- Weekend nursing
- 2.69
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.3%9.5%Improving
Residents with a fall causing major injury
1.3%3.2%Worsening
Residents with pressure ulcers (bedsores)
10.4%4.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.1%1.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.9%26.7%Worsening
Residents whose ability to walk got worse
8.4%15.4%Worsening
Long-stay residents on antianxiety or sleep medication
6.2%10.5%Worsening
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
12.1%10.7%Improving
Residents with depressive symptoms
1.6%1.3%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—90.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—62.3%—
Short-stay residents given the pneumonia vaccine
99.4%94.2%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
Recent ownership change · Apr 1, 2021
Now operated by Uvalde County Hospital Authority, previously Touchstone Strategies - Alamo LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.9 stars avg
- Occupancy
- 112.6 residents on an average day (87% 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.