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Nursing home report

THE HEIGHTS OF BULVERDE

SPRING BRANCH, TX · Medicare-certified · 124 beds

Needs attention
For-profitChain member
1 of 5 overall

THE HEIGHTS OF BULVERDE (SPRING BRANCH, TX) has an overall rating of 1 out of 5 stars, with the lowest overall rating flag and a 1-star staffing rating. Reported nurse staffing is 3.00 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months; health inspection is 2 stars and quality measures are 4 stars.

Facility ratings

Health inspections

Staffing

2.9956 hrs/resident/day

Quality measures

Last inspection: January 13, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9956.

Staffing detail

Registered nurses
0.44
Licensed practical nurses
0.76
Nurse aides
1.80
Weekend nursing
2.56

Hours per resident per day.

Total staff turnover: 60%
Registered nurse turnover: 39%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.9%Improving

Residents with a fall causing major injury

4.5%Worsening

Residents with pressure ulcers (bedsores)

2.9%Improving

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

0.4%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

12.2%Worsening

Residents whose ability to walk got worse

7.5%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

12.9%Worsening

Short-stay residents newly given an antipsychotic

0.4%Worsening

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

10.6%Worsening

Residents with depressive symptoms

4.7%Worsening

Long-stay residents given the seasonal flu vaccine

96.9%Steady

Long-stay residents given the pneumonia vaccine

83.9%Worsening

Short-stay residents given the seasonal flu vaccine

78.5%Steady

Short-stay residents given the pneumonia vaccine

66.9%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — 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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to properly dispose of garbage and other waste. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — S/S: F

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

The nursing home failed to keep medication mistakes below the allowed level. Cited May 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — 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 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
103.2 residents on an average day (83% of 124 beds)
Resident voice
Resident council
Medicare history
Certified for 9 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.