The home failed to keep residents’ personal and medical records private and confidential. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
Nursing home report
THE HEIGHTS OF GONZALES
GONZALES, TX · Medicare-certified · 132 beds
In good standing
For-profitChain member
3 of 5 overall
The Heights of Gonzales has a 3-star overall rating, with stronger health inspection and quality scores at 4 stars each but a 1-star staffing rating. Reported nurse staffing is 3.14 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.143 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.143.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.21
- Weekend nursing
- 2.70
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 57%
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
1.9%5%Worsening
Residents with a fall causing major injury
2.3%2.4%No change
Residents with pressure ulcers (bedsores)
1.2%2.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%13.3%Worsening
Residents whose ability to walk got worse
7.2%5.5%Improving
Long-stay residents on antianxiety or sleep medication
13.4%14.1%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.8%14%Improving
Residents with depressive symptoms
1.2%1.2%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
—98.9%—
Long-stay residents given the pneumonia vaccine
95.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—94%—
Short-stay residents given the pneumonia vaccine
95.5%98.3%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
- Occupancy
- 89.3 residents on an average day (68% of 132 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.