The Heights of Alamo
1214 S. Alamo Road, Alamo, TX 78516
The Heights of Alamo is a nursing home in Alamo, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionAugust 5, 2026 (3 months ago)
- Health citations since May 5, 202521 (Texas average 28)
- Fines in the past three years1, $8,414 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on August 5, 2026
9 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 9 citations
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on August 24, 2026.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on August 24, 2026.
Citation F0605. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on August 24, 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 24, 2026.
CMS has cited this home for F0609 2 times since 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on August 24, 2026.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 24, 2026.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 24, 2026.
CMS has cited this home for F0812 2 times since 2025.
Citation F0813. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS lists it as corrected on August 24, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 24, 2026.
CMS has cited this home for F0880 2 times since 2025.
CMS update of February 25, 2026
Fine
CMS changed the fine from May 5, 2025 from $8,278 to $8,414.
CMS update of January 14, 2026
Fine
CMS changed the fine from May 5, 2025 from $12,735 to $8,278.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health citation
CMS changed citation F0689 from severity J to G. It is from the health inspection on May 5, 2025. Severity G: actual harm, isolated.
Health inspection on November 13, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 14, 2025.
CMS has cited this home for F0656 2 times since 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on November 14, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on June 5, 2025
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS lists it as corrected on June 9, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on June 9, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 9, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 9, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 9, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 9, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 9, 2025.
Health inspection on May 5, 2025
3 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
107 of 1,177 Texas homes (9%) got a citation at the actual harm level in 2025.
CMS fine of $8,414 on May 5, 2025.
Show the 3 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 6, 2025.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on May 6, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 6, 2025.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Fire safety inspection on April 11, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 15, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 15, 2024.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on April 15, 2024.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (956) 715-8600
- Last standard health inspection
- August 5, 2026 (3 months ago)
- Certified beds
- 130
- Residents per day, on average
- 106.3
- Ownership type
- For profit - Corporation
- Legal business name
- Uvalde County Hospital Authority
- Chain
- Touchstone Communities
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (21 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- TOUCHSTONE STRATEGIES - ALAMO LLCOperational/managerial control · not applicable · since 04/01/2021
- CAMPBELL, LESLIEOperational/managerial control · not applicable · since 04/01/2021
- CASTILLO, LYNNEAOperational/managerial control · not applicable · since 04/01/2021
- GILCREASE, CYNTHIAOperational/managerial control · not applicable · since 04/01/2021
- SALINAS RODRIGUEZ, MONICAOperational/managerial control · not applicable · since 04/01/2021
Show 3 more
- SEHLKE, BRYONOperational/managerial control · not applicable · since 04/01/2021
- STUTZNER, FEDERICOOperational/managerial control · not applicable · since 09/20/2021
- ZUROVEC, DARRELLOperational/managerial control · not applicable · since 04/01/2021
Questions
When was The Heights of Alamo last inspected?
CMS lists August 5, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does The Heights of Alamo have?
CMS lists 21 health citations since May 5, 2025. CMS also calls these deficiencies.
Has The Heights of Alamo been fined?
CMS lists 1 fine in the past three years, $8,414 in total.
What is the CMS star rating of The Heights of Alamo?
Its CMS overall star rating is 5 of 5.
Is The Heights of Alamo a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.