THE HEIGHTS OF BULVERDE

384 HARMONY HILLS, SPRING BRANCH, TX 78070 · CCN 676418 · 124 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-03-21 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.54

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.38

registered nurses only

Contract (agency) staff

5%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

56%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. Part of the TOUCHSTONE COMMUNITIES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 46 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-04-01F0761Pharmacy Service DeficienciesEnot recorded
2026-01-13F0880Infection Control DeficienciesDnot recorded
2025-12-10F0603Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-12-10F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-10F0880Infection Control DeficienciesDnot recorded
2025-12-09F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-09F0690Quality of Life and Care DeficienciesDnot recorded
2025-12-09F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-06-25F0552Resident Rights DeficienciesDnot recorded
2025-06-25F0578Resident Rights DeficienciesDnot recorded
2025-06-25F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-06-25F0759Pharmacy Service DeficienciesDnot recorded
2025-06-25F0761Pharmacy Service DeficienciesDnot recorded
2025-06-25F0812Nutrition and Dietary DeficienciesEnot recorded
2025-06-25F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-06-25F0880Infection Control DeficienciesDnot recorded
2025-04-24F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-24F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-19F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-21F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-21F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-21F0689Quality of Life and Care DeficienciesJnot recorded
2025-03-21F0880Infection Control DeficienciesDnot recorded
2024-07-22F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-22F0755Pharmacy Service DeficienciesDnot recorded
2024-05-05F0582Resident Rights DeficienciesEnot recorded
2024-05-05F0584Resident Rights DeficienciesDnot recorded
2024-05-05F0635Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-05F0677Quality of Life and Care DeficienciesEnot recorded
2024-05-05F0686Quality of Life and Care DeficienciesDnot recorded
2024-05-05F0689Quality of Life and Care DeficienciesEnot recorded
2024-05-05F0690Quality of Life and Care DeficienciesDnot recorded
2024-05-05F0759Pharmacy Service DeficienciesEnot recorded
2024-05-05F0760Pharmacy Service DeficienciesEnot recorded
2024-05-05F0761Pharmacy Service DeficienciesDnot recorded
2024-05-05F0773Administration DeficienciesDnot recorded
2024-05-05F0806Nutrition and Dietary DeficienciesDnot recorded
2024-05-05F0812Nutrition and Dietary DeficienciesFnot recorded
2024-05-05F0813Nutrition and Dietary DeficienciesDnot recorded
2024-05-05F0814Nutrition and Dietary DeficienciesFnot recorded
2024-05-05F0925Environmental DeficienciesEnot recorded
2024-03-21F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-03-24F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2023-03-24F0808Nutrition and Dietary DeficienciesDnot recorded
2023-03-24F0812Nutrition and Dietary DeficienciesEnot recorded
2023-03-24F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “THE HEIGHTS OF BULVERDE, SPRING BRANCH” at medicare.gov/care-compare.