THE HEIGHTS OF ALAMO

1214 S. ALAMO ROAD, ALAMO, TX 78516 · CCN 676441 · 130 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections4 of 5CMS staffing2 of 5CMS quality5 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 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2025-05-05 — ACTUAL HARM (tag F0689, severity G)

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

2.64

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.11

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

39%

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

1 enforcement action(s), totaling $8,414 in fines.

Date	Type	Amount
2025-05-05	Fine	$8,414

Ownership

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

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

Rosewood Heights (Killeen, TX) — CMS overall3 of 5
La Frontera Nursing & Rehabilitation (Laredo, TX) — CMS overall3 of 5
West Oaks Nursing & Rehab Center (Houston, TX) — CMS overall4 of 5
HILL COUNTRY HEIGHTS (COPPERAS COVE, TX) — CMS overall4 of 5
DEL RIO NURSING AND REHABILITATION CENTER (DEL RIO, TX) — CMS overall5 of 5
THE HEIGHTS AT MEDICAL CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Harker Heights Nursing & Rehabilitation (Harker Heights, TX) — CMS overall1 of 5
Country Care Manor (La Vernia, TX) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 11

Survey date	Tag	Category	Severity	Corrected
2025-11-13	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-13	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-05	F0578	Resident Rights Deficiencies	D	not recorded
2025-06-05	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-05	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-05	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-06-05	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-06-05	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-06-05	F0880	Infection Control Deficiencies	D	not recorded
2025-05-05	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-05-05	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-05-05	F0689	Quality of Life and Care Deficiencies	G	not 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 ALAMO, ALAMO” at medicare.gov/care-compare.