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The Heights Of Alamo

1214 S. Alamo Road, Alamo, TX 785169567158600Ownership: For profit - CorporationCertified beds: 130Avg. daily residents: 113Chain: Touchstone Communities (25 facilities)County: Hidalgo

The complete public record on The Heights Of Alamo, a Medicare & Medicaid–certified nursing home in Alamo, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★★
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
The Heights Of Alamo holds a 5-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. Federal regulators have fined this facility $8,414 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.18 total nurse staff hours per resident per day
below the state average (3.39)
0.30 RN hours per resident per day
below the state average (0.43)
2.69 weekend nurse staff hours per resident per day
38.9% total nursing staff turnover
below the state average (55.3)
25.0% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

June 5, 2025 most recent standard health inspection
9 health deficiencies cited in the most recent inspection cycle
about the state average (9.3)
3 health deficiencies in the two prior cycles combined
$8,414 in federal fines across 1 penalty (last 3 years)
below the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

12 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
November 13, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
November 13, 20250842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintD · Potential for more than minimal harm
June 5, 20250578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental…D · Potential for more than minimal harm
June 5, 20250641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm
June 5, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm
June 5, 20250690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…D · Potential for more than minimal harm
June 5, 20250695Provide safe and appropriate respiratory care for a resident when needed.D · Potential for more than minimal harm
June 5, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…D · Potential for more than minimal harm
June 5, 20250880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm
May 5, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.