Hill Country Heights
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 127 Google reviews
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What this means for your family
This facility is an excellent choice for rehabilitation and long-term care due to its highly-rated therapy team and clean environment. However, families should maintain active involvement and check in regularly, as some reviewers have noted lapses in communication and responsiveness during certain shifts.
Google Reviews
Google Reviews
127 reviews analyzed“Hill Country Heights is widely praised by families for its compassionate nursing staff and exceptional rehabilitation therapy team. While many residents feel at home due to the friendly atmosphere, some families have reported serious concerns regarding communication gaps and inconsistent responsiveness to patient needs during certain shifts.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Excellent physical and occupational therapy
- Clean and well-maintained facility
- Engaging activities and community events
Concerns
- Difficulty reaching staff via telephone (mentioned by 2 reviewers)
- Inconsistent assistance with feeding/daily needs (mentioned by 2 reviewers)
- Communication gaps regarding patient status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on a small set of repetitive, templated responses that often fail to acknowledge the specific details or staff members mentioned in the reviews. While they attempt to personalize by using the reviewer's name, the core message remains a copy-paste rotation of three or four different scripts.
Questions for Your Tour
- 1We've heard great things about the community events here; could you tell us more about the types of activities planned for the residents each week?
- 2How do you ensure that staff are able to provide consistent assistance with daily needs like mealtime and personal care?
- 3What is the best way for our family to stay updated on our loved one's health status and communicate with the nursing team?
- 4Could you walk us through your specific protocols for medication management and how you ensure accuracy during shifts?
- 5If we need to reach someone urgently after hours, what is the most reliable way to get in touch with the care team?
- 6Since the facility is so well-maintained, how do you manage the cleaning schedule to ensure a comfortable environment for the residents?
Personalized based on this facility's data
Key Review Excerpts
“The staff here are amazing. When we leave, we wish we could take some with us. They are kind, talk and also listen to our concerns. The rehab personnel really know their stuff.”
“My very picky husband loves the food here. He came here two weeks ago by stretcher, Now he is getting out of bed by himself and walking with a walker. The staff here are outstanding and so helpful.”
“My mother was at this location for about three months until she passed away. Although there are friendly staff members, the facility and quality of employees need major improvement. My issues and concerns with this company is as follow: 1) My mother had a stroke and NO ONE RECOGNIZED IT OR FOLLOWED UP WITH IT FOR ALMOST 12 HOURS.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents whose walking got worse
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints about this facility, indicating ongoing concerns about safety and care quality. The most recurring issues involve accident prevention and safety hazards, daily care assistance, and care planning. While all deficiencies show correction dates, the pattern of repeated problems with accident hazards across multiple surveys and complaint-driven inspections suggests families should carefully evaluate the facility's ability to maintain consistent safety standards.
Dec 8, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Mar 20, 2025Routine3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Jun 23, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 31, 2024Routine11
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Oct 12, 2023Complaint2
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Sep 26, 2023Complaint3
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jun 23, 2024
$12,356
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
TOUCHSTONE STRATEGIES COPPERAS COVE LLC
JEFFERY TOMPKINS
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 17 of 27
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
127 reviews from families & visitors
Official Website
Visit hillcountryheightsnursingrehab.com
Medicare data downloads
Original nursing home datasets
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