Strong Medicare quality ratings; public reviewers often praise clean and odor-free facility. Still worth an in-person visit.
based on 252 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
The Heights of Alamo has a strong overall Medicare rating. Public reviewers frequently mention: clean and odor-free facility and professional and compassionate therapy team. Review the component ratings and current source records before deciding.
The Heights of Alamo is highly regarded for its exceptionally clean, modern, and odor-free environment, which many visitors note feels more like a community than a traditional nursing home. While the majority of families praise the professional therapy and friendly nursing staff, there are serious, isolated reports of neglect regarding hygiene and wound care. Families should prioritize checking on the consistency of routine care and hygiene checks during their visits.
Quality Themes
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Concerns
Rating Trends
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Distribution · 236 analyzed
The owner relies heavily on a small set of pre-written templates that rotate through phrases like 'best-in-class, compassionate care' and 'mission of Making Lives Better.' While they do personalize the responses with the reviewer's name, the core content is almost always a copy-paste of the same few sentences.
Personalized based on this facility's data
Key Review Excerpts
“The Heights of Alamo is a very friendly place. The staff treats the residents with utmost respect as well as the visitors. I would like to add that the facility is very clean and not smelly like other nursing homes.”
“Nursing staff is available, immediately accessible, and responsive to my clients’ needs and comfort.”
“The food was appetizing, and the dietary staff made sure if there was something he didn't like, they gave him an alternative option.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
5
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Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints triggering federal inspections, including concerns about resident safety, abuse prevention, and care planning. The facility shows recurring issues with care planning, safety supervision, and resident protection across surveys. Recent deficiencies from June 2025 in areas like respiratory care, infection control, and food safety have correction plans but remain unresolved, suggesting ongoing quality concerns families should investigate further.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Federal Penalties
Fine
May 5, 2025
$8,414
Uvalde County Hospital Authority
for profit
TOUCHSTONE STRATEGIES ALAMO LLC
FEDERICO STUTZNER
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 1 of 27 (Highest rating)
Owners
Carvajal, Charles
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Carvajal, Mark
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Carvajal, Raymond
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgarity, Jessica
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mckee, Janet
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Peterson, Daniel
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
252 reviews from families & visitors
Official Website
Visit theheightsalamo.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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