Nursing HomeMedicaid Top Rated

The Heights of Alamo

Strong Medicare quality ratings; families often praise clean and odor-free facility. Still worth an in-person visit.

1214 S. Alamo Road, Alamo, TX 78516|130 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.8/5

based on 233 Google reviews

(956) 715-8600 Directions Website

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What this means for your family

This facility is an excellent choice for families prioritizing cleanliness, modern amenities, and a high-quality rehabilitation/therapy program. However, because there have been specific, serious allegations regarding hygiene neglect and wound care, you should explicitly ask about their protocols for frequent incontinence checks and skin integrity monitoring.

Google Reviews

233 reviews on Google

“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

Tap a score for details

Strengths

Clean and odor-free facility
Professional and compassionate therapy team
Welcoming and friendly staff
Modern and well-maintained building

Concerns

Inconsistent hygiene and diaper changes (mentioned by 2 reviewers)
Issues with patient hydration
Loss of personal belongings or dentures (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 217 analyzed

199

⚡11 reviews posted between Jun 26, 2019 – Jun 29, 2019 · 11 were 5-star

⚡10 reviews posted between Nov 10, 2025 – Nov 15, 2025 · 10 were 5-star

How They Respond to Reviews

97%response rate

Generic

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.

Questions for Your Tour

1It is wonderful to see how much care you put into responding to families online; how do you ensure that the high level of communication seen in your reviews is maintained with our family daily?
2We noticed the facility is exceptionally clean and modern; what specific protocols do you have in place to ensure that hygiene and personal care, like regular diaper changes, remain consistent for every resident?
3With the therapy team being such a highlight for families, how would you describe the personalized approach they take to help residents regain their strength?
4What systems are in place to ensure residents stay properly hydrated and that their personal belongings, like dentures or glasses, are securely tracked and safe?
5Could you walk us through the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
6What kind of daily activities or social outings are planned to keep the residents engaged and connected with one another?

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.”

Family member · 2025★★★★★

“My mother was supposed to be there for a few weeks to recover and for the price we believed she was in good hands. She was there less than 3 weeks when she was rushed to the Emergency room a bed sore developed sepsis. We were told it was due to neglect and sitting in soiled diapers.”

Family member · 2026★☆☆☆☆

“Nursing staff is available, immediately accessible, and responsive to my clients’ needs and comfort.”

Healthcare provider · 2023★★★★★

Source: 233 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.27hrs

36%

Registered nurses for medical care

Total Nursing

3.22hrs

78%

All nurses + aides combined

Staff Turnover

33%

Lower is better (< 30% = good)

RN Turnover

29%

Lower is better (< 30% = good)

Both 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

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility7.7%

Better than Avg

Here

7.7%

19.5%

18.4%

Hidalgo

11.8%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.8%

Better than Avg

Here

0.8%

12.1%

2.5%

Hidalgo

0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility90.2%

Worse than Avg

Here

90.2%

95.5%

98.0%

Hidalgo

98.8%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility12.4%

Mixed vs Avgs

Here

12.4%

19.4%

14.2%

Hidalgo

9.3%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Hidalgo

98.3%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility17.7%

Worse than Avg

Here

17.7%

14.4%

16.1%

Hidalgo

11.2%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility62.3%

Worse than Avg

Here

62.3%

79.7%

88.0%

Hidalgo

92.6%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility97.5%

Better than Avg

Here

97.5%

81.8%

89.2%

Hidalgo

95.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.8%

Better than Avg

Here

0.8%

1.6%

1.5%

Hidalgo

3.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies

1penalties

Above state avg (9.1)

5 complaint-triggered

$8,414 in fines

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.

Nov 13, 2025Complaint2 findings

0656Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

Jun 5, 2025Routine7 findings

0578Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 5, 2025Complaint3 findings

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Apr 11, 2024Routine3 findings

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · PatternCorrected

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES ALAMO LLC

Administrator

FEDERICO STUTZNER

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 1 of 27 (Best)

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Carvajal, Charles