The Heights of Atascosa
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 122 Google reviews
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What this means for your family
This facility is highly regarded for its cleanliness and the kindness of its front-line staff. However, families must be extremely vigilant regarding wound care and response times to call lights, as multiple reviews have highlighted life-threatening lapses in basic care and communication.
Google Reviews
Google Reviews
122 reviews analyzed“Families generally praise the facility for its exceptionally clean environment and the friendly, compassionate nature of the nursing and rehab staff. However, there are serious, documented allegations regarding medical neglect, such as unaddressed bed sores and delayed responses to call lights, which should be investigated thoroughly.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Compassionate and friendly nursing staff
- Effective physical and occupational therapy teams
- Welcoming and professional front desk staff
Concerns
- Serious medical neglect and wound care issues (mentioned by 2 reviewers)
- Slow response to call lights and nurse buzzers (mentioned by 2 reviewers)
- Inconsistent medication administration timing (mentioned by 2 reviewers)
- Poor communication regarding patient status changes (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 set of pre-written templates that rotate through specific phrases like 'best-in-class, compassionate care' and 'mission of Making Lives Better.' While they include the reviewer's name, the core of the response rarely addresses the specific details mentioned in the review.
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility is; how do you ensure the rooms stay this comfortable for residents?
- 2We noticed the front desk staff is very welcoming; how does the administrative team keep families updated when there are changes in a resident's health status?
- 3How does the nursing team manage medication schedules to ensure everything is administered precisely and on time?
- 4What specific protocols are in place to ensure call lights are answered quickly, especially during the night shifts?
- 5Can you tell us more about the wound care and specialized medical monitoring procedures for residents with complex needs?
- 6What does a typical day look like in terms of dining options and social activities to keep residents engaged?
Personalized based on this facility's data
Key Review Excerpts
“Our mom is very precious to us so we are very thankful and appreciative for the way everyone at The Heights takes care of her and for the friendly and respectful way they treat her.”
“The physical therapy staff are positive, caring, and able to motivate my mother-in-law to give it her all.”
“The care there was so terrible my mother went into septic shock from bed sores that could have been prevented. She admitted into the hospital in Jourdanton dehydrated, starving to death and 11 severe bed sores all over her body.”
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
17
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
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
This facility has significant recurring issues with families filing complaints that triggered federal investigations, including problems with abuse reporting and medication management. The most persistent problems involve fire safety systems, resident assessment and care planning, and privacy protection, with deficiencies appearing across multiple surveys from 2023 to 2025. While all violations show correction dates, the pattern of repeated issues in core care areas suggests ongoing operational challenges that families should carefully evaluate.
Nov 24, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 16, 2025Routine17
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Mar 22, 2024Routine4
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 26, 2023Complaint1
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Feb 10, 2023Routine7
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Bexar County Hospital District
for profit
TOUCHSTONE STRATEGIES PLEASANTON, LLC
NICOLE MORRIS
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 15 of 27
Ownership & Management
Owners
Bexar County Hospital District
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
122 reviews from families & visitors
Official Website
Visit theheightsatascosa.com
Medicare data downloads
Original nursing home datasets
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