The Heights at Medical Center

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address: 3935 Medical Drive, San Antonio, TX 78229
Phone: (210) 614-4888
Listed under: For-profit
Medicare CCN: 675890
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 134
Average residents per day: 86
Ownership: For-profit, limited Liability company
Legal business name: Uvalde County Hospital Authority
Chain: Touchstone Communities (25 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 4, 2001
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Sprinklers in all required areas: Yes

CMS certification number 675890. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 15, 2025. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 5, 2023 to Aug 15, 2025): 15 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
Aug 15, 2025	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning	B Potential for minimal harm, pattern
Aug 15, 2025	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 Rights	D Potential for more than minimal harm, isolated
Aug 15, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Aug 15, 2025	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	D Potential for more than minimal harm, isolated
Aug 15, 2025	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Aug 15, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Aug 15, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Aug 4, 2025	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Aug 4, 2025	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. Nursing and Physician Services · complaint inspection	D Potential for more than minimal harm, isolated
Jul 18, 2024	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Jul 18, 2024	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jul 18, 2024	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	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 44. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $22,052 and 1 denial of Medicare payment for new admissions in the last three years.

May 28, 2024	Fine: $8,171
May 28, 2024	Fine: $13,881
May 28, 2024	Payment denial for 57 days from Jul 4, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.00 hours
Registered nurse (RN) time per resident per day: 0.21 hours
Nurse aide time per resident per day: 1.96 hours
Total nurse staffing on weekends: 2.71 hours
Nursing staff turnover (yearly): 56%
RN turnover (yearly): 67%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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