Nursing HomeInspections

The Heights of Gonzales

Nursing home in Gonzales, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (830) 672-4530Send a messageMap ↗

Public-record details

Address
701 N Sarah Dewitt, Gonzales, TX 78629
Phone
(830) 672-4530
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676138
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
132
Average residents per day
93
Ownership
For-profit, corporation
Legal business name
Gonzales Healthcare Systems
Chain
Touchstone Communities (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 22, 2007
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676138. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2026. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 6, 2023 to Mar 27, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 27, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide 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
Mar 27, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 27, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 28, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		C
Potential for minimal harm, widespread
Dec 13, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 13, 2024Provide 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
Dec 13, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 13, 2024Procure 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
Dec 13, 2024Dispose of garbage and refuse properly.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 13, 2024Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 22. 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 no fines or payment denials for this facility in the last three years.

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
3.25 hours
Registered nurse (RN) time per resident per day
0.27 hours
Nurse aide time per resident per day
2.27 hours
Total nurse staffing on weekends
2.77 hours
Nursing staff turnover (yearly)
45%
RN turnover (yearly)
50%
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.

Other nursing homes in Gonzales

Avir at Gonzales3428 Moulton Rd · Gonzales, TX 78629 · (830) 672-2867 · For-profit41 health citations in 3 inspection cycles · last standard inspection Jul 25, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 2 in Gonzales →