The Heights of Bulverde
Nursing Home · Spring Branch, TX
CMS certification number676418
Contact & location
384 Harmony HillsSpring Branch, TX 78070
Comal County
- Phone
- (830) 438-1276
- ZIP code
- 78070 – all care providers
Facility details
- Certified beds
- 124
- Residents per day
- 97.3 (78% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Uvalde County Hospital Authority
- Chain
- Touchstone Communities (25 facilities, avg 2.9★)
- Medicare certified since
- March 15, 2017
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.13 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.52 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.86 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.74 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.61 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 55.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 30.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 25, 2025
- Health deficiencies (last cycle)
- 16.0 (state 9.3 · U.S. 9.3)
- From complaints
- 8
- Citations on record (3 years)
- 47 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-01 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-02 |
| 2026-01-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-14 |
| 2025-12-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-10 |
| 2025-12-09 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-10 |
| 2025-12-09 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-10 |
| 2025-06-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-06-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-26 |
| 2025-04-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-20 |
| 2025-03-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-03-22 |
| 2025-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-22 |
| 2025-03-21 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-22 |
| 2025-03-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2025-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-22 |
| 2024-07-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-23 |
| 2024-07-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-23 |
| 2024-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-05-05 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-06 |
| 2024-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-22 |
| 2023-03-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-03-25 |
| 2023-03-24 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-25 |
| 2023-03-24 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-25 |
| 2023-03-24 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-25 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Frost Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Aegis Therapies, INC. (organization) | Administrator · NOT APPLICABLE | |
| Alamo Advisors LP (organization) | Administrator · NOT APPLICABLE | |
| Campbell, Leslie (individual) | Administrator · NOT APPLICABLE | |
| Carvajal Pharmacy LTC (organization) | Administrator · NOT APPLICABLE | |
| Castillo, Lynnea (individual) | Administrator · NOT APPLICABLE | |
| Clayton, Jonathon (individual) | Administrator · NOT APPLICABLE | |
| Dentino, Andrew (individual) | Administrator · NOT APPLICABLE | |
| Fellbaum, Ernest (individual) | Administrator · NOT APPLICABLE | |
| Hackett, Edward (individual) | Administrator · NOT APPLICABLE | |
| Nutritious Lifestyles, INC. (organization) | Administrator · NOT APPLICABLE | |
| Plante & Moran Pllc (organization) | Administrator · NOT APPLICABLE | |
| Prado, Aaron (individual) | Administrator · NOT APPLICABLE | |
| Sehlke, Bryon (individual) | Administrator · NOT APPLICABLE | |
| Studer, Stanley (individual) | Administrator · NOT APPLICABLE | |
| The Bryon and Rena Sehlke Living Trust (organization) | Administrator · NOT APPLICABLE | |
| Touchstone Communities INC (organization) | Administrator · NOT APPLICABLE | |
| Touchstone Realty - Bulverde LLC (organization) | Administrator · NOT APPLICABLE | |
| Touchstone Strategies - Bulverde LLC (organization) | Administrator · NOT APPLICABLE | |
| Trident Health Services INC (organization) | Administrator · NOT APPLICABLE | |
| Zurovec, Darrell (individual) | Administrator · NOT APPLICABLE | |
| Apolinar, Adam (individual) | Corporate Officer · NOT APPLICABLE | |
| Campbell, Leslie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Castillo, Lynnea (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Clayton, Jonathon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Dentino, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hackett, Edward (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Prado, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sehlke, Bryon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Touchstone Strategies - Bulverde LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Zurovec, Darrell (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Heights of Bulverde?
The Heights of Bulverde has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does The Heights of Bulverde have?
It has 124 certified beds and cares for about 97 residents per day.
Has The Heights of Bulverde been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns The Heights of Bulverde?
It is part of Touchstone Communities and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of The Heights of Bulverde?
(830) 438-1276. The facility is located at 384 Harmony Hills, Spring Branch, TX 78070.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.