nursing home in Pleasanton, TX
The Heights of Atascosa
1855 W Goodwin, Pleasanton, TX 78064 · (830) 281-8202
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Heights of Atascosa at a glance
The Heights of Atascosa is a 100-bed government nursing home in Pleasanton, Texas (Atascosa County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (July 1, 2026) found 5 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 41.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Touchstone Communities
- Medicare-certified since
- May 16, 2008
- Resident/family council
- Resident
- County
- Atascosa County
- CMS Certification Number
- 676181
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.42 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.22 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.88 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.2% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 16.7% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 113 | 107 | |
| Average residents per day | 85 | 76 | 86 | |
| Occupancy | 85.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.4% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.7% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.9% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 9.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.8% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 2, 2026 |
| July 1, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 2, 2026 |
| July 1, 2026 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 2, 2026 |
| July 1, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 2, 2026 |
| November 24, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected November 25, 2025 |
| May 16, 2025 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | F Potential harm, widespread | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | 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 · Tag K0222 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | 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 Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | 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 Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 17, 2025 |
| May 16, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 17, 2025 |
| March 22, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 23, 2024 |
| March 22, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 23, 2024 |
| March 22, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 23, 2024 |
| March 22, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 23, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 02/28/2015 |
| LUMENT REAL ESTATE CAPITAL LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/05/2014 |
| AEGIS THERAPIES, INC. Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| ALAMO ADVISORS LP Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| CAMPBELL, LESLIE Individual | adp of the snf | NOT APPLICABLE | 04/01/2020 |
| CARVAJAL PHARMACY LTC Organization | adp of the snf | NOT APPLICABLE | 07/01/2017 |
| CASTILLO, LYNNEA Individual | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| CLAYTON, JONATHON Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| DUENES, MARIA Individual | adp of the snf | NOT APPLICABLE | 08/17/2020 |
| FELLBAUM, ERNEST Individual | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| MORRIS, NICOLE Individual | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| NUTRITIOUS LIFESTYLES, INC. Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| PLANTE & MORAN PLLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| SEHLKE, BRYON Individual | adp of the snf | NOT APPLICABLE | 12/16/2016 |
| STUDER, STANLEY Individual | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| TOUCHSTONE COMMUNITIES INC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| TOUCHSTONE REALTY - ATASCOSA LLC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC Organization | adp of the snf | NOT APPLICABLE | 07/10/2025 |
| TRIDENT HEALTH SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/28/2015 |
| ZERTUCHE, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 12/01/2014 |
| ZUROVEC, DARRELL Individual | adp of the snf | NOT APPLICABLE | 08/01/2017 |
| HURLEY, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 09/26/2014 |
| CAMPBELL, LESLIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| CASTILLO, LYNNEA Individual | operational/managerial control | NOT APPLICABLE | 02/28/2015 |
| CLAYTON, JONATHON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| DUENES, MARIA Individual | operational/managerial control | NOT APPLICABLE | 08/17/2020 |
| MORRIS, NICOLE Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| SEHLKE, BRYON Individual | operational/managerial control | NOT APPLICABLE | 12/16/2016 |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2016 |
| ZERTUCHE, BENJAMIN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2014 |
| ZUROVEC, DARRELL Individual | operational/managerial control | NOT APPLICABLE | 08/01/2017 |
Other nursing homes near The Heights of Atascosa
Pleasanton South Nursing and Rehabilitation
905 West Oaklawn Rd, Pleasanton, TX 78064 · 1.9 mi
Government · 88 beds · Part of Eduro Healthcare
★★★★★4Above averagePleasanton North Nursing and Rehabilitation
404 W. Goodwin St, Pleasanton, TX 78064 · 2.2 mi
For-profit · 46 beds · Part of Eduro Healthcare
★★★★★1Much below averageJourdanton Nursing and Rehabilitation
1504 Highway 97E, Jourdanton, TX 78026 · 3 mi
For-profit · 60 beds · Part of Eduro Healthcare
★★★★★2Below averageHunters Pond Rehabilitation and Healthcare
9903 Hunters Pond, San Antonio, TX 78224 · 24.9 mi
For-profit · 128 beds · Part of The Ensign Group
★★★★★3Average- ★★★★★1Much below average
Harmony Care at Floresville
1811 6th St, Floresville, TX 78114 · 25.5 mi
For-profit · 144 beds · Part of Harmony Care Group
★★★★★2Below average
Frequently asked questions
What is The Heights of Atascosa's rating?
The Heights of Atascosa has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did The Heights of Atascosa receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Heights of Atascosa accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Heights of Atascosa?
It is government - hospital district and part of Touchstone Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Heights of Atascosa and how do I contact it?
The Heights of Atascosa is at 1855 W Goodwin, Pleasanton, TX 78064. Phone: (830) 281-8202.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.