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Nursing homeFAID #14847

Las Alturas De Penitas

414 Liberty Boulevard, PENITAS, TX, 78576
(210) 828-5686
130 licensed beds

CMS rates Las Alturas De Penitas 3 out of 5 overall. Federal inspectors issued 20 citations across 11 inspections in the last three years, with $150,343 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of LAS ALTURAS DE PENITAS
Photo via Google · Darlah sesto
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Bed capacity
130
CMS facility ID
745000
Care type
Nursing home
County
Hidalgo
Facility name
Las Alturas De Penitas
Street address
414 Liberty Boulevard
City / state / ZIP
Penitas, TX 78576
Phone
(210) 828-5686

Las Alturas De Penitas is a Medicare/Medicaid-certified skilled nursing facility in Penitas, Texas. It is licensed for 130 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Penitas and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Touchstone Communities, a group of 25 facilities on this site.

Federal inspectors have cited Las Alturas De Penitas 20 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $150,343 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Touchstone Communities
Ownership type
For profit - Corporation

Registered owners & officers

Val Verde County Hospital District
Direct owner — 100% stake — since 2024
Aegis Therapies, Inc.
Additional disclosable party — since 2024
Campbell, Leslie
Operational control · Additional disclosable party — since 2020
Carvajal Pharmacy Ltc
Additional disclosable party — since 2024
Castillo, Lynnea
Operational control · Additional disclosable party — since 2024
Fellbaum, Ernest
Additional disclosable party — since 2019
Frost Bank
Security-interest holder — since 2024
Gilcrease, Cynthia
Operational control · Additional disclosable party — since 2016
Hinojosa, Rosa
Operational control · Additional disclosable party — since 2024
Jurado, Jorge
Officer — since 2024
Nutritious Lifestyles, Inc.
Additional disclosable party — since 2024
Olivarez, Yvonne
Operational control · Additional disclosable party — since 2024
Plante & Moran Pllc
Additional disclosable party — since 2024
Sehlke, Bryon
Operational control · Additional disclosable party — since 2024
Studer, Stanley
Additional disclosable party — since 2019
The Bryon and Rena Sehlke Living Trust
Additional disclosable party — since 2023
Touchstone Communities Inc
Additional disclosable party — since 2024
Touchstone Realty - Penitas Llc
Additional disclosable party — since 2024
Touchstone Strategies - Penitas, Llc
Operational control · Additional disclosable party — since 2024
Trident Health Services Inc
Additional disclosable party — since 2024
Zurovec, Darrell
Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
2021-07-08
CMS overall rating
3 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$150,343 total
Last standard inspection
2026-05-28
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$284 per day (≈ $8,630/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 11% Medicare · 15% private/other
Occupancy
68% (fiscal year 2023)
Vs. state median
3% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
130
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-05-28Health inspection4 citations
F-0578
D · No harm found
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.
Corrected 2026-06-11
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-06-11
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-06-11
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2026-06-11
2026-03-30Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-23
7 earlier / fire-safety inspections (15 citations)
2025-03-12Health inspection2 citations
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-13
2025-02-01Health inspectionComplaint-triggered4 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-02
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-02
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-02
2024-01-26Health inspectionComplaint-triggered2 citations
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-29
F-0692
K · Immediate jeopardyFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-01-29
2023-12-18Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-20
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-20
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-12-20
2023-10-03Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-13
2026-05-28Fire-safety inspection2 citations
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-06-11
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-06-11
2025-03-12Fire-safety inspection1 citation
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-23

Federal penalties

2025-02-01Fine$11,164
2024-01-26Fine$51,887
2023-12-18Fine$87,292
Total fines$150,343
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 745000.
How it compares in Texas.
Inspection citations, 3 years
20
More than 14% of nursing homes in the state
State median: 33
Federal fines, 3 years
$150,343
More than 92% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.3
Higher than 45% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
39%
Higher than 19% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 13 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased14.9%15.8%13.5%Near state average
Lose too much weight2.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury7.0%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened11.9%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication13.5%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.6%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence5.3%12.5%18.3%Better than state
Received an antipsychotic medication7.7%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication2.3%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine96.5%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission14.8%25.5%23.4%Better than state
Had an outpatient emergency department visit3.1%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • K-0918 2 inspections. Have generator or other power source capable of supplying service within 10 seconds.
  • F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What its owners also hold

  • Val Verde County Hospital District has an ownership stake on file at 19 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Mission Regional Medical Center, about 8.6 miles. CMS rating 4 of 5.
  • Rio Grande Regional Hospital, about 14 miles. CMS rating 4 of 5.
  • Doctors Hosptal At Renaissance, about 15 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.597 ratings on Google
★★★★★Margarita Obregon · 2026-06-22 · via Google

“My sister spent 38 days for rehab therapy after her hip surgery at this location. She was treated very Kindly and with a lot of Care.by the Whole Staff. We were very pleased with her Treatment. Her room was kept very clean and sanitized. The Facility is always spotless and again, the Whole staff was very friendly from the moment we walked in in our Daily visits.”

★★★★★david pena · 2026-06-07 · via Google

“This has to be one of the best facilities in rgv.staffing are very compassionate love their jobs.all residents have so many activities to chose from.ps very secured. Management pat yourself on back great job.”

★★★★★Maria T. Rodriguez · 2025-07-02 · via Google

“On July 1st, I went to Las Alturas as part of a group from church to provide a Eucharistic Service to the Catholic residents wanting to attend. I was allowed to enter after I identified myself and stated my business. Staff was courteous and patient as they led me in and instructed me on obtaining a visitors’ pass. Once inside, I found the staff helpful and the place clean. Our service to the resid…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 20 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered