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Nursing homeFAID #14333

The Heights At Medical Center

3935 Medical Drive, SAN ANTONIO, TX, 78229

(210) 614-4888

www.touchstone-communities.com/heights-at-medical-center

134 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · The Heights at Medical Center

Address

3935 Medical Drive

San Antonio, TX 78229

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Public record summary

What we can show you for free.

Bed capacity

134

CMS facility ID

675890

Care type

Nursing home

County

Bexar

Facility name

The Heights At Medical Center

Street address

3935 Medical Drive

City / state / ZIP

San Antonio, TX 78229

Phone

(210) 614-4888

Website

www.touchstone-communities.com/heights-at-medical-center

About this facility — The Heights At Medical Center

The Heights At Medical Center is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 134 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Heights At Medical Center 63 times across 12 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $22,052 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Touchstone Communities

Ownership type

For profit - Limited Liability company

Registered owners & officers

Apolinar, Adam

Director — since 2024

Oommen, Biju

Operational control · Additional disclosable party — since 2025

Robinson, Larry

Operational control · Additional disclosable party — since 2024

Touchstone Strategies - Med Center Llc

Operational control · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since

2001-10-04

CMS overall rating

1 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$22,052 total

Last standard inspection

2025-08-15

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$233 per day (≈ $7,080/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 11% Medicare · 33% private/other

Occupancy

57% (fiscal year 2023)

Vs. state median

16% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

134

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 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2025-08-15Health inspection7 citations

F-0584

D · No harm found

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.

Corrected 2025-08-16

F-0640

B · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-08-16

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-08-16

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-08-16

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-08-16

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-08-16

2025-08-04Health inspectionComplaint-triggered2 citations

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-08-05

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2025-08-05

10 earlier / fire-safety inspections (54 citations)

2024-07-18Health inspection13 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-19

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-07-19

F-0584

E · No harm found

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.

Corrected 2024-07-19

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-07-19

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-19

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-19

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-07-19

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-07-19

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-19

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2024-07-19

F-0801

F · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-07-19

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-19

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-07-19

2024-06-23Health inspectionComplaint-triggered3 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-24

F-0761

D · No harm foundFrom a complaint

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.

Corrected 2024-06-24

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-06-24

2024-05-28Health inspectionComplaint-triggered4 citations

F-0563

D · No harm foundFrom a complaint

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2024-05-29

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-05-29

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-29

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 2024-05-29

2024-04-19Health inspectionComplaint-triggered2 citations

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-20

F-0849

D · No harm foundFrom a complaint

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-04-20

2024-03-27Health inspectionComplaint-triggered2 citations

F-0573

D · No harm foundFrom a complaint

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-03-28

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-28

2023-10-12Health inspectionComplaint-triggered2 citations

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-10-13

F-0761

D · No harm foundFrom a complaint

Corrected 2023-10-13

2023-05-05Health inspection9 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-05-06

F-0584

E · No harm found

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.

Corrected 2023-05-06

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-05-06

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-05-06

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-06

F-0761

D · No harm found

Corrected 2023-05-06

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-06

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-05-06

2025-08-15Fire-safety inspection6 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-08-18

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-08-16

K-0293

F · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-09-10

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-10

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-09-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-08-16

2024-07-18Fire-safety inspection11 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-08-30

E-0024

F · No harm found

Establish policies and procedures for volunteers.

Corrected 2024-08-30

E-0032

F · No harm found

Provide primary/alternate means for communication.

Corrected 2024-08-30

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-30

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-30

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-08-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-30

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-08-30

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-30

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-30

2023-05-05Fire-safety inspection2 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-06

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-05-06

Federal penalties

2024-05-28Fine$8,171

2024-05-28Fine$13,881

2024-05-28Medicare payment denial — 57 days

Total fines$22,052

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 675890.

Visitor reviews

What people say on Google.

4.554 ratings on Google

★★★★★Alfredo Cedillo · 2025-12-29 · via Google
“I have nothing but good things to say about Med center! My loved one is there and really loves the staff! They really do a great job caring for her! They are going thru a renovation and the building is getting a fresh make over, although it is already beautiful as it is! The Business Office Manager, Jessica, is super sweet and helpful and is always smiling! Thank you for being so helpful! The Admi…”

★★★★★Maggie Chavez · 2026-02-02 · via Google
“I have to say the communication here is great! My mom has been here 2 years. Whenever there are any concerns or questions Larry, Elaine James Justin Meighan and Jason are in top of it. I am truly grateful knowing my mom is safe and getting great care. We are there everyday and I can honestly say the staff has become like family. Yes, I would absolutely recommend The Heights to anyone who may…”

★★★★★Erica Machado · 2025-12-26 · via Google
“I had my dad at the facility after he had surgery for therapy until he was strong enough to come home. Everyone was very welcoming and greeting. Stephanie did a wonderful job keeping us informed from the time he discharged from the hospital until he arrived. The director of the facility and director of the nursing department met with us in the morning after we admitted and made me feel at ease tha…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 63 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.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

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