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Nursing homeFAID #14557

The Heights of Atascosa

1855 W GOODWIN, PLEASANTON, TX, 78064

(830) 281-8202

www.theheightsatascosa.com

100 licensed beds

CMS rates The Heights of Atascosa 5 out of 5 overall. Federal inspectors issued 27 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · The Heights of Atascosa

Address

1855 W Goodwin

Pleasanton, TX 78064

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Public record summary

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Bed capacity

100

CMS facility ID

676181

Care type

Nursing home

County

Atascosa

Facility name

The Heights of Atascosa

Street address

1855 W GOODWIN

City / state / ZIP

Pleasanton, TX 78064

Phone

(830) 281-8202

Website

www.theheightsatascosa.com

About this facility — The Heights of Atascosa

The Heights of Atascosa is a Medicare/Medicaid-certified skilled nursing facility in Pleasanton, Texas. It is licensed for 100 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Pleasanton 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 The Heights of Atascosa 27 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. 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.

Facility background

What the public record shows.

Ownership & operator

Parent company

Touchstone Communities

Ownership type

Government - Hospital district

Registered owners & officers

Bexar County Hospital District

Direct owner — 100% stake — since 2015

Aegis Therapies, Inc.

Additional disclosable party — since 2015

Alamo Advisors Lp

Additional disclosable party — since 2015

Campbell, Leslie

Operational control · Additional disclosable party — since 2020

Carvajal Pharmacy Ltc

Additional disclosable party — since 2017

Castillo, Lynnea

Operational control · Additional disclosable party — since 2015

Clayton, Jonathon

Operational control · Additional disclosable party — since 2023

Duenes, Maria

Operational control · Additional disclosable party — since 2020

Fellbaum, Ernest

Additional disclosable party — since 2015

Hurley, Christopher

Officer — since 2014

Lument Real Estate Capital Llc

Mortgage holder — since 2014

Morris, Nicole

Operational control · Additional disclosable party — since 2025

Nutritious Lifestyles, Inc.

Additional disclosable party — since 2015

Plante & Moran Pllc

Additional disclosable party — since 2015

Sehlke, Bryon

Operational control · Additional disclosable party — since 2016

Studer, Stanley

Additional disclosable party — since 2015

Touchstone Communities Inc

Additional disclosable party — since 2015

Touchstone Realty - Atascosa Llc

Additional disclosable party — since 2015

Touchstone Strategies - Pleasanton Llc

Operational control · Additional disclosable party — since 2016

Trident Health Services Inc

Additional disclosable party — since 2015

Zertuche, Benjamin

Operational control · Additional disclosable party — since 2014

Zurovec, Darrell

Operational control · Additional disclosable party — since 2017

Regulatory standing

Licensed / certified since

2008-05-16

CMS overall rating

5 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-07-01

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$379 per day (≈ $11,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

48% Medicaid · 23% Medicare · 30% private/other

Occupancy

80% (fiscal year 2023)

Vs. state median

37% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

100

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.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-28Health inspectionComplaint-triggered1 citation

F-0908

D · No harm foundFrom a complaint

Keep all essential equipment working safely.

2026-07-01Health inspection4 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-07-02

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 2026-07-02

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-07-02

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 2026-07-02

5 earlier / fire-safety inspections (22 citations)

2025-11-24Health inspectionComplaint-triggered1 citation

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-11-25

2025-05-16Health inspection6 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-17

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-17

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 2025-05-17

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 2025-05-17

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 2025-05-17

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 2025-05-17

2024-03-22Health inspection3 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-03-23

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-03-23

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-23

2025-05-16Fire-safety inspection11 citations

K-0222

D · No harm found

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.

Corrected 2025-05-17

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2025-05-17

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-05-17

K-0321

D · 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 2025-05-17

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-05-17

K-0345

D · No harm found

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

Corrected 2025-05-17

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-05-17

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-17

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-17

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-17

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-05-17

2024-03-22Fire-safety inspection1 citation

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-23

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 676181.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 32% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 59% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

38%

Higher than 18% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 19 and worse on 0. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.2%	15.8%	13.5%	Better than state
Lose too much weight	0.4%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.7%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	7.6%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	12.6%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	1.0%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	6.7%	12.5%	18.3%	Better than state
Received an antipsychotic medication	4.7%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.23	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.42	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.2%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.6%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	94.7%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	20.3%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	10.8%	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-0641 2 inspections. Ensure each resident receives an accurate assessment.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0583 2 inspections. Keep residents' personal and medical records private and confidential.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

What its owners also hold

Bexar County Hospital District has an ownership stake on file at 4 nursing homes, averaging 4.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

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

Methodist Hospital Atascosa, about 4.2 miles. CMS rating 3 of 5.
Connally Memorial Medical Center, about 25 miles. CMS rating 3 of 5.
Children's Hospital of San Antonio, about 32 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Pleasanton South Nursing and Rehabilitation, Pleasanton, about 1.9 miles. CMS rating 3 of 5.
Pleasanton North Nursing and Rehabilitation, Pleasanton, about 2.2 miles. CMS rating 1 of 5.
Jourdanton Nursing and Rehabilitation, Jourdanton, about 3.0 miles. CMS rating 2 of 5.
Hunters Pond Rehabilitation and Healthcare, San Antonio, about 25 miles. CMS rating 3 of 5.
Lytle Nursing Home, Lytle, about 25 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.5133 ratings on Google

★★★★★Tinker Dink · 2026-06-05 · via Google
“I'd like to give a HUGE SHOUT OUT to Brandy!! Mom had a hip replacement last Wednesday and sent home Thursday with home health PT. She's a healthy 87 year young, but still 87. I called the Heights and was lucky enough to have the phone answered be Brandy. Brandy was so helpful and took the time to reach out to a rehab hospital. She also took the time to reach out to check on us the next day. …”

★★★★★Alice · 2026-01-22 · via Google
“Our mom is very precious to us so we are very thankful and appreciative for the way everyone at The Heights takes care of her and for the friendly and respectful way they treat her. She is happy there and enjoys the staff. She likes the food and she is kept clean and well attended to. So thank you for everything you do”

★★★★★Sonia Fonseca · 2026-04-25 · via Google
“The establishment seemed like a great place for the elderly, nice and so cleanI'm happy that my mom is there. I know she will be greatly taken care of. God bless the staff!!”

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

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Inspection citations — last 5 years

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The 27 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

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Active civil suits

Federal dockets

CDC infection data

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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 2026-11-06

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