Home›Browse›Texas›Spring Branch›The Heights of Bulverde

Nursing homeFAID #14764

The Heights of Bulverde

384 HARMONY HILLS, SPRING BRANCH, TX, 78070

(830) 438-1276

www.theheightsbulverde.com

124 licensed beds

CMS rates The Heights of Bulverde 1 out of 5 overall. Federal inspectors issued 58 citations across 18 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo via Google · Jewels

Address

384 Harmony Hills

Spring Branch, TX 78070

Get directions

Map facilities in this area

All facilities in Spring Branch

Public record summary

What we can show you for free.

Bed capacity

124

CMS facility ID

676418

Care type

Nursing home

County

Comal

Facility name

The Heights of Bulverde

Street address

384 HARMONY HILLS

City / state / ZIP

Spring Branch, TX 78070

Phone

(830) 438-1276

Website

www.theheightsbulverde.com

About this facility — The Heights of Bulverde

The Heights of Bulverde is a Medicare/Medicaid-certified skilled nursing facility in Spring Branch, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Spring Branch 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 Bulverde 58 times across 18 inspections in the last three years, including 5 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

Aegis Therapies, Inc.

Additional disclosable party — since 2019

Alamo Advisors Lp

Additional disclosable party — since 2019

Apolinar, Adam

Officer — since 2015

Campbell, Leslie

Operational control · Additional disclosable party — since 2020

Carvajal Pharmacy Ltc

Additional disclosable party — since 2019

Castillo, Lynnea

Operational control · Additional disclosable party — since 2019

Clayton, Jonathon

Operational control · Additional disclosable party — since 2023

Dentino, Andrew

Operational control · Additional disclosable party — since 2025

Fellbaum, Ernest

Additional disclosable party — since 2019

Frost Bank

Security-interest holder — since 2024

Hackett, Edward

Operational control · Additional disclosable party — since 2025

Nutritious Lifestyles, Inc.

Additional disclosable party — since 2019

Plante & Moran Pllc

Additional disclosable party — since 2019

Prado, Aaron

Operational control · Additional disclosable party — since 2024

Sehlke, Bryon

Operational control · Additional disclosable party — since 2019

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 2019

Touchstone Realty - Bulverde Llc

Additional disclosable party — since 2019

Touchstone Strategies - Bulverde Llc

Operational control · Additional disclosable party — since 2019

Trident Health Services Inc

Additional disclosable party — since 2019

Zurovec, Darrell

Operational control · Additional disclosable party — since 2019

Regulatory standing

Licensed / certified since

2017-03-15

CMS overall rating

1 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-08-14

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$341 per day (≈ $10,370/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

51% Medicaid · 12% Medicare · 37% private/other

Occupancy

73% (fiscal year 2024)

Vs. state median

23% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

124

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 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-14Health inspection4 citations

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 2026-08-15

F-0755

E · No harm found

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

Corrected 2026-08-15

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-08-15

F-0761

D · No harm found

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 2026-08-15

2026-04-01Health inspectionComplaint-triggered1 citation

F-0761

E · No harm foundFrom a complaint

Corrected 2026-04-02

13 earlier / fire-safety inspections (53 citations)

2026-01-13Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-01-14

2025-12-10Health inspectionComplaint-triggered3 citations

F-0603

D · No harm foundFrom a complaint

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Corrected 2025-12-11

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-12-11

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-12-11

2025-12-09Health inspectionComplaint-triggered3 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-12-10

F-0690

D · No harm foundFrom a complaint

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 2025-12-10

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-12-10

2025-06-25Health inspection8 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-26

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 2025-06-26

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 2025-06-26

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-26

F-0761

D · No harm found

Corrected 2025-06-26

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 2025-06-26

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 2025-06-26

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-26

2025-04-24Health inspectionComplaint-triggered2 citations

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-04-25

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-04-25

2025-04-19Health inspectionComplaint-triggered1 citation

F-0842

E · No harm foundFrom a complaint

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

Corrected 2025-04-20

2025-03-21Health inspectionComplaint-triggered5 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 2025-03-22

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-03-22

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 2024-12-24

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 2025-03-22

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-03-22

2024-07-22Health inspectionComplaint-triggered2 citations

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 2024-07-23

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 2024-07-23

2024-05-05Health inspectionComplaint-triggered16 citations

F-0582

E · No harm foundFrom a complaint

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-06

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 2024-05-06

F-0635

D · No harm found

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2024-05-06

F-0677

E · No harm found

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

Corrected 2024-05-06

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-06

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-06

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 2024-05-06

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-06

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-05-06

F-0761

D · No harm found

Corrected 2024-05-06

F-0773

D · No harm found

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-05-06

F-0806

D · No harm foundFood safetyFrom a complaint

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-05-06

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2024-05-06

F-0813

D · No harm foundFood safetyFrom a complaint

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-05-06

F-0814

F · No harm foundFood safetyFrom a complaint

Dispose of garbage and refuse properly.

Corrected 2024-05-06

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-05-06

2024-03-21Health inspectionComplaint-triggered1 citation

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 2024-03-22

2026-08-14Fire-safety inspection6 citations

K-0200

E · No harm found

Meet other general requirements.

Corrected 2026-08-13

K-0211

E · No harm found

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

Corrected 2026-08-13

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 2026-08-13

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-08-13

K-0372

E · No harm found

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

Corrected 2026-08-13

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-08-13

2025-06-25Fire-safety inspection1 citation

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-25

2024-05-05Fire-safety inspection4 citations

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-05-07

K-0918

E · No harm found

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

Corrected 2024-05-06

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-06

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-05-06

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 676418.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 87% 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

3.2

Higher than 40% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

64%

Higher than 82% 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 9 and worse on 8. 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	14.3%	15.8%	13.5%	Near state average
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	5.2%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.8%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	76.1%	96.4%	93.7%	Worse than state
Ability to walk independently worsened	4.5%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	14.0%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	91.3%	97.0%	95.3%	Near state average
With pressure ulcers	1.8%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	11.4%	12.5%	18.3%	Near state average
Received an antipsychotic medication	6.7%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.83	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.46	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	67.7%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	1.6%	1.4%	1.5%	Near state average
Were assessed and appropriately given the seasonal influenza vaccine	75.0%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	39.8%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	23.8%	12.2%	11.8%	Worse 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-0842 5 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0761 4 inspections. 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.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0759 3 inspections. Ensure medication error rates are not 5 percent or greater.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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 Stone Oak, about 14 miles. CMS rating 4 of 5.
South Texas Spine and Surgical Hospital, about 14 miles.
Baptist Neighborhood Hospital Thousand Oaks, about 15 miles. CMS rating 5 of 5.

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

Nearby facilities with inspection records

Coronado At Stone Oak, San Antonio, about 13 miles. CMS rating 5 of 5.
The Enclave, San Antonio, about 14 miles. CMS rating 1 of 5.
Stone Oak Care Center, San Antonio, about 14 miles. CMS rating 3 of 5.
Sonterra Health Center, San Antonio, about 14 miles. CMS rating 2 of 5.
San Antonio Wellness & Rehabilitation, San Antonio, about 15 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.4135 ratings on Google

★★★★Jewels · 2026-05-30 · via Google
“A friend of mine got hurt severely and had to be brought over to the height after she finished at the hospital.They seem to be doing an excellent job, she likes the food and the staff. Seemed very clean well-staffed well organized. Not perfect but pretty darn good.”

★★★★★Tatiana Solomon · 2026-07-02 · via Google
“The Heights of Bulverde is just what we were looking for to take long-term care of my mother-in-law. It’s located in a quiet residential area that lovely and peaceful. The courtyard is a focal point of tranquility and resident “porch time”. The facility is clean and the residents look happy and well-cared for. All the staff is so kind and helpful. My MIL loves all the staff and they love her. The…”

★★★★★Doug Thornton · 2026-07-11 · via Google
“This facility looked and smelled very clean. They seem to be well staffed and the residents seemed to like the staff, which is a good sign. Residents seemed to be much happier than other facilities we have visited”

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

Inside your report

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 58 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.

$79 $99 Advanced

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