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Nursing homeFAID #14522

The Heights of Gonzales

701 N SARAH DEWITT, GONZALES, TX, 78629
(830) 672-4530
132 licensed beds

CMS rates The Heights of Gonzales 4 out of 5 overall. Federal inspectors issued 34 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
132
CMS facility ID
676138
Care type
Nursing home
County
Gonzales
Facility name
The Heights of Gonzales
Street address
701 N SARAH DEWITT
City / state / ZIP
Gonzales, TX 78629
Phone
(830) 672-4530

The Heights of Gonzales is a Medicare/Medicaid-certified skilled nursing facility in Gonzales, Texas. It is licensed for 132 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Gonzales 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 Gonzales 34 times across 10 inspections in the last three years, including 3 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.

What the public record shows.

Ownership & operator

Parent company
Touchstone Communities
Ownership type
For profit - Corporation

Registered owners & officers

Gonzales Healthcare Systems
Direct owner — 100% stake — since 2013
Aegis Therapies, Inc.
Additional disclosable party — since 2013
Anzaldua, Brandon
Officer — since 2023
Boening, Christopher
Operational control · Additional disclosable party — since 2020
Campbell, Leslie
Operational control · Additional disclosable party — since 2020
Carvajal Pharmacy Ltc
Additional disclosable party — since 2013
Castillo, Lynnea
Operational control · Additional disclosable party — since 2013
Dyer, Roger
Operational control · Additional disclosable party — since 2015
Fellbaum, Ernest
Additional disclosable party — since 2013
Hisey, Commie
Operational control · Additional disclosable party — since 2017
Johnson, Teri
Operational control · Additional disclosable party — since 2024
Keybank National Association
Mortgage holder — since 2021
Nutritious Lifestyles, Inc.
Additional disclosable party — since 2013
Plante & Moran Pllc
Additional disclosable party — since 2013
Sehlke, Bryon
Operational control · Additional disclosable party — since 2016
Studer, Stanley
Additional disclosable party — since 2013
Touchstone Communities Inc
Additional disclosable party — since 2013
Touchstone Realty - Gonzales, Llc
Additional disclosable party — since 2013
Touchstone Strategies - Go Llc
Operational control · Additional disclosable party — since 2013
Trident Health Services Inc
Additional disclosable party — since 2013
Zurovec, Darrell
Operational control · Additional disclosable party — since 2017

Regulatory standing

Licensed / certified since
2007-05-22
CMS overall rating
4 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-27
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2024 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)
57% Medicaid · 6% Medicare · 37% private/other
Occupancy
75% (fiscal year 2024)
Vs. state median
3% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
132
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily 7:00 AM – 8:00 PM
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 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-31Health inspectionComplaint-triggered1 citation
F-0842
D · 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 2026-08-07
2026-03-27Health inspection5 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-03
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 2026-04-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-03
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 2026-03-31
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 2026-04-10
8 earlier / fire-safety inspections (28 citations)
2026-01-28Health inspectionComplaint-triggered1 citation
F-0803
C · No harm foundFood safetyFrom a complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2026-01-30
2024-12-13Health inspection7 citations
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-14
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 2024-12-14
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 2024-12-16
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 2024-12-14
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 2024-12-14
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2024-12-16
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
2024-04-01Health inspectionComplaint-triggered1 citation
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-19
2023-10-20Health inspection7 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-11-03
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-03
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-10-24
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 2023-10-27
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 2023-10-27
F-0849
D · No harm found
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 2023-10-24
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
2023-10-06Health inspectionComplaint-triggered1 citation
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 2023-03-24
2026-03-27Fire-safety inspection3 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-24
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-04-03
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-03
2024-12-13Fire-safety inspection4 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-30
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-12-20
2023-10-20Fire-safety inspection4 citations
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 2023-11-30
K-0352
E · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-10-31
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-26
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-03
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 676138.
How it compares in Texas.
Inspection citations, 3 years
34
More than 50% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.9
Higher than 14% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
45%
Higher than 34% 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 17 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.6%15.8%13.5%Better than state
Lose too much weight0.7%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.3%0.3%0.7%Near state average
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms1.6%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 injury2.4%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened4.5%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication13.6%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 ulcers1.5%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence13.8%12.5%18.3%Worse than state
Received an antipsychotic medication5.9%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.032.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.371.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine98.4%88.7%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission12.5%25.5%23.4%Better than state
Had an outpatient emergency department visit4.1%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.

  • K-0511 3 inspections. Have properly installed electrical wiring and gas equipment.
  • F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0761 2 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.

What its owners also hold

  • Gonzales Healthcare Systems has an ownership stake on file at 3 nursing homes, averaging 2.3 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

  • Ascension Seton Edgar B Davis, about 16 miles.
  • Yoakum Community Hospital, about 24 miles. CMS rating 3 of 5.
  • Guadalupe Regional Medical Center, about 30 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.747 ratings on Google
★★★★★John Davis · 2026-05-18 · via Google

“This review is primarily written to praise the wonderful job and comfort provided to our loved one by ROBERT CLACK, CNA. This gentleman was a true gem that we were truly blessed to have assist us. The other staff were commendable also with only one staff member that I would not recommend to anyone. She was rude, had no patient skills and showed little compassion.”

★★★★★Cecilia Singleton · 2025-12-31 · via Google

“Both of my parents were at The Heights with dementia until they passed. The CNAs were very compassionate, caring and loving. The Administration seem to love where they work and are always happy to help with any concerns.”

★★★★★Cathey Crawley · 2025-06-07 · via Google

“Went to see a friend today at The Heights. She had a real struggle with what her family knew she needed and what she wanted--to be in her own home! Tge staff was very understanding and did everything possible to make her feel welcome. They helped her understand she was in her new home. Her family was allowed to choose her room. Her bedroom looks out on a bird feeder and the gazebo and yards. She l…”

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 34 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