Nursing homes › Texas › The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 · 8304381276 · 124 certified beds
Per CMS filings, this facility is affiliated with Touchstone Communities, a group operating 25 facilities in 1 states. Group record: average rating 2.9/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $696,390 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.13 (Texas median: 3.27). RN hours: 0.52. Weekend total: 2.61. Nursing staff turnover: 56%.
All-time on record: 47 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | 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. | E | complaint | corrected 2026-04-02 |
| 2026-01-13 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-01-14 |
| 2025-12-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-12-11 |
| 2025-12-10 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | complaint | corrected 2025-12-11 |
| 2025-12-10 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-11 |
| 2025-12-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-12-10 |
| 2025-12-09 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-12-10 |
| 2025-12-09 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-12-10 |
| 2025-06-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-06-26 |
| 2025-06-25 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | 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. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | 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. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-06-26 |
| 2025-06-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-26 |
| 2025-04-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-04-25 |
| 2025-04-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-04-20 |
| 2025-03-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-03-22 |
| 2025-03-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-22 |
| 2025-03-21 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-03-22 |
| 2025-03-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-12-24 |
| 2025-03-21 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-03-22 |
| 2024-07-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-07-23 |
| 2024-07-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-07-23 |
| 2024-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-05-06 |
| 2024-05-05 | Dispose of garbage and refuse properly. | F | complaint | corrected 2024-05-06 |
| 2024-05-05 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | complaint | corrected 2024-05-06 |
| 2024-05-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-05-06 |
| 2024-05-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-05-06 |
| 2024-05-05 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-05-06 |
| 2024-05-05 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2024-05-06 |
| 2024-05-05 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | corrected 2024-05-06 |
| 2024-05-05 | 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. | D | Health | corrected 2024-05-06 |
| 2024-05-05 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Health | corrected 2024-05-06 |
| 2024-05-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-05-06 |
| 2024-05-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-05-06 |
| 2024-05-05 | 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. | D | Health | corrected 2024-05-06 |
| 2024-05-05 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Health | corrected 2024-05-06 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APOLINAR, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2015 |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2019 |
| CAMPBELL, LESLIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2020 |
| CASTILLO, LYNNEA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
| CLAYTON, JONATHON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2023 |
| DENTINO, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| HACKETT, EDWARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2025 |
| PRADO, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/28/2024 |
| SEHLKE, BRYON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
| ZUROVEC, DARRELL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676418. Corrections: data@carerecords.org.