Touchstone Communities

The Heights of Alamo is a 130-bed Medicare/Medicaid nursing home in Alamo, TX, managed by Touchstone Communities. CMS rates it 5 stars overall, with 5-star quality-of-care scores for both long-stay and short-stay residents and a 4-star health inspection rating. Staffing is rated 2 stars — the main counterweight in an otherwise strong record. The license is active through April 2027.

The Heights of Bulverde is a 124-bed nursing home in Bulverde (Comal County), TX, licensed through 2028 and operating at roughly 84% of capacity. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Quality-of-care measures rate 4 stars for long-stay residents and 2 stars for short-stay. Managed by Touchstone Strategies under a hospital-district licensee, the facility holds no CMS fines.

Hill Country Heights is a 96-bed nursing home in Copperas Cove, Texas, managed by Touchstone Strategies and licensed through Uvalde County Hospital Authority. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. All 96 beds are Medicare- and Medicaid-certified. The facility is currently operating at about 67% of licensed capacity, or roughly 64 residents on an average day.

Avir At Cotulla is a 60-bed nursing home in Cotulla, Texas, licensed for Medicare and Medicaid and managed by Touchstone Communities on behalf of La Salle County. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Health inspection and quality-of-care ratings each reach 4 stars. Roughly 49 of 60 beds are occupied.

Del Rio Nursing And Rehabilitation Center is a 60-bed Medicare/Medicaid nursing home in Del Rio, TX, licensed since 1971 and managed by Care Inn Properties under a hospital district license. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection rating. Staffing earns 2 stars — the main counterweight to an otherwise strong record. Occupancy runs at roughly 76% of licensed beds.

The Heights of Gonzales is a 132-bed nursing home in Gonzales, TX, operated by Gonzales Healthcare Systems and managed by Touchstone Communities. CMS rates it 4 stars overall, with a 4-star health inspection rating and a 5-star long-stay quality rating. Staffing comes in at 2 stars, and short-stay quality rates 1 star. The facility is currently at about 68% of licensed capacity, with 90 residents on average per day.

Harker Heights Nursing & Rehabilitation is a 199-bed Medicare/Medicaid nursing home in Harker Heights, TX, operated by Touchstone Communities. CMS rates it 2 stars overall, with a 1-star health inspection rating and 2-star staffing rating — though quality-of-care measures rate 5 stars. Three CMS fines total $83,951 since the last inspection cycle. The facility is running at 63% of licensed capacity, with 126 residents on average per day.

Avir At North Houston is a 131-bed nursing home in Houston's Harris County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 4-star quality-of-care rating for long-stay residents. The facility received 3 CMS fines totaling $39,207 since the data period. Staffing also rates 3 stars; residents here need more hands-on care than average, which affects how far those hours go. Total nursing staff turnover is among the lower end for Texas.

West Oaks Nursing & Rehabilitation is a 136-bed Medicare/Medicaid nursing home in Houston's Harris County, licensed through 2028 and operating at about 82% of capacity. CMS rates it 4 stars overall, with a 4-star health inspection score and a 5-star long-stay quality rating — though short-stay quality rates just 1 star. Staffing comes in at 3 stars. Managed by Touchstone Communities under a hospital district license held since 1995.

Rosewood Heights is a 64-bed nursing home in Killeen, Texas, licensed since 1971 and managed by Touchstone Strategies Killeen LLC under a hospital district authority. CMS rates it 3 stars overall, with a 2-star health inspection rating offset by a 5-star quality-measures rating. Three CMS fines totaling $62,745 have been levied against the facility. It operates at roughly 82% of licensed capacity.

Country Care Manor is a 91-bed nursing home in La Vernia, Wilson County, accepting both Medicare and Medicaid. CMS rates it 4 stars overall — 4 stars on health inspections and quality measures, with a 2-star staffing rating. Managed by Touchstone Communities under a Bexar County Hospital District license, the facility has been operating since 1991 and holds an active license through February 2028.

La Frontera Nursing & Rehabilitation is a 186-bed Medicare/Medicaid nursing home in Laredo, Texas, managed by Laredo Operator 3, Ltd under a hospital district license. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 4-star inspection score — but a 1-star staffing rating. The facility is operating at roughly 51% of licensed capacity, about 95 residents on an average day.

Laredo Nursing And Rehabilitation Center is a 120-bed nursing home in Laredo, TX, accepting Medicare and Medicaid, operated by Touchstone Communities under a hospital district license. CMS rates it 1 star overall, with a 1-star health inspection rating and a 2-star staffing rating. Two CMS fines totaling $93,962 have been assessed. Quality measures split sharply: long-stay residents rate 5 stars, short-stay residents rate 1 star. The license is active through February 2028.

Las Alturas Nursing & Transitional Care is a 138-bed Medicare/Medicaid nursing home in Laredo (Webb County), operated by Touchstone Communities under a hospital district license. CMS rates it 4 stars overall, with 5-star quality-measure scores for both long-stay and short-stay residents. The one area pulling against that picture is a 1-star staffing rating. The license is active through March 2026.

The Heights of League City is a 194-bed nursing home in League City (Galveston County) operated under a hospital district license and managed by Touchstone Communities. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five fines totaling $132,398 have been issued, and three administrators have turned over in the past year. The facility is currently at 64% of licensed capacity.

Mid Valley Nursing & Rehabilitation is a 123-bed Medicare- and Medicaid-certified nursing home in Mercedes, Hidalgo County, managed by Touchstone Communities under a hospital district license. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at roughly 62% of licensed capacity, with 76 of 123 beds occupied on an average day.

Las Alturas De Penitas is a 130-bed nursing home in Penitas, Hidalgo County, operated by Touchstone Communities under a hospital district license. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and 4 CMS fines totaling $166,236 since the facility opened in 2021. Quality-of-care measures rate 4 stars for long-stay residents. The facility is running at roughly 69% of licensed capacity.

The Heights of Atascosa is a 100-bed Medicare/Medicaid nursing home in Pleasanton, TX, operated by Touchstone Strategies under a Bexar County Hospital District license. CMS rates it 3 stars overall, with a 1-star staffing rating — the lowest tier — alongside a 4-star health inspection rating and a 5-star long-stay quality-of-care rating. All 100 beds are dual-certified. The current license runs through February 2028.

The Heights on Valley Ranch is a 122-bed nursing home in Porter, Texas, licensed through 2029 and operating at about 88% of capacity. CMS rates it 4 stars overall, with a 4-star health inspection and a 4-star quality-of-care rating — though staffing comes in at 2 stars. The facility is part of Touchstone Communities and is licensed to West Wharton County Hospital District, managed by Touchstone Strategies Mc2 LLC.

Avir At Portland is a 97-bed nursing home in Portland, Texas, operating under a For-profit corporate license held by West Wharton County Hospital District and managed by Touchstone Communities. CMS rates it 1 star overall — the lowest rating on a 5-point scale. Two CMS fines totaling $119,462 have been assessed, and staffing rates 1 star. Quality-of-care outcome measures rate 4 stars. All 97 beds accept both Medicare and Medicaid.

Avir At Heritage is a 150-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), part of the Touchstone Communities chain. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Long-stay quality measures score 5 stars. The facility is operating at roughly 60% of licensed capacity — about 90 residents in 150 beds.

Stone Oak Care Center is a 152-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), licensed to Bexar County Hospital District and managed by Touchstone Communities. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Quality-of-care measures for long-stay residents rate 5 stars. The facility is running at roughly 74% of licensed beds.

The Enclave is a 142-bed nursing home in San Antonio (Bexar County), operated by Touchstone Communities and licensed through March 2026. CMS rates it 1 star overall — the lowest tier, shared by roughly 38% of Texas nursing homes. Staffing earns a separate 1-star rating; quality-of-care measures score 4 stars. The facility accepts Medicare and Medicaid and currently averages about 123 residents per day.

The Heights at Medical Center is a 134-bed nursing home in San Antonio's Bexar County, accepting both Medicare and Medicaid residents. CMS rates it 1 star overall — the lowest tier, shared by about 38% of Texas nursing homes on staffing alone. Nearly 7 in 10 nursing staff left in the past year, and the facility is running at 59% of licensed capacity, with 78 of 134 beds occupied. Managed by Touchstone Strategies Med Center, LLC under a hospital district licensee.

The Heights on Huebner is a 120-bed nursing home in San Antonio, licensed to Bexar County Hospital District and managed by Touchstone Communities. CMS rates it 5 stars overall, with a 5-star health inspection score and a 4-star quality-of-care rating for long-stay residents. Staffing is rated 2 stars — the one notable gap in an otherwise strong regulatory record. All 120 beds are Medicare- and Medicaid-certified, and the facility is currently running at about 89% of capacity.

The Heights of Tomball is a 131-bed nursing home in Tomball, Harris County, accepting Medicare and Medicaid residents. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating. It operates at roughly 86% of licensed capacity and carries two CMS fines totaling $21,908 since the last inspection cycle. Licensed through April 2026, it is managed by Touchstone Strategies under a hospital district licensee.

The Heights of Tyler is a 120-bed Medicare- and Medicaid-certified nursing home in Tyler, Smith County, operated by Touchstone Strategies under a hospital district license. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Three fines totaling $39,574 have been assessed. The license is active through April 2026.