CareWitness
Federal record · CMS Care Compare · CCN 676441 · Processed JUN 1 2026
CareWitnessTexasAlamoNursing HomesThe Heights Of Alamo

The Heights Of Alamo

1214 S. Alamo Road, Alamo, TX, 78516

Type
Nursing home
Medicare/Medicaid certified · CCN 676441

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall5 / 5
Health inspections4 / 5
Staffing2 / 5
Quality measures5 / 5

Facility & Staffing

Ownership
For profit - Corporation · Chain: Touchstone Communities
Certified beds
130 · avg 115 residents/day
Total nursing staff turnover
32.6%lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
RN turnover
28.6%lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $8,414 total

Medicare certification

CMS Certification Number
676441
Certified beds
130 beds · avg 115 residents/day
Ownership type
For profit - Corporation
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Uvalde County Hospital Authority
Chain affiliation
Touchstone Communities

CMS Care Compare, processing date June 1, 2026

Federal ownership record

Non-profitOther

Chain affiliation

Part of the Touchstone Communities chain — 25 facilities. Chain-wide average overall rating 2.7 / 5.

Disclosed owners (24 on record)

  • Ismael Cantu Garcia

    Adp of The Snf · since 2023

  • The Bryon And Rena Sehlke Living Trust

    Adp of The Snf · since 2023

  • Federico Stutzner

    Operational/managerial Control · since 2021

  • Aegis Therapies, Inc.

    Adp of The Snf · since 2021

  • Bryon Sehlke

    Operational/managerial Control · since 2021

  • Carvajal Pharmacy Ltc

    Adp of The Snf · since 2021

+ 18 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

12 health citations on file5 from complaints1 federal fine totalling $8,414

Recent health-deficiency citations (most recent 8 of 12)

  • D0842·Nov 13, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

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

  • D0656·Nov 13, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • D0880·Jun 5, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0812·Jun 5, 2025

    Nutrition and Dietary Deficiencies

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

  • D0695·Jun 5, 2025

    Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

  • D0690·Jun 5, 2025

    Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • D0656·Jun 5, 2025

    Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • D0641·Jun 5, 2025

    Resident Assessment and Care Planning Deficiencies

    Ensure each resident receives an accurate assessment.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $8,414

Most recent events

  • May 5, 2025Fine · $8,414

Fire-safety citations

3 Life-Safety-Code citations on file. Most recent: Apr 11, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about The Heights Of Alamointo one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.