The Heights Of Bulverde
384 HARMONY HILLS, Bulverde, TX, 78070
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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 124 · avg 104 residents/day
- Total nursing staff turnover
- 69.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 307372
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 44 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- March 15, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Bulverde, Llc
- Administrator
- Aaron Prado
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (23 on record)
- Andrew n Dentino
Operational/managerial Control · since 2025
- Edward Hackett
Adp of The Snf · since 2025
- Touchstone Strategies - Bulverde Llc
Adp of The Snf · since 2025
- Frost Bank
5% or Greater Security Interest · 11% · since 2024
- Aaron Prado
Adp of The Snf · since 2024
- Jonathon Dewey Clayton
Operational/managerial Control · since 2023
+ 17 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 46)
- D0880·Jan 13, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0880·Dec 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Dec 10, 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.
- D0603·Dec 10, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- E0842·Dec 9, 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.
- D0690·Dec 9, 2025Complaint
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.
- D0641·Dec 9, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Jun 25, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jun 25, 2025. 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 Mar 1, 2026.
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 182 minutes of nursing care per day, about 59 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 182 minutes stretch thinner than the raw number suggests.
Roughly 7 in 10 nursing staff left in the past year. Texas's 75th-percentile turnover rate is 60% — this facility's 69.8% sits above that mark. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
RN turnover ran at 57.1% over the same period. Each resident receives about 25 minutes of registered-nurse time per day, compared with 37 minutes at a 4-star-staffing facility in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.5 hours per resident per day here — ask how many nurses and aides are on the floor on a Saturday night shift.
How new staff get up to speed
With roughly 7 in 10 nursing staff turning over in the past year, ask what the orientation process looks like for new hires and how long it typically takes before they work independently.
Current administrator tenure
Ask how long Aaron Prado has been in the role and whether prior administrators left recently, given the facility's overall instability picture.
Short-stay outcomes and rehab goals
CMS rates short-stay quality measures 2 stars — ask what percentage of short-stay residents return home versus transition to long-term care.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council — ask how often the council meets and how family members can raise concerns if not eligible to attend.
Waitlist and bed availability
The facility is running at about 84% of its 124 licensed beds — ask whether specific bed types, particularly Medicare-covered short-stay beds, are currently available.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.