The Heights Of Atascosa
1855 W. GOODWIN, Pleasanton, TX, 78064
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
- 100 · avg 86 residents/day
- Total nursing staff turnover
- 43.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower 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
- 144431
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 100 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- May 15, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bexar County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Pleasanton, Llc
- Administrator
- Nicole Morris
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 (22 on record)
- Nicole Morris
Operational/managerial Control · since 2025
- Touchstone Strategies - Pleasanton Llc
Adp of The Snf · since 2025
- Jonathon Dewey Clayton
Operational/managerial Control · since 2023
- Maria Duenes
Operational/managerial Control · since 2020
- Leslie d Campbell
Operational/managerial Control · since 2020
- Darrell d Zurovec
Adp of The Snf · since 2017
+ 16 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
Recent health-deficiency citations (most recent 8 of 17)
- E0609·Nov 24, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0842·May 16, 2025
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.
- D0812·May 16, 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.
- D0656·May 16, 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.
- D0584·May 16, 2025
Resident Rights Deficiencies
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.
- D0583·May 16, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0558·May 16, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0880·Mar 22, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: May 16, 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 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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 195 minutes of nursing care per day, about 46 minutes less than what a 4-star-staffing facility in Texas provides. Residents here also require more hands-on care than at a typical nursing home — more dependent or medically complex on average — so those 195 minutes stretch thinner than the raw number suggests. RN coverage is 16 minutes per resident per day, against a 37-minute threshold for 4-star staffing 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 2.76 hours per resident per day here, lower than the already-low weekday figure — ask how many nurses and aides are on each shift Saturday and Sunday.
How RN coverage is structured
Reported RN hours work out to about 16 minutes per resident per day; ask whether a registered nurse is on-site around the clock or available only during business hours.
Care plans for higher-need residents
Residents here require more hands-on assistance than average, yet staffing is rated 1 star — ask how care plans are reviewed and adjusted when a resident's needs increase.
Resident and family council status
CMS shows no council information on file; ask whether a Resident Council or Family Council meets regularly and how concerns from residents and families are formally collected.
Short-stay rehabilitation outcomes
Long-stay quality rates 5 stars while short-stay rates 2 stars — ask what the typical discharge-to-home rate is for residents admitted for post-hospital rehabilitation.
Management continuity under current operator
The facility is licensed to a hospital district but managed by Touchstone Strategies; ask how long the current management team has been in place and who oversees day-to-day clinical decisions.
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.