The Heights At Medical Center
3935 MEDICAL DRIVE, San Antonio, TX, 78229
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 - Limited Liability company · Chain: Touchstone Communities
- Certified beds
- 134 · avg 79 residents/day
- Total nursing staff turnover
- 74.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 72.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $22,052 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311961
- Service type
- Medicare/medicaid
- Licensed capacity
- 134 beds
- Bed type breakdown
- 31 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- September 16, 2024
- Current license expires
- March 1, 2027
- Initial license date
- October 4, 2001
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Med Center, Llc
- Administrator
- Larry Robinson
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 (5 on record)
- Biju Oommen
Operational/managerial Control · since 2025
- Larry Robinson
Adp of The Snf · since 2025
- Touchstone Strategies - Med Center Llc
Operational/managerial Control · since 2024
- Adam Apolinar
Corporate Director · since 2024
- Uvalde County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
Recent change of ownership
March 2024 (2 years ago) · acquired from Regent Care at Medical Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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·Aug 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Aug 15, 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·Aug 15, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Aug 15, 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.
- D0641·Aug 15, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- B0640·Aug 15, 2025
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D0584·Aug 15, 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.
- D0726·Aug 4, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Federal penalties
By year
- 20242 fines · $22K · 1 payment denial
Most recent events
- May 28, 2024Payment denial · 57 days · starting Jul 4, 2024
- May 28, 2024Fine · $14K
- May 28, 2024Fine · $8,171
Largest single fine on record: $14K.
Fire-safety citations
19 Life-Safety-Code citations on file. Most recent: Aug 15, 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 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.
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. Each resident receives about 199 minutes of nursing care per day — roughly 42 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility, so those 199 minutes stretch thinner than the number alone suggests. RN coverage is 23 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
Roughly 7 in 10 nursing staff left in the past year — above the 75th percentile for Texas nursing homes. A long-stay resident will likely cycle through two or three primary caregivers. RN turnover runs at the same rate, meaning the most clinically trained staff are leaving at high frequency as well.
Despite the 1-star overall and staffing ratings, CMS rates quality measures 4 stars overall and 5 stars for long-stay residents — meaning outcomes tracked for people living here for more than 90 days score well against peers. Short-stay quality measures rate 2 stars, so the stronger performance is concentrated among permanent residents, not those recovering from a hospital stay.
The facility is operating at 59% of its 134 licensed beds, with an average of 79 residents per day. That level of vacancy, paired with the staffing and turnover figures above, is a pattern that can reflect difficulty attracting both residents and staff.
Two CMS fines totaling $22,052 have been issued — slightly above the Texas state median of $20,699 per fined facility. About 30% of Texas nursing homes have no fines at all.
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 2.8 hours per resident per day — lower than the already-low weekday figure; ask how many nurses and aides are on the floor during nights and weekends.
Why so many staff have left
7 in 10 nursing staff left in the past year; ask what changed and what the facility is doing to stabilize the team.
Current administrator tenure
One administrator change is recorded in the past year; ask how long the current administrator, Larry Robinson, has been in the role.
Reason for low occupancy
Only 79 of 134 beds are currently filled; ask whether that reflects a planned renovation, a specific admission pause, or another operational factor.
Resident and family council status
CMS has no council record on file for this facility; ask whether a resident or family council meets, and how often.
Short-stay rehab outcomes
Short-stay quality measures rate 2 stars while long-stay measures rate 5; ask what the typical discharge timeline and destination look like for post-hospital rehabilitation patients.
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.