The Heights Of Alamo
1214 S. ALAMO ROAD, Alamo, TX, 78516
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
- 130 · avg 103 residents/day
- Total nursing staff turnover
- 38.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — 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
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,414 total
State licensing & capacity
- License number
- 308218
- Service type
- Medicare/medicaid
- Licensed capacity
- 130 beds
- Bed type breakdown
- 10 Medicare-only · 120 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- April 5, 2018
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Alamo Llc
- Administrator
- Federico Stutzner
Texas HHS licensing registry · as of April 16, 2026
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 198 minutes of total nursing care per day — roughly 43 minutes less than at a 4-star-staffing facility in Texas. That gap matters more here than the raw number suggests: residents at this facility tend to need more hands-on help than at a typical nursing home — less mobile or more dependent on average — so the available hours stretch thinner than they would elsewhere.
About 4 in 10 nursing staff left in the past year. That rate falls below Texas's 25th-percentile cutoff, meaning staff turnover here is better than roughly three-quarters of nursing homes in the state. RN turnover follows the same pattern — also in the low tier. A long-stay resident is less likely to cycle through multiple primary caregivers than at most Texas facilities.
One CMS fine totaling $8,414 was assessed at this facility. Texas's median fine total across all fined facilities is $20,699, and about 30% of Texas nursing homes have received 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 here average about 178 minutes per resident per day — below the already 2-star weekday figure; ask how staffing is distributed across all shifts.
How care plans are reviewed
Quality-of-care ratings are 5 stars while staffing is 2 stars; ask how the team manages care planning and oversight given the gap in available nursing hours.
Resident and family council access
CMS records do not show an active Resident or Family Council here; ask whether one exists and how residents and families currently raise concerns with leadership.
Current bed availability
The facility is running about 79% occupancy — roughly 103 of 130 beds filled; ask whether the beds that fit your parent's needs are currently open.
Management company's role day-to-day
Touchstone Strategies Alamo LLC manages operations while Uvalde County Hospital Authority holds the license; ask which entity handles staffing decisions and responds to resident concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.