The Heights at Medical Center

3935 Medical Dr · San Antonio, TX · 78229 · 2106144888

134 certified beds For profit - Limited Liability company Chain: Touchstone Communities

  • Inspection results have improved across recent cycles.

Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 82
Staffing 20% 48
Federal penalties 15% 41
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.193.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day2.83≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)2 · $22,052

Inspection citations (44 in the current record)

  • Potential for harm · D August 15, 2025

    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.

    Corrected August 16, 2025 · Resident Rights

  • Potential for harm · D August 15, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2025

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

    Corrected August 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 15, 2025

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

    Corrected August 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 15, 2025

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

    Corrected August 16, 2025 · Nutrition and Dietary

  • Potential for harm · D August 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 16, 2025 · Infection Control

  • No harm found · B August 15, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected August 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 4, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected August 5, 2025 · Resident Rights

  • Potential for harm · D August 4, 2025 · found via complaint

    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.

    Corrected August 5, 2025 · Nursing and Physician Services

  • Potential for harm · D July 18, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · E July 18, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · E July 18, 2024

    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.

    Corrected July 19, 2024 · Resident Rights

  • Potential for harm · D July 18, 2024

    Ensure each resident receives an accurate assessment.

    Corrected July 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

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

    Corrected July 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 18, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

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

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

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

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · D July 18, 2024

    Provide or obtain dental services for each resident.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · F July 18, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected July 19, 2024 · Nutrition and Dietary

  • Potential for harm · E July 18, 2024

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

    Corrected July 19, 2024 · Nutrition and Dietary

  • Potential for harm · D July 18, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 19, 2024 · Infection Control

  • Potential for harm · D June 23, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected June 24, 2024 · Resident Rights

  • Potential for harm · D June 23, 2024 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 24, 2024 · Pharmacy Service

  • Potential for harm · D June 23, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 24, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 28, 2024Fine$8,171
May 28, 2024Fine$13,881
May 28, 2024Payment Denial57 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675890 · certified since October 4, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.