The Heights of Alamo
1214 S. Alamo Road · Alamo, TX · 78516 · 9567158600
130 certified beds For profit - Corporation Chain: Touchstone Communities
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $8,414 |
Inspection citations (12 in the current record)
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Potential for harm · D November 13, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected June 9, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
Ensure each resident receives an accurate assessment.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 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 June 9, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · D June 5, 2025
Provide and implement an infection prevention and control program.
Corrected June 9, 2025 · Infection Control
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Actual harm · G May 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 5, 2025 | Fine | $8,414 |
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 676441 · certified since April 5, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.