The Heights of Gonzales
701 N Sarah Dewitt · Gonzales, TX · 78629 · 8306724530
132 certified beds For profit - Corporation Chain: Touchstone Communities
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
RN staffing in the bottom 10% nationally
0.23 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: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D March 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
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 April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 31, 2026 · Pharmacy Service
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Potential for harm · D March 27, 2026
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 April 10, 2026 · Pharmacy Service
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No harm found · C January 28, 2026 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 30, 2026 · Nutrition and Dietary
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Potential for harm · E December 13, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · D December 13, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 13, 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 December 16, 2024 · Quality of Life and Care
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Potential for harm · D December 13, 2024
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 December 14, 2024 · Pharmacy Service
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Potential for harm · D December 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 14, 2024 · Nutrition and Dietary
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Potential for harm · D December 13, 2024
Dispose of garbage and refuse properly.
Corrected December 16, 2024 · Nutrition and Dietary
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Potential for harm · E December 13, 2024
Provide and implement an infection prevention and control program.
Corrected December 16, 2024 · Infection Control
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Potential for harm · E April 1, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · D October 20, 2023
Keep residents' personal and medical records private and confidential.
Corrected November 3, 2023 · Resident Rights
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Potential for harm · D October 20, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 20, 2023
Ensure each resident receives an accurate assessment.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 20, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 20, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 27, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 20, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected October 24, 2023 · Administration
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Potential for harm · E October 20, 2023
Provide and implement an infection prevention and control program.
Corrected November 3, 2023 · Infection Control
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Potential for harm · D October 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2023 · Quality of Life and Care
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676138 · certified since May 22, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.