The Heights Of Atascosa
Pleasanton, Atascosa County, Texas · CCN 676181 · For-profit (Corporation) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)
CMS rates The Heights Of Atascosa 4 of 5 overall as of August 2026. 100 certified beds, 85 residents a day on average. 16 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 3.41548 hours per resident per day |
|---|---|
| Registered nurses | 0.28382 hours per resident per day |
| Weekend total | 2.88233 hours per resident per day |
| Nursing staff turnover | 41.2% (registered nurses 16.7%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-24 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-11-25 |
| 2025-05-16 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2025-05-16 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2025-05-16 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2025-05-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2025-05-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2025-05-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-17 |
| 2024-03-22 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-03-22 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2024-03-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-23 |
| 2023-02-10 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-11 |
| 2023-02-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-11 |
| 2023-02-10 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-11 |
| 2023-02-10 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-11 |
| 2023-02-10 | 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. Nutrition and Dietary Deficiencies · tag F0801 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-11 |
| 2023-02-10 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-08 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bexar County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2015-02-28 |
| Lument Real Estate Capital LLC Organization | 5% or greater mortgage interest | — | 2014-05-05 |
| Aegis Therapies, Inc. Organization | adp of the snf | — | 2015-02-28 |
| Alamo Advisors Lp Organization | adp of the snf | — | 2015-02-28 |
| Carvajal Pharmacy Ltc Organization | adp of the snf | — | 2017-07-01 |
| Nutritious Lifestyles, Inc. Organization | adp of the snf | — | 2015-02-28 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Communities Inc. Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Realty - Atascosa LLC Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Strategies - Pleasanton LLC Organization | adp of the snf | — | 2025-07-10 |
| Trident Health Services Inc. Organization | adp of the snf | — | 2015-02-28 |
| Touchstone Strategies - Pleasanton LLC Organization | operational/managerial control | — | 2016-03-01 |
| Campbell, Leslie Individual | adp of the snf | — | 2020-04-01 |
| Castillo, Lynnea Individual | adp of the snf | — | 2015-02-28 |
| Clayton, Jonathon Individual | adp of the snf | — | 2023-05-01 |
| Duenes, Maria Individual | adp of the snf | — | 2020-08-17 |
| Fellbaum, Ernest Individual | adp of the snf | — | 2015-02-28 |
| Morris, Nicole Individual | adp of the snf | — | 2025-10-01 |
| Sehlke, Bryon Individual | adp of the snf | — | 2016-12-16 |
| Studer, Stanley Individual | adp of the snf | — | 2015-02-28 |
| Zertuche, Benjamin Individual | adp of the snf | — | 2014-12-01 |
| Zurovec, Darrell Individual | adp of the snf | — | 2017-08-01 |
| Hurley, Christopher Individual | corporate officer | — | 2014-09-26 |
| Campbell, Leslie Individual | operational/managerial control | — | 2020-04-01 |
| Castillo, Lynnea Individual | operational/managerial control | — | 2015-02-28 |
| Clayton, Jonathon Individual | operational/managerial control | — | 2023-05-01 |
| Duenes, Maria Individual | operational/managerial control | — | 2020-08-17 |
| Morris, Nicole Individual | operational/managerial control | — | 2025-10-01 |
| Sehlke, Bryon Individual | operational/managerial control | — | 2016-12-16 |
| Zertuche, Benjamin Individual | operational/managerial control | — | 2014-12-01 |
| Zurovec, Darrell Individual | operational/managerial control | — | 2017-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Heights Of Atascosa.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Atascosa County.