Nursing Care Index

The Heights Of Alamo

Alamo, Hidalgo County, Texas · CCN 676441 · For-profit (Corporation) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)

CMS rates The Heights Of Alamo 5 of 5 overall as of August 2026. 130 certified beds, 113 residents a day on average. 12 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,414.

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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay4 / 5 of 5

Staffing

Total nurse staffing3.18033 hours per resident per day
Registered nurses0.29876 hours per resident per day
Weekend total2.69057 hours per resident per day
Nursing staff turnover38.9% (registered nurses 25%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-11-13
complaint survey
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
2025-11-14
2025-11-13
complaint survey
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
2025-11-14
2025-06-05 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 plan of correction
2025-06-09
2025-06-05 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 plan of correction
2025-06-09
2025-06-05 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 plan of correction
2025-06-09
2025-06-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2025-06-09
2025-06-05 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has plan of correction
2025-06-09
2025-06-05 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 plan of correction
2025-06-09
2025-06-05 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 plan of correction
2025-06-09
2025-05-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-05-06
2025-05-05
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-06
2025-05-05
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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-06

Fines and payment denials

DatePenaltyAmount
2025-05-05Fine$8,414

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.

NameRoleShareSince
Capital Funding Group, Inc.
Organization
5% or greater mortgage interest2020-10-15
Aegis Therapies, Inc.
Organization
adp of the snf2021-04-01
Carvajal Pharmacy Ltc
Organization
adp of the snf2021-04-01
Nutritious Lifestyles, Inc.
Organization
adp of the snf2021-04-01
Plante & Moran PLLC
Organization
adp of the snf2021-04-01
The Bryon And Rena Sehlke Living Trust
Organization
adp of the snf2023-01-01
Touchstone Communities Inc.
Organization
adp of the snf2021-04-01
Touchstone Realty - Alamo LLC
Organization
adp of the snf2021-04-01
Touchstone Strategies - Alamo LLC
Organization
adp of the snf2021-04-01
Trident Health Services Inc.
Organization
adp of the snf2021-04-01
Touchstone Strategies - Alamo LLC
Organization
operational/managerial control2021-04-01
Campbell, Leslie
Individual
adp of the snf2021-04-01
Cantu Garcia, Ismael
Individual
adp of the snf2023-09-01
Castillo, Lynnea
Individual
adp of the snf2021-04-01
Fellbaum, Ernest
Individual
adp of the snf2021-04-01
Gilcrease, Cynthia
Individual
adp of the snf2021-04-01
Salinas Rodriguez, Monica
Individual
adp of the snf2021-04-01
Sehlke, Bryon
Individual
adp of the snf2021-04-01
Studer, Stanley
Individual
adp of the snf2021-04-01
Stutzner, Federico
Individual
adp of the snf2021-09-20
Zurovec, Darrell
Individual
adp of the snf2021-04-01
Apolinar, Adam
Individual
corporate officer2015-08-01
Carvajal, Charles
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Carvajal, Mark
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Carvajal, Raymond
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Mcgarity, Jessica
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Mckee, Janet
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Peterson, Daniel
Individual
individual is an owner, partner or trustee of any adp of the snf2025-07-11
Campbell, Leslie
Individual
operational/managerial control2021-04-01
Castillo, Lynnea
Individual
operational/managerial control2021-04-01
Gilcrease, Cynthia
Individual
operational/managerial control2021-04-01
Salinas Rodriguez, Monica
Individual
operational/managerial control2021-04-01
Sehlke, Bryon
Individual
operational/managerial control2021-04-01
Stutzner, Federico
Individual
operational/managerial control2021-09-20
Zurovec, Darrell
Individual
operational/managerial control2021-04-01

What changed

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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 Hidalgo County.