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.
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
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
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-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $22,052 |
Inspection citations (44 in the current record)
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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
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Potential for harm · D August 15, 2025
Ensure each resident receives an accurate assessment.
Corrected August 16, 2025 · Resident Assessment and Care Planning
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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
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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
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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
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Potential for harm · D August 15, 2025
Provide and implement an infection prevention and control program.
Corrected August 16, 2025 · Infection Control
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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
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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
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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
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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
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Potential for harm · E July 18, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected July 19, 2024 · Resident Rights
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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
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Potential for harm · D July 18, 2024
Ensure each resident receives an accurate assessment.
Corrected July 19, 2024 · Resident Assessment and Care Planning
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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
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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
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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
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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
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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
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Potential for harm · D July 18, 2024
Provide or obtain dental services for each resident.
Corrected July 19, 2024 · Quality of Life and Care
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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
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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
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Potential for harm · D July 18, 2024
Provide and implement an infection prevention and control program.
Corrected July 19, 2024 · Infection Control
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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
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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
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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
| Date | Type | Amount / length |
|---|---|---|
| May 28, 2024 | Fine | $8,171 |
| May 28, 2024 | Fine | $13,881 |
| May 28, 2024 | Payment Denial | 57 days |
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.
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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.