The Heights of Atascosa
1855 W Goodwin · Pleasanton, TX · 78064 · 8302818202
100 certified beds For profit - Corporation Chain: Touchstone Communities
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
-
Potential for harm · E November 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 17, 2025 · Resident Rights
-
Potential for harm · D May 16, 2025
Keep residents' personal and medical records private and confidential.
Corrected May 17, 2025 · Resident Rights
-
Potential for harm · D May 16, 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 May 17, 2025 · Resident Rights
-
Potential for harm · D May 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 17, 2025 · Nutrition and Dietary
-
Potential for harm · D May 16, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 22, 2024
Keep residents' personal and medical records private and confidential.
Corrected March 23, 2024 · Resident Rights
-
Potential for harm · D March 22, 2024
Ensure each resident receives an accurate assessment.
Corrected March 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 22, 2024
Provide and implement an infection prevention and control program.
Corrected March 23, 2024 · Infection Control
-
Potential for harm · D February 10, 2023
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 February 11, 2023 · Resident Rights
-
Potential for harm · D February 10, 2023
Keep residents' personal and medical records private and confidential.
Corrected February 11, 2023 · Resident Rights
-
Potential for harm · E February 10, 2023
Ensure each resident receives an accurate assessment.
Corrected February 11, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 10, 2023
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 February 11, 2023 · Nutrition and Dietary
-
Potential for harm · E February 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 11, 2023 · Nutrition and Dietary
-
Potential for harm · D February 10, 2023
Provide and implement an infection prevention and control program.
Corrected March 8, 2023 · Infection Control
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 676181 · certified since May 16, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.