Occupancy rate
73%
In line with Texas averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Memory Care Home
The Heights of Alamo
Settled in the quiet neighborhood of Alamo, TX, The Heights of Alamo is an idyllic senior living community that offers short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, and dementia support or respite care services. A wide array of large and cozy accommodations are available for its residents based on their preferences. With a highly trained and compassionate team, the community ensures individualized care and support for its residents that they deserve.
The community is committed to delivering exceptional amenities and services including tasty and healthy home-cooked meals, internet services, on-site beauty salon and barber services, Come and visit its beautiful outdoor garden, pergola, and covered patios. Engage in various social activities and community events that are essential in nourishing your physical, mental, social, and spiritual well-being. At The Heights of Alamo, seniors are guaranteed an empowering and secure stay.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
130
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.8%
Residents per day (avg)
98
Occupancy rate
72.8%
Residents per day (avg)
98
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
13% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
59% of new residents, often for short stays.
Typical stay
23 days
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
3 - 4 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$13.0M
Surplus of revenue
$1.9M
Governmental community
Operated by state authorities.
Home revenue
$13,035,647.00
Surplus of revenue
$1,853,233.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.2M
130-bed community
A larger shared setting that may offer more common spaces and organized community services.
7 years in operation
An established community with some operational experience and growing routines.
Walk Score: 19 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
Services
About this community
Occupancy
In line with Texas averageOccupied beds
95 / 130
Average residents
75 per day
License details
Facility type
Nursing
Status
Active
Issuance
January 4, 2024
Expiration
January 4, 2027
County:
HIDALGO
Additional licensing details
License number:
308218
Year opened:
4/5/2018
Ownership & operating entity
The Heights of Alamo is administrated by FEDERICO STUTZNER.
Management company:
TOUCHSTONE STRATEGIES ALAMO LLC
Owner:
UVALDE COUNTY HOSPITAL AUTHORITY
Ownership type:
HOSPITAL DISTRICT/AUTHORITY
Type Of Units
Medicare
10 units
Medicaid and Medicare
120 units
Total beds
130 units
Staffing
Key information about the people who lead and staff this community.
Leadership
Administrator email:
[email protected]
What does this home offer?
Accept Medicaid: Yes
Total Residents: 130
Housing Options: Private / Semi Private
Building Type: Single-story
Types of Care at The Heights of Alamo
Memory Care
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
5 visits/inspections
1 visits/inspections triggered by complaints
1 routine inspections
Results
3 with issues
2 without issues
Show Inspection Reports
Latest inspection
Date:November 13, 2025
Type:Annual Inspection
12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
3
Texas average 7.4
Last Health inspection on Nov 2025
Total health citations
12
Texas average 25.9
Citations per inspection
4
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 12 citations resulted from standard inspections; and 5 of 12 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Texas averageTexas average: 2
Serious Health citations
1
1
150% worse than Texas averageTexas average: 0.4
0 critical citations
1 serious citation
11 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 05, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 05, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Memory Care around Cameron County The information below is reported by the Texas Health and Human Services Commission.
The Heights of Alamo
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Alamo
130
-
19
7
-
-
-
-
Private / Semi Private
Sun Valley Rehabilitation and Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Harlingen
124
-
37
5
-
-
-
-
Private / Semi Private
Harlingen Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Harlingen
120
-
49
29
-
-
-
-
Private / Semi Private
Windsor Atrium
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Harlingen
120
-
14
50
-
-
-
-
Private / Semi Private
Places of interest near The Heights of Alamo
1.7 miles from city center
1214 S Alamo Rd, Alamo, TX 78516
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
136
Employees
111
Contractors
25
Staff to resident ratio
1.46:1
0% compared with Texas averageTexas average ratio: 1.51:1
Avg staff/day
54
Average shift
7.4 hours
9% worse than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
36,171
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
51
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.9%
3,930 contractor hours this quarter
Physical Therapy Aide: 5
Physical Therapy Assistant: 5
Respiratory Therapy Technician: 4
Speech Language Pathologist: 4
Qualified Social Worker: 3
Certified Nursing Assistant: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 50 | 1 | 51 | 14,882 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 23 | 0 | 23 | 7,572 | 91 | 100% | 7.8 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,522 | 91 | 100% | 7 |
| Nurse Aide in Training | 16 | 0 | 16 | 2,361 | 90 | 99% | 7.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,594 | 81 | 89% | 7.8 |
| Physical Therapy Aide | 0 | 5 | 5 | 1,093 | 81 | 89% | 7 |
| RN Director of Nursing | 2 | 0 | 2 | 1,060 | 74 | 81% | 8.1 |
| Registered Nurse | 3 | 0 | 3 | 736 | 81 | 89% | 7.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 701 | 77 | 85% | 4.9 |
| Qualified Social Worker | 0 | 3 | 3 | 526 | 70 | 77% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 518 | 71 | 78% | 7.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 507 | 72 | 79% | 7 |
| Administrator | 1 | 0 | 1 | 502 | 62 | 68% | 8.1 |
| Dietitian | 1 | 0 | 1 | 499 | 69 | 76% | 7.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 493 | 74 | 81% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 460 | 65 | 71% | 7.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 64 | 11 | 12% | 5.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 54 | 12 | 13% | 4.5 |
| Medical Director | 0 | 1 | 1 | 29 | 3 | 3% | 9.7 |
51 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
16 Nurse Aide in Training
% of Days
99%
6 Clinical Nurse Specialist
% of Days
89%
5 Physical Therapy Aide
% of Days
89%
2 RN Director of Nursing
% of Days
81%
3 Registered Nurse
% of Days
89%
4 Speech Language Pathologist
% of Days
85%
3 Qualified Social Worker
% of Days
77%
1 Nurse Practitioner
% of Days
78%
5 Physical Therapy Assistant
% of Days
79%
1 Administrator
% of Days
68%
1 Dietitian
% of Days
76%
4 Respiratory Therapy Technician
% of Days
81%
1 Mental Health Service Worker
% of Days
71%
1 Occupational Therapy Assistant
% of Days
12%
1 Occupational Therapy Aide
% of Days
13%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
93 residents
Residents by payment source
Medicare
7 residents (7.5%)
Medicaid
50 residents (53.8%)
Private pay or other
36 residents (38.7%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
8% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
14% better than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
In line with Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.8%
Percent of long-stay residents whose ability to move independently worsened
11.8%
27% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
10% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
79% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
86% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.6%
Percent of long-stay residents who lose too much weight
3.6%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.0%
Percent of long-stay residents who have depressive symptoms
3.0%
5% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
11% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
8% worse than Texas averageTexas average: 97.9%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
86% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.3%
29% worse than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.0%
7% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
23% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
78.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
78.4%
46% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
58.8%
Rate of successful return to home or community from a skilled nursing facility.
58.8%
16% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$8K
90% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$8K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 5, 2025
$8K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Heights of Alamo based on CMS SNF Cost Reports.
Occupancy Rate
72.8%
↑ 4.0pp vs 2023
Net Income
$1,853,233
↓ ~$700K vs 2023
Total Payroll
$4,560,894
↑ ~$246K vs 2023
Profit Margin
15.5%
↓ 5.6pp vs 2023
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Texas Seniors
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