5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 164th out of 273 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 16m per day | ▼ 38% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 49m per day | ▼ 13% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 7m per day | ▲ 5% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 49m per day | ▼ 5% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 26% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 54% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Heights of Alamo is administered by Federico Stutzner.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 6 | This facility has 33% fewer total citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 6 | This facility has 33% fewer life safety citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Citations per year
Average citations per year since 2023.
| 1.3 | 2 | This facility has 35% fewer citations per year than a typical Texas nursing home (1.3 vs. TX avg 2).↓ 35% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.0%
7% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.2%
23% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
78.4%
46% better than Texas averageTexas average: 53.7%
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.
13% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #174 / 280Payroll — State benchmarkedThis home is ranked 174th out of 280 homes in Texas for Payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #253 / 280Payroll % — State benchmarkedThis home is ranked 253rd out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi Private
Building Type: Single-story
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.7 miles from city center
Estimated distance in miles from Alamo's city center to The Heights of Alamo's address, calculated via Google Maps.
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The information below is reported by the Texas Health and Human Services Commission.
| Sun Valley Rehabilitation and Healthcare Center | NH HOS MC RC SNF | Harlingen (Estrellita Subdivision) | 124 |
75.6%
Facility
75.6%
TX AVG
68.2
Rank
#92 / 220 | +11% | 3.79
Facility
3.79
TX AVG
3.63
Rank
#87 / 273 | -15% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 274 | 2.5
Facility
2.5
TX AVG
3.7
Rank
#60 / 274 | - | 94 | - | 37 | Av Rehab LLC | $9.2MFiscal year ending 03/2024
Facility
$9.2MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#165 / 280 | $4.9MFiscal year ending 03/2024
Facility
$4.9MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#155 / 280 | 53.1%Fiscal year ending 03/2024
Facility
53.1%Fiscal year ending 03/2024
TX AVG
47%
Rank
#121 / 280 | 676493 | ||||
| Veranda Rehabilitation and Healthcare | NH SNF | Harlingen | 100 |
87.5%
Facility
87.5%
TX AVG
68.2
Rank
#52 / 220 | +28% | 2.96
Facility
2.96
TX AVG
3.63
Rank
#237 / 273 | -24% | -18% | $8.0k
Facility
$8.0k
TX AVG
$81.8k
Rank
#77 / 278 | 12
Facility
12
TX AVG
25.9
Rank
#35 / 274 | 2.4
Facility
2.4
TX AVG
3.7
Rank
#53 / 274 | 1 | 88 | - | 33 | Harlingen Healthcare, Inc | $11.1MFiscal year ending 12/2023
Facility
$11.1MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#82 / 280 | $5.6MFiscal year ending 12/2023
Facility
$5.6MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#112 / 280 | 50.8%Fiscal year ending 12/2023
Facility
50.8%Fiscal year ending 12/2023
TX AVG
47%
Rank
#202 / 280 | 455925 | ||||
| Ebony Lake Nursing and Rehabilitation Center | NH | Brownsville (Los Ebanos) | 122 |
65.3%
Facility
65.3%
TX AVG
68.2
Rank
#134 / 220 | -4% | 2.98
Facility
2.98
TX AVG
3.63
Rank
#237 / 273 | +18% | -18% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 15
Facility
15
TX AVG
25.9
Rank
#61 / 274 | 2.5
Facility
2.5
TX AVG
3.7
Rank
#60 / 274 | - | 80 | - | 63 | Regency Ihs Of Ebony Lake LLC | $5.8MFiscal year ending 09/2023
Facility
$5.8MFiscal year ending 09/2023
TX AVG
$8.4M
Rank
#237 / 280 | $3.1MFiscal year ending 09/2023
Facility
$3.1MFiscal year ending 09/2023
TX AVG
$3.5M
Rank
#236 / 280 | 53.3%Fiscal year ending 09/2023
Facility
53.3%Fiscal year ending 09/2023
TX AVG
47%
Rank
#110 / 280 | 675635 | ||||
| Harlingen Nursing and Rehabilitation Center | NH MC RC SNF | Harlingen (Hale Avenue) | 120 | - | - | 2.98
Facility
2.98
TX AVG
3.63
Rank
#237 / 273 | -25% | -18% | $100.0k
Facility
$100.0k
TX AVG
$81.8k
Rank
#233 / 278 | 17
Facility
17
TX AVG
25.9
Rank
#84 / 274 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#156 / 274 | 1 | 18 | - | 49 | Regency Ihs Of Harlingen LLC | $7.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$7.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$8.4M
Rank
#200 / 280 | $3.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$3.5M
Rank
#218 / 280 | 43.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
43.2%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
47%
Rank
#165 / 280 | 675606 |
The Heights of Alamo is located in Alamo, Texas.
Here are the financial assistance programs available to residents in Texas.
The Heights of Alamo is legally operated by Uvalde County Hospital Authority, and administered by Federico Stutzner.
The Heights of Alamo has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, The Heights of Alamo's license number is 308218.
According to TX state health department records, The Heights of Alamo's license expires on January 4, 2027.
The Heights of Alamo's occupancy is 72.8%.
The Heights of Alamo is registered as a for-profit in TX.
Federico Stutzner is the administrator of The Heights of Alamo.
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