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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 141st out of 240 homes in Texas.| Staff type | Hours / day | 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.
| 17m per day | ▼ 35% 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.
| 52m per day | ▼ 9% 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 10m per day | ▲ 7% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 3h 4m per day | ▲ 3% 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 | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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 | ▼ 52% State avg: 21m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #185 / 252Payroll — state benchmarkedThis home is ranked 185th out of 252 homes in Texas.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%The Heights of Alamo is administrated by Federico Stutzner.
Key information about the people who lead and staff this community.
Total Residents: 130
Housing Options: Private / Semi Private
Building Type: Single-story
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 are formal regulatory issues recorded during state inspections.
| Metric | 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
Violations 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
Violations 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.
The most recent inspection on November 13, 2025, identified deficiencies related to incomplete person-centered care planning and inaccurate medical record documentation. Earlier inspections showed a mix of issues including care planning, infection control, medication administration, and resident safety, with a substantiated complaint investigation revealing financial misappropriation and inadequate supervision leading to a resident fall with injury. Inspectors cited problems mainly in care planning, documentation, and resident protection from exploitation. Enforcement actions included termination of the Administrator Designee and a write-up for the Board of Managers, with no fines or license suspensions listed in the available reports. The pattern suggests ongoing challenges with care planning and resident safety, with some serious concerns addressed through administrative actions but no clear improvement trend.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Nov 2025
Texas average 25.9
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.
100% better than Texas averageTexas average: 2
1
150% worse than Texas averageTexas average: 0.4
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 13, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 05, 2025
Corrected
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.
The Heights of Alamo is located in Alamo, Texas.
Here are the financial assistance programs available to residents in Texas.
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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Texas averageTexas average ratio: 1.51:1
9% worse than Texas averageTexas average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
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.
Total hours from contractors
3,930 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93State-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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
In line with Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
11.8%
27% better than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
79% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.2%
86% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.6%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
3.0%
5% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
7.1%
11% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
8% worse than Texas averageTexas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
86% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.3%
29% worse than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.0%
7% better than Texas averageTexas average: 25.9%
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.
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)
90% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 5, 2025 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 5, 2025Last updated: Jan 2026
The information below is reported by the Texas Health and Human Services Commission.
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| 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 (Hale Avenue) | 120 | 77.0% | +21% | 2.98 | -31% | -18% | 1 | 17 | 3.4 | 1 | 108 | 49 | Regency Ihs Of Harlingen LLC | $9.1M | $3.2M | 35.6% | 675606 | ||||
| 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 | 72.8% | +15% | 3.39 | -71% | -7% | 1 | 12 | 4.0 | 1 | 98 | 19 | Touchstone Strategies - Alamo LLC | $13.0M | $3.2M | 24.7% | 676441 | ||||
| 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 | 74.0% | +17% | 2.73 | -19% | -25% | 2 | 22 | 2.4 | 2 | 101 | 14 | Jason Rodriguez | $10.5M | $3.5M | 33.9% | 676125 |
Historical financial and operational data for The Heights of Alamo based on CMS SNF Cost Reports.
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The Heights of Alamo is in the Alamo neighborhood of Alamo.
The legal owner and operator of The Heights of Alamo is Uvalde County Hospital Authority.
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 73%.
Federico Stutzner is the administrator of The Heights of Alamo.
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