Nursing home · Top rated by CMS
The Heights of Alamo
1214 S. Alamo Road, Alamo, TX 78516 · Map
For profit - Corporation · Part of Touchstone Communities (28 facilities) · 130 certified beds
The Heights of Alamo is a Medicare-certified nursing home in Alamo, Texas. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.31 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jun 5, 2025 cited 12 deficiencies.
- 1 fine totaling $8,414In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Heights of Alamo compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.31 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 38.7% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 13, 2025 inspection was corrected by November 14, 2025
Penalties in CMS records: 1 fine totaling $8,414, 1 total penalty.
What inspectors found at The Heights of Alamo
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 5, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 5, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 5, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 5, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1214 S. Alamo Road
Alamo, TX 78516 - CMS certification #
- 676441
- Ownership
- For profit - Corporation
- Certified beds
- 130
- Avg residents/day
- 102.7
- Provider type
- Medicare and Medicaid
- First certified
- 2018-04-05
- Chain
- Touchstone Communities (28 facilities)
- Setting
- Urban
Part of Touchstone Communities
Touchstone Communities operates 28 nursing facilities across the United States. View all Touchstone Communities facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Heights of Alamo using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Rio Grande Regional Hospital, Mcallen. 6.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- San Juan Nursing Home INC, San Juan. 2.7 miles away, straight line.
- Nearest home health agency office
- Americare Nursing Services, P.L.L.C., San Juan. 3.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78516 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Tri-City, Alamo, 2.2 miles away, straight line (CMS rating 3 of 5 stars)
Donna Dialysis, Donna, 4.3 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care River Valley Clinic, Pharr, 4.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 45 Medicare hospices tell CMS they serve ZIP code 78516.
Vida De Paz LLC, office in Alamo, 1.7 miles away, straight line
Alora Hospice And Palliative Care LLC, office in San Juan, 3.2 miles away, straight line
St. Joseph'S Hospice Care, office in Pharr, 4.1 miles away, straight line - Nearest geriatric medicine practice
- Stephanie H Garcia Mdpa, Harlingen. 29.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 25, 1979), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is The Heights of Alamo a good nursing home?
CMS gives The Heights of Alamo an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Heights of Alamo staffed?
The Heights of Alamo reports 3.31 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Heights of Alamo had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does The Heights of Alamo have?
The Heights of Alamo is certified for 130 beds.