Nursing home
The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 · Map
For profit - Corporation · Part of Touchstone Communities (28 facilities) · 124 certified beds
The Heights of Bulverde is a Medicare-certified nursing home in Spring Branch, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.03 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jun 25, 2025 cited 23 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Heights of Bulverde 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) | 3.03 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.84 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 69.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 23.0 | 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.
What inspectors found at The Heights of Bulverde
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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 13, 2026 · Full report (PDF) - 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 · Dec 10, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 10, 2025 · Full report (PDF) - 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 · Dec 9, 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 · Dec 9, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 9, 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 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 25, 2025 · Full report (PDF) - 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 · Jun 25, 2025 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Jun 25, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jun 25, 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
- 384 Harmony Hills
Spring Branch, TX 78070 - CMS certification #
- 676418
- Ownership
- For profit - Corporation
- Certified beds
- 124
- Avg residents/day
- 104.1
- Provider type
- Medicare and Medicaid
- First certified
- 2017-03-15
- 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 Bulverde using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Hospital Stone Oak, San Antonio. 13.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Coronado at Stone Oak, San Antonio. 12.8 miles away, straight line.
- Nearest home health agency office
- Amour Home Health, LLC, San Antonio. 8.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78070 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Carmen Bulverde, Spring Branch, 0.4 miles away, straight line (CMS rating 1 of 5 stars)
North Central Kidney Disease Center, San Antonio, 12.6 miles away, straight line (CMS rating 3 of 5 stars)
Davita Stone Oak Dialysis, San Antonio, 13.6 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 68 Medicare hospices tell CMS they serve ZIP code 78070.
Heart Of Texas Hospice, office in Spring Branch, 6.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Devoted Care Hospice Inc, office in San Antonio, 14.8 miles away, straight line
Abundant Hospice, LLC, office in San Antonio, 15.3 miles away, straight line - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 14.6 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Bulverde, TX, risk to homes is greater than 58% of communities in Texas and 79% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado very high, heat wave relatively high, 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 | See above |
| 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 Bulverde a good nursing home?
CMS gives The Heights of Bulverde an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Heights of Bulverde staffed?
The Heights of Bulverde reports 3.03 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Heights of Bulverde had inspection problems?
Its most recent CMS inspection cited 23 deficiencies.
How many beds does The Heights of Bulverde have?
The Heights of Bulverde is certified for 124 beds.