Skilled nursing facility · CMS certification number 676181
The Heights of Atascosa
PLEASANTON, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,845,519 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,131,123 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,714,396 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,630,614 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,083,782 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,210 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,094,992 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,094,992 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,600 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,062 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,830 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,637 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 31,529 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 104 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 74 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 317 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 495 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436060, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 13, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,075,999 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $964,048 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,111,951 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,576,222 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,535,729 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $529,715 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,065,444 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,065,444 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,241 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 511 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 141.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 57.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383487, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,139,756 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,172,945 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,966,811 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,853,859 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,112,952 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $351,396 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,464,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,464,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,071 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 383 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 124.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1376719, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,821,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,389,184 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,431,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,438,993 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,992,836 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $671,918 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,664,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,664,754 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,580 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 558 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 116.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1328514, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,721,610 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,442,030 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,279,580 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,683,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,596,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $561,918 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,157,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,157,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,681 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 439 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 97.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338995, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,840,141 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,172,419 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,667,722 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,102,437 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $565,285 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,760 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $570,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $570,045 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,835 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 405 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 295.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272101, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,529,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,517,109 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,012,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,648,152 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $364,115 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,972 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $368,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $368,087 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1235793, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,563,905 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,561,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,002,119 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,307,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$305,312 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,376 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$286,936 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$286,936 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,919 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 309 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207542, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 14, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,198,801 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$157,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,356,359 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,350,995 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $5,364 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,333 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $10,697 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$10,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1215945, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for February 28, 2015 to December 31, 2015 — a reporting period of 306 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,797,554 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $865,382 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,932,172 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,884,677 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $47,495 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $48,348 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $48,348 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,179 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1156186, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,395,042 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $763,235 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,631,807 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,912,647 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$280,840 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,427 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$278,413 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$278,413 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,650 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 399.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107035, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended July 31, 2013
Cost report for January 1, 2013 to July 31, 2013 — a reporting period of 211 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,962,883 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $339,518 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,623,365 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,714,805 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$91,440 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $776 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$90,664 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$140,368 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,851 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103384, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,094,825 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $435,486 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,659,339 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,527,026 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $132,313 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,703 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $135,016 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,288 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,070 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 227 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 606.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077996, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,104,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,104,971 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,501,339 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $603,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,717 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $605,349 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $347,322 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,619 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 343 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 92.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1015770, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,926,572 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,297,910 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $628,662 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,329 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $80,000 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $549,991 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 259 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 441.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 412605, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,150,356 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,679,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $471,228 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $887 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $472,115 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,639 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 235 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,941.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380823, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for May 16, 2008 to December 31, 2008 — a reporting period of 229 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 7, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,525,538 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,735,228 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$209,690 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$209,690 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,964 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 649.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354179, read from the public cost report file SNFFY2008.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/28/2015 |
| LUMENT REAL ESTATE CAPITAL LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 05/05/2014 |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| ALAMO ADVISORS LP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| CAMPBELL, LESLIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2020 |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/01/2017 |
| CASTILLO, LYNNEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2015 |
| CLAYTON, JONATHON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2023 |
| DUENES, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/17/2020 |
| FELLBAUM, ERNEST | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2015 |
| MORRIS, NICOLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2025 |
| NUTRITIOUS LIFESTYLES, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| PLANTE & MORAN PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| SEHLKE, BRYON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/16/2016 |
| STUDER, STANLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/28/2015 |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| TOUCHSTONE REALTY - ATASCOSA LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/10/2025 |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2015 |
| ZERTUCHE, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2014 |
| ZUROVEC, DARRELL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2017 |
| HURLEY, CHRISTOPHER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/26/2014 |
| CAMPBELL, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2020 |
| CASTILLO, LYNNEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/28/2015 |
| CLAYTON, JONATHON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2023 |
| DUENES, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/17/2020 |
| MORRIS, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2025 |
| SEHLKE, BRYON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/16/2016 |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2016 |
| ZERTUCHE, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2014 |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20150508001024).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| BEXAR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| LUMENT REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | 5 | 5/5/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| AEGIS THERAPIES, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAMO ADVISORS LP | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN S ZERTUCHE | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRYON SEHLKE | Individual | ADP OF THE SNF | Not stated in the filing | 12/16/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARVAJAL PHARMACY LTC | Organization | ADP OF THE SNF | Not stated in the filing | 7/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARRELL D ZUROVEC | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERNEST C FELLBAUM | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHON DEWEY CLAYTON | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LESLIE D CAMPBELL | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNNEA CASTILLO | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA DUENES | Individual | ADP OF THE SNF | Not stated in the filing | 8/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE MORRIS | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NUTRITIOUS LIFESTYLES, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| PLANTE & MORAN PLLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| STANLEY S STUDER | Individual | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOUCHSTONE COMMUNITIES INC | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TOUCHSTONE REALTY - ATASCOSA LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/10/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRIDENT HEALTH SERVICES INC | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| CHRISTOPHER REED HURLEY | Individual | CORPORATE OFFICER | 0 | 9/26/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN S ZERTUCHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRYON SEHLKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/16/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRELL D ZUROVEC | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHON DEWEY CLAYTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LESLIE D CAMPBELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNNEA CASTILLO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/28/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARIA DUENES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/17/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICOLE MORRIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOUCHSTONE STRATEGIES - PLEASANTON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- December 1, 2025: MARIAH DOMINGUEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARIAH DOMINGUEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE MORRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE MORRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YING COLLINGWOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BENJAMIN S ZERTUCHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BENJAMIN S ZERTUCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE STRATEGIES - PLEASANTON LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE REALTY - ATASCOSA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIA DUENES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIA DUENES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALAMO ADVISORS LP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LUMENT REAL ESTATE CAPITAL LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 5, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIAH DOMINGUEZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIAH DOMINGUEZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 11, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CARVAJAL PHARMACY LTC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- January 1, 2023: WILLIAM R BEDWELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CATHERINE CASTORENO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: REED HURLEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since March 13, 2014. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: YING COLLINGWOOD (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since October 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: DAISY NOGUERA (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since January 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Corporation → Government - Hospital district. NH_ProviderInfo_Sep2026_3.csv
- August 28, 2026: A deficiency was cited under tag F 0908, scope and severity D. NH_HealthCitations_Oct2026.csv
- July 1, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: A deficiency was cited under tag F 0641, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- December 1, 2025: MARIAH DOMINGUEZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: MARIAH DOMINGUEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE MORRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- December 1, 2025: NICOLE MORRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on December 1, 2025; associated with this enrollment since October 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YING COLLINGWOOD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GEORGE B HERNANDEZ no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAISY NOGUERA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: STANLEY S STUDER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TRIDENT HEALTH SERVICES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERNEST C FELLBAUM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHRISTOPHER REED HURLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 26, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 16, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BENJAMIN S ZERTUCHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BENJAMIN S ZERTUCHE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: AEGIS THERAPIES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE STRATEGIES - PLEASANTON LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TOUCHSTONE REALTY - ATASCOSA LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIA DUENES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARIA DUENES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 17, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PLANTE & MORAN PLLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 1, 2026 | July 1, 2026 | 6 | 0 |
| 2 | May 16, 2025 | May 16, 2025 | 6 | 11 |
| 3 | March 22, 2024 | March 22, 2024 | 3 | 1 |
| 3 | February 10, 2023 | February 10, 2023 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 28, 2026 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | Yes | Deficient, Provider has no plan of correction | |
| July 1, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | July 2, 2026 |
| July 1, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 2, 2026 |
| July 1, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 2, 2026 |
| July 1, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 2, 2026 |
| November 24, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Yes | Deficient, Provider has date of correction | November 25, 2025 |
| May 16, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| May 16, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| May 16, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| May 16, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| May 16, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| May 16, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | May 17, 2025 |
| March 22, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | March 23, 2024 |
| March 22, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 23, 2024 |
| March 22, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 23, 2024 |
| February 10, 2023 | Health | F 0578 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | February 11, 2023 |
| February 10, 2023 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | February 11, 2023 |
| February 10, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | E | No | Deficient, Provider has date of correction | February 11, 2023 |
| February 10, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | No | Deficient, Provider has date of correction | February 11, 2023 |
| February 10, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 11, 2023 |
| February 10, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 8, 2023 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - Hospital district |
| Legal Business Name | BEXAR COUNTY HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-05-16 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Atascosa |
| Telephone Number | 8302818202 |
| Chain Name | TOUCHSTONE COMMUNITIES |
| Chain ID | 521 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 100 |
| Average Number of Residents per Day | 85.2 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on The Heights of Atascosa: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: For profit - Corporation → Government - Hospital district. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for The Heights of Atascosa
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Texas at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Texas
- BUTTERY COMPANY LLP, LLANO Motor carrier
- RICHARD ANTHONY HARMON, LINDALE Motor carrier
- RAUL GALVAN, RIO GRANDE CITY Motor carrier
- SONORA-OZONA OIL COMPANY INC, FORT STOCKTON Motor carrier
- SOUTH TEXAS AGGREGATES INC, UVALDE Motor carrier
- WEST TEXAS DRUM COMPANY LTD II, BAYTOWN Motor carrier
- GNB BATTERIES, INC., UNKNOWN Water discharge permit
- P.C. DYNAMICS CORPORATION, UNKNOWN Water discharge permit
- HUSTON INDUSTRIES INC., UNKNOWN Water discharge permit
- HUTSON INDUSTRIES, INC., UNKNOWN Water discharge permit
- SONY MAGNETIC PRODUCTS, UNKNOWN Water discharge permit
- MOONTOWER RESOURCES OPERATING - LIVE OAK STATE 8-5 1H, ORLA Air emission source
- TRENCH BURNER NO 3, MONTGOMERY Air emission source
- TEXAS STAR READY MIX CBP SN 78043, DALLAS Air emission source
- NIEDERWALD BATCH PLANT 1, NIEDERWALD Air emission source
- CBP NO 1, GREENVILLE Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 676181.