Skilled nursing facility · CMS certification number 676224
THE HEIGHTS ON HUEBNER
SAN ANTONIO, Texas · Medicare and Medicaid · 120 certified beds in Care Compare
Download THE HEIGHTS ON HUEBNER’s record (CSV, each figure with its worksheet, line and column)
THE HEIGHTS ON HUEBNER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $11.8M in fiscal year 2023 to $12.8M in fiscal year 2024.
- Its result from service to patients: $1.0M (2022), $1.1M (2023), $1.7M (2024).
- Its cost reports on file run from fiscal year 2009 to fiscal year 2024.
- Its net patient revenue of $12.8M ranks 51st of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
THE HEIGHTS ON HUEBNER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1436067 | 2023 · report 1383488 | 2022 · report 1375178 | 2021 · report 1326672 | 2020 · report 1293776 | 2019 · report 1267485 | 2018 · report 1232690 | 2017 · report 1246481 | 2016 · report 1173223 | 2015 · report 1165439 | 2014 · report 1146769 | 2013 · report 1109929 | 2012 · report 1078673 | 2011 · report 1015546 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | February 28, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Processed by CMS | August 28, 2025 | June 13, 2024 | March 18, 2024 | July 22, 2022 | August 13, 2021 | September 14, 2020 | June 26, 2019 | November 26, 2019 | August 15, 2017 | June 23, 2017 | November 21, 2016 | September 21, 2015 | October 14, 2014 | October 26, 2012 |
| Total patient revenue | $15,111,598 | $14,537,733 | $14,029,471 | $13,174,829 | $14,626,944 | $13,212,526 | $12,436,163 | $11,951,656 | $8,726,542 | $8,585,887 | $10,142,987 | $9,822,611 | $9,578,764 | $9,500,967 |
| Contractual allowances and discounts | $2,322,359 | $2,688,715 | $2,435,523 | $2,053,903 | $3,446,618 | $3,708,098 | $2,850,261 | $3,266,580 | $485,104 | $1,313,743 | $1,398,711 | $932,801 | $836,376 | $220,422 |
| Net patient revenue | $12,789,239 | $11,849,018 | $11,593,948 | $11,120,926 | $11,180,326 | $9,504,428 | $9,585,902 | $8,685,076 | $8,241,438 | $7,272,144 | $8,744,276 | $8,889,810 | $8,742,388 | $9,280,545 |
| Total operating expenses | $11,048,040 | $10,777,057 | $10,570,257 | $9,653,495 | $9,767,149 | $9,023,496 | $9,032,097 | $8,478,855 | $8,371,983 | $7,248,147 | $8,547,320 | $8,243,397 | $8,329,100 | $8,502,696 |
| Net income from service to patients | $1,741,199 | $1,071,961 | $1,023,691 | $1,467,431 | $1,413,177 | $480,932 | $553,805 | $206,221 | −$130,545 | $23,997 | $196,956 | $646,413 | $413,288 | $777,849 |
| Total other income | $8,465 | $607,339 | $673,563 | $973,110 | $470,258 | $1,050 | $12,037 | $7,663 | $271,729 | $3,556 | $6,065 | $3,000 | $4,037 | $2,546 |
| Net income after other income | $1,749,664 | $1,679,300 | $1,697,254 | $2,440,541 | $1,883,435 | $481,982 | $565,842 | $213,884 | $141,184 | $27,553 | $203,021 | $649,413 | $417,325 | $780,395 |
| Net income | $1,749,664 | $1,679,300 | $1,697,254 | $2,440,541 | $1,883,435 | $481,982 | $565,842 | $213,884 | $141,184 | $27,553 | $203,021 | $454,331 | $339,852 | $539,751 |
| Total facility beds, all components | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Bed days available, all components | 43,920 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 4,186 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 17,549 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 18,038 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 39,773 | 38,440 | 36,255 | 33,322 | 34,344 | 37,235 | 37,860 | 35,478 | 35,728 | 32,521 | 39,226 | 39,535 | 39,875 | 39,517 |
| Medicare discharges | 161 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 82 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 748 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 991 | 803 | 548 | 603 | 425 | 537 | 404 | 576 | 352 | 247 | 310 | 353 | 459 | 653 |
| Average length of stay, Medicare, in days | 26 | 33.46 | 55.83 | 41.98 | 92.08 | 33.69 | 43.44 | 34.79 | 38.46 | 42.13 | 41.35 | 41.44 | 37.58 | 37.66 |
| Average length of stay, Medicaid, in days | 214.01 | 102.28 | 131.64 | 111.59 | 113.89 | 325.46 | 227.13 | 190.96 | 389.76 | 475.09 | 403.1 | 402.87 | 266.46 | 103.73 |
| Average length of stay, all patients, in days | 40.13 | 47.87 | 66.16 | 55.26 | 80.81 | 69.34 | 93.71 | 61.59 | 101.5 | 131.66 | 126.54 | 112 | 86.87 | 60.52 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 412837 | 2009 · report 389573 |
|---|---|---|
| Period began | January 1, 2010 | July 1, 2009 |
| Period ended | December 31, 2010 | December 31, 2009 |
| Days, where not a full year | — | 183 |
| Processed by CMS | July 25, 2011 | November 11, 2010 |
| Net patient revenue | $7,783,977 | $2,382,015 |
| Total operating expenses | $7,727,572 | $2,950,177 |
| Net income from service to patients | $56,405 | −$568,162 |
| Total other income | $464 | $157 |
| Total other expenses | $70,000 | — |
| Net income | −$13,131 | −$568,005 |
| Total facility beds, all components | 120 | 120 |
| Total patient days, all components | 36,496 | 9,428 |
| Total discharges, all components | 466 | 167 |
| Average length of stay, Medicare, in days | 26.33 | 34.79 |
| Average length of stay, Medicaid, in days | 510.54 | 117.15 |
| Average length of stay, all patients, in days | 78.32 | 56.46 |
Net income, fiscal years 2010, 2009. Checked against the form’s own arithmetic: what that check shows.
THE HEIGHTS ON HUEBNER: nurse staffing hours by quarter →
Who owns THE HEIGHTS ON HUEBNER, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BEXAR COUNTY HOSPITAL DISTRICT (organization), 100%%, since 02/28/2015
- 5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), NOT APPLICABLE, since 11/01/2021
- ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), NOT APPLICABLE, since 02/28/2015; ALEMAN, ASHLEY (individual), NOT APPLICABLE, since 08/01/2017; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CARVAJAL PHARMACY LTC (organization), NOT APPLICABLE, since 02/28/2015; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 02/28/2015; CLAYTON, JONATHON (individual), NOT APPLICABLE, since 05/01/2023; ESTES, MARGARET (individual), NOT APPLICABLE, since 02/23/2009; FELLBAUM, ERNEST (individual), NOT APPLICABLE, since 02/28/2015; MARTINEZ, ASHLEY (individual), NOT APPLICABLE, since 09/14/2020; NUTRITIOUS LIFESTYLES, INC. (organization), NOT APPLICABLE, since 02/28/2015; PLANTE & MORAN PLLC (organization), NOT APPLICABLE, since 02/28/2015; SEHLKE, BRYON (individual), NOT APPLICABLE, since 12/16/2016; STUDER, STANLEY (individual), NOT APPLICABLE, since 02/28/2015; TOUCHSTONE COMMUNITIES INC (organization), NOT APPLICABLE, since 02/28/2015; TOUCHSTONE REALTY - HUEBNER LLC (organization), NOT APPLICABLE, since 02/28/2015; TOUCHSTONE STRATEGIES - HB, LLC (organization), NOT APPLICABLE, since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), NOT APPLICABLE, since 02/28/2015; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017
- CORPORATE OFFICER: HURLEY, CHRISTOPHER (individual), NOT APPLICABLE, since 09/26/2014
- OPERATIONAL/MANAGERIAL CONTROL: ALEMAN, ASHLEY (individual), NOT APPLICABLE, since 08/01/2017; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 02/28/2015; CLAYTON, JONATHON (individual), NOT APPLICABLE, since 05/01/2023; ESTES, MARGARET (individual), NOT APPLICABLE, since 02/23/2009; MARTINEZ, ASHLEY (individual), NOT APPLICABLE, since 09/14/2020; SEHLKE, BRYON (individual), NOT APPLICABLE, since 12/16/2016; TOUCHSTONE STRATEGIES - HB, LLC (organization), NOT APPLICABLE, since 02/28/2015; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of BEXAR COUNTY HOSPITAL DISTRICT (enrollment ID O20150508001513).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BEXAR COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 02/28/2015
- 5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), since 11/01/2021
- ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), since 02/28/2015; ASHLEY ALEMAN (individual), since 08/01/2017; ASHLEY MARIE MARTINEZ (individual), since 09/14/2020; BRYON SEHLKE (individual), since 12/16/2016; CARVAJAL PHARMACY LTC (organization), since 02/28/2015; DARRELL D ZUROVEC (individual), since 08/01/2017; ERNEST C FELLBAUM (individual), since 02/28/2015; JONATHON DEWEY CLAYTON (individual), since 05/01/2023; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 02/28/2015; MARGARET A ESTES (individual), since 02/23/2009; NUTRITIOUS LIFESTYLES, INC. (organization), since 02/28/2015; PLANTE & MORAN PLLC (organization), since 02/28/2015; STANLEY S STUDER (individual), since 02/28/2015; TOUCHSTONE COMMUNITIES INC (organization), since 02/28/2015; TOUCHSTONE REALTY - HUEBNER LLC (organization), since 02/28/2015; TOUCHSTONE STRATEGIES - HB, LLC (organization), since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), since 02/28/2015; No owner named in the filing (organization), since 07/06/2025
- CORPORATE OFFICER: CHRISTOPHER REED HURLEY (individual), 0.00%, since 09/26/2014
- OPERATIONAL/MANAGERIAL CONTROL: ASHLEY ALEMAN (individual), since 08/01/2017; ASHLEY MARIE MARTINEZ (individual), since 09/14/2020; BRYON SEHLKE (individual), since 12/16/2016; DARRELL D ZUROVEC (individual), since 08/01/2017; JONATHON DEWEY CLAYTON (individual), since 05/01/2023; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 02/28/2015; MARGARET A ESTES (individual), since 02/23/2009; TOUCHSTONE STRATEGIES - HB, LLC (organization), since 02/28/2015
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: BEXAR COUNTY HOSPITAL DISTRICT; CAPITAL FUNDING GROUP, INC.; AEGIS THERAPIES, INC.; CARVAJAL PHARMACY LTC; NUTRITIOUS LIFESTYLES, INC.; PLANTE & MORAN PLLC; TOUCHSTONE COMMUNITIES INC; TOUCHSTONE REALTY - HUEBNER LLC; TOUCHSTONE STRATEGIES - HB, LLC; TRIDENT HEALTH SERVICES INC; No owner named in the filing; TOUCHSTONE STRATEGIES - HB, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ASHLEY ALEMAN; ASHLEY MARIE MARTINEZ; BRYON SEHLKE; DARRELL D ZUROVEC; ERNEST C FELLBAUM; JONATHON DEWEY CLAYTON; LESLIE D CAMPBELL; LYNNEA CASTILLO; MARGARET A ESTES; STANLEY S STUDER; CHRISTOPHER REED HURLEY; ASHLEY ALEMAN; ASHLEY MARIE MARTINEZ; BRYON SEHLKE; DARRELL D ZUROVEC; JONATHON DEWEY CLAYTON; LESLIE D CAMPBELL; LYNNEA CASTILLO; MARGARET A ESTES.
Changes in ownership
- September 1, 2025, enrollment ownership file; no longer listed: MARGARET A ESTES (W-2 MANAGING EMPLOYEE); CHRISTOPHER REED HURLEY (CORPORATE DIRECTOR); BEXAR COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL); GEORGE B HERNANDEZ (OPERATIONAL/MANAGERIAL CONTROL); GEORGE B HERNANDEZ (CORPORATE DIRECTOR); DAISY NOGUERA (CORPORATE DIRECTOR); first listed: STANLEY S STUDER (ADP OF THE SNF), associated since February 28, 2015; ASHLEY MARIE MARTINEZ (ADP OF THE SNF), associated since September 14, 2020; ASHLEY MARIE MARTINEZ (OPERATIONAL/MANAGERIAL CONTROL), associated since September 14, 2020; JONATHON DEWEY CLAYTON (ADP OF THE SNF), associated since May 1, 2023; JONATHON DEWEY CLAYTON (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; ASHLEY ALEMAN (ADP OF THE SNF), associated since August 1, 2017; ASHLEY ALEMAN (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2017; TRIDENT HEALTH SERVICES INC (ADP OF THE SNF), associated since February 28, 2015; MARGARET A ESTES (ADP OF THE SNF), associated since February 23, 2009; MARGARET A ESTES (OPERATIONAL/MANAGERIAL CONTROL), associated since February 23, 2009; ERNEST C FELLBAUM (ADP OF THE SNF), associated since February 28, 2015; TOUCHSTONE REALTY - HUEBNER LLC (ADP OF THE SNF), associated since February 28, 2015; CHRISTOPHER REED HURLEY (CORPORATE OFFICER), associated since September 26, 2014; CAPITAL FUNDING GROUP, INC. (5% OR GREATER MORTGAGE INTEREST), associated since November 1, 2021; LESLIE D CAMPBELL (ADP OF THE SNF), associated since April 1, 2020; LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2020; BRYON SEHLKE (ADP OF THE SNF), associated since December 16, 2016; BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL), associated since December 16, 2016; TOUCHSTONE STRATEGIES - HB, LLC (ADP OF THE SNF), associated since July 24, 2025; AEGIS THERAPIES, INC. (ADP OF THE SNF), associated since February 28, 2015; TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF), associated since February 28, 2015; BEXAR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since February 28, 2015; DARRELL D ZUROVEC (ADP OF THE SNF), associated since August 1, 2017; DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2017; a listing under ADP OF THE SNF with no owner named, associated since July 6, 2025; NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF), associated since February 28, 2015; PLANTE & MORAN PLLC (ADP OF THE SNF), associated since February 28, 2015; LYNNEA CASTILLO (ADP OF THE SNF), associated since February 28, 2015; LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL), associated since February 28, 2015; CARVAJAL PHARMACY LTC (ADP OF THE SNF), associated since February 28, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections of THE HEIGHTS ON HUEBNER
- Cycle 1: health January 14, 2026 (9 deficiencies), fire safety January 14, 2026 (8)
- Cycle 2: health November 1, 2024 (4 deficiencies), fire safety November 1, 2024 (5)
- Cycle 3: health September 29, 2023 (5 deficiencies), fire safety September 29, 2023 (0)
Deficiencies cited at THE HEIGHTS ON HUEBNER
18 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0578, resident rights: January 14, 2026 (D, corrected January 15, 2026).
- F 0641, resident assessment and care planning: January 14, 2026 (E, corrected February 3, 2026).
- F 0689, quality of life and care: January 14, 2026 (E, corrected February 6, 2026).
- F 0698, quality of life and care: January 14, 2026 (D, corrected February 6, 2026).
- F 0761, pharmacy service: January 14, 2026 (D, corrected February 6, 2026); August 24, 2024 (D, from a complaint, corrected September 20, 2024).
- F 0812, nutrition and dietary: January 14, 2026 (D, corrected February 2, 2026).
- F 0842, resident assessment and care planning: January 14, 2026 (E, corrected February 6, 2026).
- F 0880, infection control: January 14, 2026 (E, corrected February 6, 2026); May 2, 2025 (D, from a complaint, corrected June 16, 2025).
- F 0656, resident assessment and care planning: November 20, 2025 (D, from a complaint, corrected November 21, 2025); May 16, 2024 (E, from a complaint, corrected May 20, 2024); September 29, 2023 (D, corrected October 6, 2023).
- F 0655, resident assessment and care planning: November 1, 2024 (D, corrected November 8, 2024).
- F 0695, quality of life and care: November 1, 2024 (D, corrected November 8, 2024).
- F 0755, pharmacy service: November 1, 2024 (D, corrected November 8, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: September 29, 2023 (D, corrected October 6, 2023).
- F 0610, freedom from abuse, neglect, and exploitation: September 29, 2023 (D, corrected October 6, 2023).
THE HEIGHTS ON HUEBNER in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: BEXAR COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2009-07-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Bexar
- Telephone Number: 2108580828
- 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
- Average Number of Residents per Day: 112.6
- Overall Rating: 5
- Health Inspection Rating: 4
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for THE HEIGHTS ON HUEBNER: no penalty in Care Compare.
Other nursing facilities in SAN ANTONIO
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