Touchstone Communities: nursing homes, inspection results and fines
Touchstone Communities has 25 nursing homes in this data. In their last three inspection cycles, 17 were cited at level G or higher (actual harm or immediate jeopardy), 25 had at least one health citation, and the 25 homes together had 621 health citations.
Medicare lists 31 fines totaling $589,419 against 15 of them, dated December 18, 2023 to August 14, 2026.
Source: Medicare (CMS) Provider Data Catalog, Health Deficiencies and Penalties, data updated October 1, 2026, retrieved November 13, 2026.
Every nursing home with inspection data
Sorted by the most serious level of citation (J to L, then G to I, then A to F), then by the number of citations at level G or higher, then by total fines. Click a column heading to sort another way.
| The Heights of League City | League City, TX | 1 | 27 | K | 8 | $129,645 | 3.22 |
|---|---|---|---|---|---|---|---|
| Las Alturas de Penitas | Penitas, TX | 3 | 17 | K | 5 | $150,343 | 3.25 |
| Harker Heights Nursing & Rehabilitation | Harker Heights, TX | 1 | 51 | K | 3 | $64,760 | 3.21 |
| The Heights of Tomball | Tomball, TX | 4 | 10 | K | 2 | $21,908 | 3.04 |
| Rosewood Heights | Killeen, TX | 2 | 15 | J | 5 | $36,576 | 3.87 |
| Mid Valley Nursing & Rehabilitation | Mercedes, TX | 1 | 32 | J | 4 | $16,611 | 3.07 |
| The Heights of North Houston | Houston, TX | 2 | 26 | J | 3 | $31,541 | 3.48 |
| The Heights at Medical Center | San Antonio, TX | 1 | 44 | J | 3 | $22,052 | 3.13 |
| Laredo Nursing and Rehabilitation Center | Laredo, TX | 2 | 30 | J | 3 | — | 3.38 |
| La Frontera Nursing & Rehabilitation | Laredo, TX | 2 | 17 | J | 2 | $31,541 | 3.24 |
| Del Rio Nursing and Rehabilitation Center | Del Rio, TX | 3 | 29 | J | 2 | $22,403 | 2.91 |
| Hill Country Heights | Copperas Cove, TX | 4 | 20 | J | 1 | $12,356 | 3.52 |
| The Enclave | San Antonio, TX | 1 | 47 | J | 1 | $10,039 | 3.52 |
| Stone Oak Care Center | San Antonio, TX | 3 | 39 | J | 1 | $9,087 | 2.92 |
| The Heights of Bulverde | Spring Branch, TX | 1 | 47 | J | 1 | — | 3.21 |
| The Heights of Alamo | Alamo, TX | 5 | 21 | G | 1 | $8,414 | 3.42 |
| West Oaks Nursing & Rehabilitation | Houston, TX | 4 | 15 | G | 1 | — | 3.41 |
| The Heights of Tyler | Tyler, TX | 3 | 18 | F | 0 | — | 3.37 |
| Country Care Manor | La Vernia, TX | 4 | 12 | E | 0 | $22,143 | 3.35 |
| Las Alturas Nursing & Transitional Care | Laredo, TX | 3 | 23 | E | 0 | — | 3.13 |
| The Heights of Gonzales | Gonzales, TX | 4 | 23 | E | 0 | — | 2.93 |
| The Heights on Valley Ranch | Porter, TX | 4 | 23 | E | 0 | — | 3.65 |
| The Heights on Huebner | San Antonio, TX | 5 | 18 | E | 0 | — | 3.17 |
| The Heights of Atascosa | Pleasanton, TX | 5 | 15 | E | 0 | — | 3.38 |
| The Heights of Magnolia | Magnolia, TX | — | 2 | D | 0 | — | — |
Columns: overall Medicare star rating (1 to 5); health citations from the last three inspection cycles; most serious scope-and-severity letter (A to L; G or higher means actual harm or immediate jeopardy); how many citations were at level G or higher; total fines in Medicare’s Penalties file (about the last three years); reported nurse staffing in hours per resident per day. A dash means Medicare reports no value.
How these numbers are made
All values come from the Medicare (CMS) Provider Data Catalog files Health Deficiencies, Penalties, Provider Information and State US Averages (data updated October 1, 2026; penalties file updated October 1, 2026). A citation (deficiency) is counted once per tag and inspection. “Last three inspection cycles” are the cycles Medicare publishes; they cover about three years. Fines are the sum of the fine amounts in the Penalties file. Nothing is rated or ranked by us: the order is only the stated sort. A citation shows what inspectors found on the dates given; read each home’s page and the inspection reports on Medicare Care Compare before you decide.