The Heights at Medical Center: Staffing, Turnover, and Inspection Record
The Heights at Medical Center is a 134-bed for-profit nursing home in San Antonio, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 1.96 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 56.3% nursing staff turnover (Texas average 55.3%).
The Heights at Medical Center
3935 Medical DriveSan Antonio, TX 78229
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Heights at Medical Center, nurse aides logged 1.96 hours per resident per day, about the same as the Texas average. With about 86 residents a day, that works out to roughly 169 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.96 | 2.00 | 2.32 |
| Licensed practical nurses | 0.83 | 0.95 | 0.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff | 3.00 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.71 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.3% of nursing staff at The Heights at Medical Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 15, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $22,052 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 28, 2024 | Fine | $8,171 |
| May 28, 2024 | Fine | $13,881 |
| May 28, 2024 | Payment Denial | 57 days from Jul 4, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Heights at Medical Center holds 1 of 5 overall; the Texas average is 2.6.
About The Heights at Medical Center
- Ownership: For profit - Limited Liability company
- Chain: Touchstone Communities, 25 homes
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Oct 4, 2001
- Area: urban
Nursing homes near The Heights at Medical Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Wurzbach Nursing and Rehabilitation San Antonio | 0.9 | 140 | 1.76 | 3.13 | 62.3% | 2 | $34,945 |
| The Lev at San Antonio San Antonio | 1.0 | 106 | 2.10 | 3.09 | 41.5% | 1 | $174,496 |
| The Atrium Rehabilitation Center San Antonio | 1.0 | 87 | 2.53 | 4.31 | 64.0% | 4 | $9,600 |
| Oak Park Nursing and Rehabilitation Center San Antonio | 1.5 | 170 | 1.97 | 3.19 | 50.0% | 2 | $9,280 |
| Patriot Heights Health Care Center San Antonio · abuse citation | 1.6 | 74 | 1.88 | 3.46 | 50.0% | 2 | $28,033 |
| Remington Transitional Care of San Antonio San Antonio | 1.9 | 60 | 1.79 | 4.47 | 42.9% | 4 | None |
| Sorrento San Antonio | 1.9 | 112 | 1.72 | 3.55 | 55.2% | 2 | None |
| The Heights on Huebner San Antonio | 1.9 | 120 | 2.02 | 3.09 | 42.7% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.