The Heights of Alamo: Staffing, Turnover, and Inspection Record
The Heights of Alamo is a 130-bed for-profit nursing home in Alamo, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 2.02 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 38.9% nursing staff turnover (Texas average 55.3%).
The Heights of Alamo
1214 S. Alamo RoadAlamo, TX 78516
Hidalgo 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 of Alamo, nurse aides logged 2.02 hours per resident per day, about the same as the Texas average. With about 113 residents a day, that works out to roughly 227 aide hours a day, or about 28 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.02 | 2.00 | 2.32 |
| Licensed practical nurses | 0.86 | 0.95 | 0.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff | 3.18 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.69 | 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
38.9% of nursing staff at The Heights of Alamo left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 25.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 5, 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 1 fine totaling $8,414 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 5, 2025 | Fine | $8,414 |
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 of Alamo holds 5 of 5 overall; the Texas average is 2.6.
About The Heights of Alamo
- Ownership: For profit - Corporation
- Chain: Touchstone Communities, 25 homes
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Apr 5, 2018
- Area: urban
Nursing homes near The Heights of Alamo
The closest homes by distance, with the same CMS figures. Select a column to sort.
| San Juan Nursing Home, Inc. San Juan | 2.7 | 114 | 2.72 | 4.35 | 45.1% | 4 | None |
| Windsor Las Palmas Nursing and Rehabilitation Cent McAllen | 5.3 | 120 | 2.16 | 3.22 | 40.3% | 5 | $38,393 |
| McAllen Transitional Care Center McAllen | 5.4 | 100 | 2.08 | 3.72 | 32.1% | 4 | $8,827 |
| Alfredo Gonzalez Texas State Veterans Home McAllen · abuse citation | 5.9 | 160 | 2.24 | 3.58 | 28.5% | 2 | $14,901 |
| McAllen Nursing Center McAllen | 6.3 | 122 | 1.72 | 2.90 | 40.7% | 2 | $17,459 |
| Grand Terrace Rehabilitation and Healthcare McAllen | 6.7 | 93 | 2.29 | 3.55 | 25.8% | 5 | None |
| Colonial Manor Advanced Rehab & Healthcare Pharr · many days without an RN | 6.8 | 123 | 1.90 | 3.42 | 39.2% | 1 | $54,998 |
| Windsor Nursing and Rehabilitation Center of Mcall Mcallen | 7.0 | 110 | 1.85 | 3.04 | 50.0% | 3 | $24,083 |
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.