The Heights of Bulverde: Staffing, Turnover, and Inspection Record
The Heights of Bulverde is a 124-bed for-profit nursing home in Spring Branch, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 1.74 nurse aide hours per resident per day, 13% below the Texas average of 2.00, and 55.9% nursing staff turnover (Texas average 55.3%).
The Heights of Bulverde
384 Harmony HillsSpring Branch, TX 78070
Comal 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 Bulverde, nurse aides logged 1.74 hours per resident per day, 13% below the Texas average. With about 97 residents a day, that works out to roughly 170 aide hours a day, or about 21 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.74 | 2.00 | 2.32 |
| Licensed practical nurses | 0.86 | 0.95 | 0.86 |
| Registered nurses | 0.52 | 0.43 | 0.69 |
| All nursing staff | 3.13 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.61 | 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
55.9% of nursing staff at The Heights of Bulverde left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 30.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
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 Bulverde holds 2 of 5 overall; the Texas average is 2.6.
About The Heights of Bulverde
- Ownership: For profit - Corporation
- Chain: Touchstone Communities, 25 homes
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Mar 15, 2017
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near The Heights of Bulverde
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Coronado at Stone Oak San Antonio | 12.8 | 112 | 1.58 | 3.38 | 27.0% | 5 | None |
| The Enclave San Antonio | 13.5 | 142 | 2.08 | 3.63 | 60.9% | 1 | $10,039 |
| Stone Oak Care Center San Antonio | 13.6 | 152 | 1.84 | 2.88 | 59.8% | 2 | $9,087 |
| Sonterra Health Center San Antonio | 14.1 | 124 | 1.94 | 3.53 | 54.6% | 1 | $80,964 |
| San Antonio Wellness & Rehabilitation San Antonio | 15.4 | 154 | 2.05 | 3.45 | 35.4% | 2 | $104,627 |
| Trucare Living Centers - Selma Selma | 16.0 | 128 | 2.26 | 3.41 | 66.3% | 2 | None |
| Avir at Schertz Schertz · abuse citation | 16.2 | 96 | 1.73 | 2.93 | 79.4% | 2 | $34,769 |
| Cibolo Creek Boerne | 17.7 | 120 | 1.54 | 3.00 | 60.8% | 2 | $13,627 |
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.