facebook tracking The Heights of Alamo, Alamo TX: CMS Ratings & Inspections
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The Heights of Alamo

All states › Texas › Alamo › The Heights of Alamo

1214 S. Alamo Road Alamo, TX 78516 · Hidalgo County

(956) 715-8600

Accepts Medicare Accepts Medicaid 130 certified beds For profit

CMS certification number 676441 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Heights of Alamo a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Heights of Alamo as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 21 citations in the last three years. CMS imposed 1 penalty, including $8,414 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 3.42 hours per resident per day at The Heights of Alamo, above the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 15% below its all-week average. Ask how weekends are staffed. 40.8% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.42 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.89 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 40.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds130
Residents per day 106 About 82% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 2018
Part of a chainTouchstone Communities
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY

Paying for care at The Heights of Alamo: Medicare and Medicaid

The Heights of Alamo is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 5, 2026 and found 7 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 21 citations at The Heights of Alamo across 4 inspection dates, 7 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 5, 2025. The most common areas cited were freedom from abuse, neglect, and exploitation (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, May 5, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.

August 5, 2026 · 9 citations · includes complaint inspection

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Aug 24, 2026)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 24, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Aug 24, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Aug 24, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Aug 24, 2026)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Aug 24, 2026)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 24, 2026)

DHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Deficient, Provider has date of correction (Aug 24, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 24, 2026)

November 13, 2025 · 2 citations · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Nov 14, 2025)

June 5, 2025 · 7 citations

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has plan of correction (Jun 9, 2025)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has plan of correction (Jun 9, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has plan of correction (Jun 9, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has plan of correction (Jun 9, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has plan of correction (Jun 9, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has plan of correction (Jun 9, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has plan of correction (Jun 9, 2025)

May 5, 2025 · 3 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2025)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2025)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (May 6, 2025)

Questions to ask on a tour of The Heights of Alamo

  1. Inspectors cited the home at the actual-harm level on May 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 5, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $8,414 in fines.

DateTypeAmount or length
May 5, 2025 Fine $8,414

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 2/5 5/5
August 2026 5/5 4/5 2/5 5/5
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Location

Hospitals near The Heights of Alamo

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 6.0 mi
    Rio Grande Regional Hospital McAllen
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 44m for patients treated and sent home
  • 7.6 mi
    South Texas Health System Edinburg
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 46m for patients treated and sent home
  • 7.8 mi
    Doctors Hospital at Renaissance Edinburg
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 39m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

San Juan Nursing Home San Juan · 2.7 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 114 beds · Medicaid
Windsor Las Palmas Nursing and Rehabilitation Center McAllen · 5.3 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 120 beds · Medicaid
McAllen Transitional Care Center McAllen · 5.4 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 100 beds · Medicaid
Alfredo Gonzalez Texas State Veterans Home McAllen · 5.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 160 beds · Medicaid
McAllen Nursing Center McAllen · 6.3 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 122 beds · Medicaid

More nursing homes near The Heights of Alamo ›   All nursing homes in Alamo ›

Compare The Heights of Alamo with the 3 closest homes side by side ›

Other Touchstone Communities nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Touchstone Communities nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/alamo/the-heights-of-alamo/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.