The Heights of Bulverde
Nursing home in Spring Branch, Texas, CMS certification number 676418
384 Harmony Hills, Spring Branch, TX 78070 · Comal County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 124
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 14, 2026
- Deficiencies at that inspection
- 12
- Fines in 3 years
- No fines
Does The Heights of Bulverde take Medicare and Medicaid?
Yes to both. The Heights of Bulverde is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours The Heights of Bulverde reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.21
- Registered nurse hours
- 0.46
- Licensed practical nurse hours
- 0.90
- Nurse aide hours
- 1.84
- Weekend total hours
- 2.69
- Nursing staff turnover
- 63.8%
- Registered nurse turnover
- 50%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on August 14, 2026 and cited 12 deficiencies, plus 8 from complaint visits.
The visit before, on June 25, 2025, found 8.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for The Heights of Bulverde in the past 3 years.
Beds and residents
On an average day 100 residents live here, about 81% of its 124 certified beds.
- Certified beds
- 124
- Average residents per day
- 100
- Certified since
- March 15, 2017
- Inside a hospital
- Yes
- Resident or family council
- Resident
Who owns The Heights of Bulverde
- Legal business name
- Uvalde County Hospital Authority
- Ownership type
- Government - Hospital district
- Chain
- 25 homes nationally under Touchstone Communities, 2.8-star chain average
Other nursing homes near The Heights of Bulverde
- Coronado at Stone Oak19638 Stone Oak Parkway, San Antonio 78258
- The Enclave18803 Hardy Oak, San Antonio 78258
- Stone Oak Care Center505 Madison Oak Drive, San Antonio 78258
- Sonterra Health Center18514 Sonterra Place, San Antonio 78258
- San Antonio Wellness & Rehabilitation1 Heartland Drive, San Antonio 78247
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Heights of Bulverde, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Heights of Bulverde
What is the CMS star rating of The Heights of Bulverde?
1 out of 5 stars overall.
Does The Heights of Bulverde accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Heights of Bulverde?
12 cited at the last standard visit.
Who owns The Heights of Bulverde?
Uvalde County Hospital Authority, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.