The Heights Of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 · Comal County
For-profit · 124 certified beds · 78% occupancy · (830) 438-1276
The Heights Of Bulverde reviews: what the government record shows
The U.S. government (CMS) rates The Heights Of Bulverde 2 out of 5 stars overall, below average. Its nurse staffing is 4% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.13 hrs/resident/day (-4% vs TX median)
- Antipsychotic drug use
- 6.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 47 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓No federal fines on record in roughly the last three years.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 3.13 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Heights Of Bulverde
Is The Heights Of Bulverde a good nursing home?
The Heights Of Bulverde in Spring Branch, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is The Heights Of Bulverde staffed?
The Heights Of Bulverde reports 3.13 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has The Heights Of Bulverde been fined or flagged for abuse?
The Heights Of Bulverde has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.13 nurse hours per resident per day. 4% below the Texas median of 3.27.
Nursing staff turnover: 55.9% · RN turnover: 30%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0761 · Apr 1, 2026ComplaintCorrected Apr 2, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
- Potential for harmTag F0842 · Dec 10, 2025ComplaintCorrected Dec 11, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0842 · Dec 9, 2025ComplaintCorrected Dec 10, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Jun 25, 2025Corrected Jun 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jan 13, 2026ComplaintCorrected Jan 14, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0603 · Dec 10, 2025ComplaintCorrected Dec 11, 2025
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0880 · Dec 10, 2025ComplaintCorrected Dec 11, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0641 · Dec 9, 2025ComplaintCorrected Dec 10, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0690 · Dec 9, 2025ComplaintCorrected Dec 10, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0552 · Jun 25, 2025Corrected Jun 26, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 47 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - corporation). It is part of the Touchstone Communities chain, which operates 25 facilities, with a chain-average CMS rating of 2.9 stars.