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Open data · chain profile
TOUCHSTONE COMMUNITIES
As identified by CMS (chain id 521). 25 nursing homes in 1 state carry this chain id in release v2026.08; the CMS chain file lists 25. Ownership below is what each facility disclosed to CMS on Form CMS-855A.
- 25 facilities · 3,213 certified beds
- Avg overall rating 2.9 (national 3.0)
- CMS August 2026 vintage · release v2026.08
At a glance
Averages from the CMS chain file for this chain and for all certified nursing homes (the file's national row). Descriptive only: they do not control for case mix, size or region.
- Overall rating, average2.9national 3.0
- Health inspection rating3.0national 2.8
- Staffing rating1.7national 2.9
- Nurse hours per resident day3.30national 3.90
- RN hours per resident day0.40national 0.70
- Nurse turnover47.5%national 45.8%
- Fines per facility, average$27,856national $31,081
- Facilities with any penalty68.0%17 of 25 in the release
- Special Focus Facilities0 + 0 candidatesnational 84 + 441
- Abuse icons0 (0.0%)national 9.7%
- For-profit share80.0%national 73.9%
- Meets all rescinded staffing floors0.0%reported hours vs the repealed 2024 minimums
Overall ratings of the 25 facilities
Care Compare overall star ratings of the facilities carrying this chain id in the release; 24 are rated.
Ownership as disclosed to CMS
From the PECOS SNF All Owners file for each facility's current enrollment: 25 of the 25 facilities matched a PECOS enrollment. An owner holds an ownership or control role (direct or indirect ownership interest, partnership interest, or operational/managerial control); a party is any other disclosable party, most often the landlord or a lender. A facility that discloses neither has not reported one; that is not a finding that it has none.
- Disclose a private-equity owner00.0% of facilities
- Private equity among other parties only00 in any role
- Disclose a REIT owner00.0% of facilities
- REIT among other parties only11 in any role
REITs among other parties
Changes of ownership
4 of the 25 facilities have a PECOS change of ownership in the 36 months before the vintage, and Care Compare flags 0 as changed in the last 12 months. The table counts the PECOS Change of Ownership records of these facilities by effective year; 2024 is partial.
| Effective year | Changes of ownership |
|---|---|
| 2016 | 1 |
| 2019 | 3 |
| 2021 | 1 |
| 2022 | 4 |
| 2023 | 2 |
| 2024 | 4 |
By state
| State | Facilities | Avg overall rating | SFF + candidates | Abuse icons | Fines, total | Disclose PE owner | Disclose REIT any role | Changed hands 36 mo |
|---|---|---|---|---|---|---|---|---|
| TX | 25 | 2.9 | 0 | 0 | $696,390 | 0 | 1 | 4 |
Facilities
Every facility in release v2026.08 carrying chain id 521, with its Care Compare ratings and flags, the penalties CMS lists over the three-year lookback, and its PECOS disclosures. Names link to the facility's page on this site where one exists.
| Facility | City | State | Beds | Overall | Staffing | Flags | Fines | Denials | Disclosed to CMS | Changed hands |
|---|---|---|---|---|---|---|---|---|---|---|
| THE HEIGHTS OF ALAMO CCN 676441 · For profit | ALAMO | TX | 130 | 5 | 2 | $8,414 (1) | — | None | last 1 April 2021 | |
| HILL COUNTRY HEIGHTS CCN 675536 · For profit | COPPERAS COVE | TX | 96 | 4 | 2 | $12,356 (1) | — | None | last 1 June 2022 | |
| Del Rio Nursing and Rehabilitation Center CCN 675677 · Government | Del Rio | TX | 60 | 5 | 3 | $8,018 (1) | — | None | — | |
| THE HEIGHTS OF GONZALES CCN 676138 · For profit | GONZALES | TX | 132 | 4 | 2 | — | — | None | — | |
| Harker Heights Nursing & Rehabilitation CCN 675909 · For profit | Harker Heights | TX | 199 | 1 | 2 | $64,760 (2) | — | None | last 1 June 2022 | |
| The Heights of North Houston CCN 676356 · For profit | Houston | TX | 131 | 2 | 2 | $31,541 (2) | 1 | REIT party | — | |
| West Oaks Nursing & Rehabilitation CCN 675454 · For profit | Houston | TX | 136 | 4 | 2 | — | — | None | last 1 April 2019 | |
| Rosewood Heights CCN 455503 · For profit | Killeen | TX | 64 | 3 | 2 | $42,298 (3) | — | None | last 1 June 2022 | |
| Country Care Manor CCN 675947 · Government | La Vernia | TX | 91 | 4 | 2 | $22,143 (2) | — | None | — | |
| La Frontera Nursing & Rehabilitation CCN 675030 · For profit | Laredo | TX | 186 | 3 | 1 | $8,021 (1) | — | None | 1 in 36 mo | |
| Laredo Nursing and Rehabilitation Center CCN 676313 · For profit | Laredo | TX | 120 | 1 | 2 | $93,962 (2) | — | None | — | |
| Las Alturas Nursing & Transitional Care CCN 676465 · For profit | Laredo | TX | 138 | 3 | 1 | — | — | None | last 1 March 2022 | |
| The Heights of League City CCN 676153 · Government | League City | TX | 194 | 1 | 1 | $144,668 (6) | — | None | 1 in 36 mo | |
| THE HEIGHTS OF MAGNOLIA CCN 745058 · For profit | MAGNOLIA | TX | 138 | — | — | — | — | None | — | |
| MID VALLEY NURSING & REHABILITATION CCN 676414 · Government | MERCEDES | TX | 123 | 2 | 1 | $16,611 (2) | — | None | last 1 April 2019 | |
| LAS ALTURAS DE PENITAS CCN 745000 · For profit | PENITAS | TX | 130 | 3 | 2 | $166,236 (4) | — | None | 1 in 36 mo | |
| The Heights of Atascosa CCN 676181 · For profit | PLEASANTON | TX | 100 | 4 | 2 | — | — | None | — | |
| THE HEIGHTS ON VALLEY RANCH CCN 676476 · For profit | PORTER | TX | 122 | 4 | 3 | — | — | None | last 1 March 2023 | |
| STONE OAK CARE CENTER CCN 675968 · For profit | SAN ANTONIO | TX | 152 | 2 | 1 | $9,087 (1) | — | None | last 1 March 2016 | |
| THE ENCLAVE CCN 676425 · For profit | SAN ANTONIO | TX | 142 | 1 | 1 | $10,039 (1) | 1 | None | last 1 March 2023 | |
| THE HEIGHTS ON HUEBNER CCN 676224 · For profit | SAN ANTONIO | TX | 120 | 4 | 2 | — | — | None | — | |
| The Heights at Medical Center CCN 675890 · For profit | SAN ANTONIO | TX | 134 | 1 | 1 | $22,052 (2) | 1 | None | 1 in 36 mo | |
| THE HEIGHTS OF BULVERDE CCN 676418 · For profit | SPRING BRANCH | TX | 124 | 2 | 2 | — | — | None | last 1 April 2019 | |
| THE HEIGHTS OF TOMBALL CCN 676350 · For profit | TOMBALL | TX | 131 | 4 | 1 | $21,908 (2) | — | None | — | |
| The Heights of Tyler CCN 676262 · For profit | Tyler | TX | 120 | 3 | 1 | $14,276 (1) | — | None | — |
Sources and method
Chain identity, facility count and the averages under At a glance come from the CMS Nursing Home Chain Performance Measures file. Every facility-level value is a column of release v2026.08 (CMS August 2026 vintage), which records the exact CMS files and their checksums, archived at Zenodo. Section 11 of the methodology describes how the disclosure flags, the owner-versus-party split and the change-of-ownership counts are built; the tables behind this page are committed in the public repository.
Cite as: The Care Ratings Open Nursing Home Data, release v2026.08, chain profile "TOUCHSTONE COMMUNITIES" (CMS chain id 521), https://thecareratings.com/data/chains/521-touchstone-communities/. Prepared by the Care Ratings Team under the editorial standards; corrections go to the contact page.
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