The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070
Phone: 8304381276
CMS ratings and facility information
The Heights of Bulverde is a Medicare-certified nursing facility in Spring Branch, Comal County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 2 of 5 stars |
|---|---|
| Health inspection rating | 2 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 124 |
| Ownership | For profit - Corporation |
| CMS certification number | 676418 |
Staffing
| Total nurse hours per resident day | 3.13 |
|---|---|
| RN hours per resident day | 0.52 |
| Nurse aide hours per resident day | 1.74 |
| Total nursing staff turnover percent | 55.9 |
| RN turnover percent | 30 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.3 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 2.02 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 4.86 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 2.6 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 6.42 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-06-25 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-06-25 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2025-06-25 | 0578 | Honor 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. | D |
| 2025-06-25 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-06-25 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2025-06-25 | 0761 | 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. | D |
| 2025-06-25 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-06-25 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-05-05 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-05-05 | 0814 | Dispose of garbage and refuse properly. | F |
| 2024-05-05 | 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E |
| 2024-05-05 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-05-05 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-05-05 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2024-05-05 | 0760 | Ensure that residents are free from significant medication errors. | E |
| 2024-05-05 | 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-05-05 | 0584 | Honor 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. | D |
| 2024-05-05 | 0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D |
| 2024-05-05 | 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-05-05 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-05-05 | 0761 | 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. | D |
| 2024-05-05 | 0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
| 2024-05-05 | 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-05-05 | 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2023-03-24 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-03-24 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2023-03-24 | 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2023-03-24 | 0880 | Provide and implement an infection prevention and control program. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| FROST BANK | Organization | 5% OR GREATER SECURITY INTEREST |
| APOLINAR, ADAM | Individual | CORPORATE OFFICER |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| CAMPBELL, LESLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CASTILLO, LYNNEA | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CLAYTON, JONATHON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| DENTINO, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| HACKETT, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| PRADO, AARON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| SEHLKE, BRYON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| ZUROVEC, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| AEGIS THERAPIES, INC. | Organization | ADP OF THE SNF |
| ALAMO ADVISORS LP | Organization | ADP OF THE SNF |
| CARVAJAL PHARMACY LTC | Organization | ADP OF THE SNF |
| NUTRITIOUS LIFESTYLES, INC. | Organization | ADP OF THE SNF |
| PLANTE & MORAN PLLC | Organization | ADP OF THE SNF |
| THE BRYON AND RENA SEHLKE LIVING TRUST | Organization | ADP OF THE SNF |
| TOUCHSTONE COMMUNITIES INC | Organization | ADP OF THE SNF |
| TOUCHSTONE REALTY - BULVERDE LLC | Organization | ADP OF THE SNF |
| TOUCHSTONE STRATEGIES - BULVERDE LLC | Organization | ADP OF THE SNF |
| TRIDENT HEALTH SERVICES INC | Organization | ADP OF THE SNF |
| CAMPBELL, LESLIE | Individual | ADP OF THE SNF |
| CASTILLO, LYNNEA | Individual | ADP OF THE SNF |
| CLAYTON, JONATHON | Individual | ADP OF THE SNF |
| DENTINO, ANDREW | Individual | ADP OF THE SNF |
| FELLBAUM, ERNEST | Individual | ADP OF THE SNF |
| HACKETT, EDWARD | Individual | ADP OF THE SNF |
| PRADO, AARON | Individual | ADP OF THE SNF |
| SEHLKE, BRYON | Individual | ADP OF THE SNF |
| STUDER, STANLEY | Individual | ADP OF THE SNF |
| ZUROVEC, DARRELL | Individual | ADP OF THE SNF |
Compare nursing homes in Comal County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.