The Heights of Bulverde

SPRING BRANCH, TX • CMS Certification: 676418

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 384 HARMONY HILLS, SPRING BRANCH TX 78070
  • Phone: 8304381276
Affiliations Staffing Ratings

About The Heights of Bulverde

The Heights Of Bulverde, located in SPRING BRANCH, TX, is a for-profit organization that accepts Medicare and Medicaid. It is located within a hospital setting.

Why Families Choose The Heights of Bulverde

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 3.00 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the TOUCHSTONE COMMUNITIES network. This chain operates 25 facilities.

Chain Performance Overview

Inspection
2.8
Staffing
1.4
Quality
4.1

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

The Heights of Bulverde provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.44 hrs/day
State: 0.42 US: 0.68
Case Mix Adj: 0.84
Quality Adj: 0.35

Licensed Practical Nurses

1.20 hrs/day
State: 1.37 US: 1.54
Case Mix Adj: 1.06
Quality Adj: 0.61

Certified Assistants

1.80 hrs/day
State: 2.02 US: 2.33
Case Mix Adj: 2.88
Quality Adj: 1.45

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 2
Quality Measures 4
Staffing 1

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 72 Jun 25, 2025
Weighted Average 113 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 37.0%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 24.5%
Number of hospitalizations per 1000 long-stay resident days (QM551) 2.1%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 1.8%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 12.2%
Percentage of long-stay residents who lose too much weight (QM404) 0.4%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.0%
Percentage of long-stay residents who have depressive symptoms (QM408) 4.7%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 4.5%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 83.9%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 66.9%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.4%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 7.5%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 12.9%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 96.9%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 78.5%
Percentage of long-stay residents with pressure ulcers (QM479) 2.9%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 10.6%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 7.9%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2024: 10 complaints
  • 2025: 13 complaints
  • 2026: 1 complaint
  • Total: 24 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Jan 14, 2026 Provide and implement an infection prevention and control program.
Dec 11, 2025 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Dec 11, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 11, 2025 Provide and implement an infection prevention and control program.
Dec 10, 2025 Ensure each resident receives an accurate assessment.
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.
Dec 10, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 25, 2025 Ensure each resident receives an accurate assessment.
Apr 25, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 20, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 22, 2025 Respond appropriately to all alleged violations.
Mar 22, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 22, 2025 Provide and implement an infection prevention and control program.
Mar 22, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 24, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 23, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 23, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 06, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 06, 2024 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
May 06, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 06, 2024 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
May 06, 2024 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
May 06, 2024 Dispose of garbage and refuse properly.
Mar 22, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Nearby Hospitals

3
3
METHODIST HOSPITAL

SAN ANTONIO, TX

4
RESOLUTE HEALTH HOSPITAL

NEW BRAUNFELS, TX

4
4
5
5
N/A
N/A
N/A
N/A
N/A
CEDAR HILLS BEHAVIORAL

SAN ANTONIO, TX

N/A
N/A
N/A
N/A
N/A

Owner & Operator Information

Business Entity

UVALDE COUNTY HOSPITAL AUTHORITY

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Local Comparison

Facility Distance Rating
The Army Residence Community Health Care Center N/A 5
St. Francis Nursing Home N/A 5
The Village at Incarnate Word N/A 4
Silver Creek Nursing and Rehabilitation N/A 4
The Atrium Rehabilitation Center N/A 2
Kendall House Wellness and Rehabilitation N/A 4
Avir at Heritage N/A 3
Trucare Living Centers - Selma N/A 3
The Heights On Huebner N/A 4
Patriot Heights Health Care Center N/A 2

Related Analysis

Best Nursing Homes in SPRING BRANCH, TX

Compare The Heights of Bulverde to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

The Heights of Bulverde has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.00 hours per resident daily, compared to the national average of 3.87 hours.

The Heights of Bulverde is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 124 certified beds.

The Heights of Bulverde accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact The Heights of Bulverde directly at 8304381276. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting The Heights of Bulverde, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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