The Heights Of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 · Comal County
For-profit · 124 certified beds · 78% occupancy · (830) 438-1276
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
Ownership
Part of the Touchstone Communities chain (25 facilities), chain average overall rating 2.9★.