Deficiency Index

The Heights of Atascosa

Pleasanton, Texas · CCN 676181

26 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
91
Surveys
26
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file21/26

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
Government - Hospital district
Chain
TOUCHSTONE COMMUNITIES
County
Atascosa
Medicare-certified since
2008

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.

Last survey on record

Jul 1, 2026

131 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.423.25
Registered-nurse hours per resident day0.28—
Annual nurse turnover41.2%48.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1680.0%E420.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 91 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5833×

    Keep residents' personal and medical records private and confidential.

  • F6413×

    Ensure each resident receives an accurate assessment.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at The Heights of Atascosa, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Jul 1, 2026

    Based on observation, interview, and record review, the facility failed to procure, store, prepare, distribute, and serve food in accordance with professional standards for food services safety for one of one kitchen.1. The facility failed to ensure the cook and the kitchen aide used required hair restraints and beard guards.2. The facility failed to sign off on temperature logs required for the refrigerator, freezer, and dishwasher monitoring.3. The facility failed to properly label and date sugar free syrup, prepared salads, tea, water, thickener, ground beef, cheese, chicken, pancakes, pizza crust, and hamburger patties. 4. The facility failed to repair a floor drain beneath the rear preparation counter that contained standing water and debris. […]

  • No harm, potential for more than minimal, patternF609Nov 24, 2025

    Based on interview and record review, the facility failed to ensure that all allegations involving abuse, neglect, exploitation and mistreatment were reported immediately, but no later than 2 hours after the allegation was made to the State Survey Agency for 1 of 4 residents (Resident #1) reviewed for reporting of allegation of abuse, in that: The facility failed to report to the State Survey Agency (Health and Human Services Commission) an allegation of sexual abuse made by Resident #1. This failure could place residents at risk for harm to include neglect and a diminished quality of life. […]

  • No harm, potential for more than minimal, patternF641Feb 10, 2023

    Based on interview and record review, the facility failed to ensure MDS assessments accurately reflected the residents' medications ordered for 3 of 8 residents (Resident #35, #37, #62) whose records were reviewed for accuracy, in that Resident #35's Quarterly MDS misidentified a medication as an anticoagulant instead of an anti-clotting agent; Resident #37's Annual MDS misidentified a medication as an anticoagulant instead of an anti-clotting agent; Resident #62's Quarterly MDS misidentified a medication as an anticoagulant instead of an anti-clotting agent; This deficient practice could affect residents who required an MDS assessment and could result in an inaccurate reflection of their care needs. […]

  • No harm, potential for more than minimal, patternF812Feb 10, 2023

    Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen and 2 of 3 standard size refrigerators reviewed for sanitation and storage, in that: 1. The facility failed to properly store food in the walk-in dry food storage area. 2. The facility failed to properly store food in the large commercial style refrigerator. 3. The facility failed to properly store drinks/food in 1 of 2 standard size refrigerators observed on the hallways accessible to staff and Residents. These deficient practices could place residents who eat food from the kitchen at-risk of foodborne illness. Findings include: Observation on 02/07/2023 at 9:50 a.m. […]

  • No harm, potential for more than minimal, isolatedF908Aug 28, 2026

    Based on observation and interview, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 5 Fire Alarm Pull Stations (Nurses station) reviewed for safe and functioning equipment. The nurse's station manual fire alarm pull station failed to activate the fire alarm when tested, 8/28/2026 at 10:18 am. This failure could affect individuals and staff in the facility by slowing or impeding emergency services response, which could result in smoke inhalation and bodily injury in the event of a fire. Findings Include: Observation on 8/28/2026 at 10:18 am, fire drill was conducted with the maintenance director. The pull station at the nurses' station did not activate the fire alarm. […]

Read 20 findings in full →The most serious and the most recent: 20 of 91 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 28, 2026Complaint1 finding
  • Jul 1, 2026Standard4 findings
  • Nov 24, 2025Complaint1 finding
  • May 16, 2025Standard6 findings
  • Mar 22, 2024Standard3 findings
  • May 26, 2023Complaint1 finding
  • Feb 10, 2023Standard6 findings
  • Aug 10, 2022Complaint1 finding
Show the 18 earlier surveys
  • Nov 12, 2021Standard2 findings
  • Sep 23, 2021Complaint1 finding
  • May 27, 2021Complaint1 finding
  • Jul 23, 2020Complaint1 finding
  • Jul 3, 2020Complaint2 findings
  • May 30, 2020Complaint1 finding
  • Jan 22, 2020Complaint1 finding
  • Dec 6, 2019Standard7 findings
  • Dec 7, 2018Standard and complaint8 findings
  • Mar 2, 2018Complaint2 findings
  • Dec 15, 2017Standard4 findings
  • Dec 1, 2016Standard4 findings
  • Oct 2, 2015Standard14 findings
  • Jul 10, 2014Standard5 findings
  • Mar 19, 2014Complaint1 finding
  • May 10, 2013—2 findings
  • Apr 19, 2012—9 findings
  • Apr 8, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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