Nursing Home Penalty Ledger › Chains

Touchstone Communities

25 nursing homes in 1 state, in CMS's provider file of 2026-09-01.

These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.

CMS's archive holds 96 fines totalling $2,434,270 and 10 payment denials against these homes, at 21 of the 25. CMS's current file no longer shows 71 of those penalties.

15 of the 25 homes changed owner since 2016. 28 of those penalties, $915,484 in fines, are dated before the home's current owner took it over, which leaves $1,518,786 in fines since.

These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.

HomeStateFinesTotalPayment denialsEarliestCurrent owner sinceBefore that
Country Care ManorTX3$126,86802016none in CMS's file
Del Rio Nursing and Rehabilitation CenterTX4$41,90302020none in CMS's file
Hill Country HeightsTX3$518,997020182022-06-011 ($498,740)
Harker Heights Nursing & RehabilitationTX8$186,376020172022-06-015 ($102,425)
La Frontera Nursing & RehabilitationTX5$45,817020162024-09-174 ($37,796)
Laredo Nursing and Rehabilitation CenterTX4$101,77402020none in CMS's file
Las Alturas Nursing & Transitional CareTX1$655020212022-03-011 ($655)
Las Alturas De PenitasTX4$166,236120232024-03-013 ($155,072)
Mid Valley Nursing & RehabilitationTX6$52,574020202019-04-01
Rosewood HeightsTX7$121,345120202022-06-013 ($42,250)
Stone Oak Care CenterTX3$28,587120202016-03-01
The EnclaveTX3$31,557120202023-03-012 ($21,518)
The Heights of AlamoTX2$11,664020202021-04-011 ($3,250)
The Heights of BulverdeTX4$209,637120202019-04-01
The Heights of GonzalesTX00none in CMS's file
The Heights of MagnoliaTX00none in CMS's file
The Heights of TomballTX3$22,56612016none in CMS's file
The Heights on HuebnerTX00none in CMS's file
The Heights on Valley RanchTX002023-03-01
The Heights at Medical CenterTX7$52,184120202024-03-014 ($8,080)
The Heights of AtascosaTX2$19,79602020none in CMS's file
The Heights of League CityTX7$146,855020212024-03-012 ($17,210)
The Heights of North HoustonTX10$422,20522017none in CMS's file
The Heights of TylerTX8$90,89902016none in CMS's file
West Oaks Nursing & RehabilitationTX2$35,775120162019-04-012 ($28,488)

Chain names and membership: CMS Provider Information, processed 2026-09-01. Penalties: CMS's archive of monthly editions. Owner dates: CMS Skilled Nursing Facility Change of Ownership, edition 2026-06-01. Public record. A home with no link has no penalty CMS has stopped publishing, so it has no page here.

This page states records; it is not legal advice and makes no finding about the care at any home or the conduct of any company. Sources, all public domain: CMS Provider Information (chain names), CMS's monthly archive of the Provider Data Catalog (penalties), and Skilled Nursing Facility Change of Ownership (owner dates). Found an error? Open an issue at the repository; every figure is checked against the CMS edition it comes from and corrected there.