Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
THE HEIGHTS OF ALAMO
ALAMO, TX · 130 certified beds · Last Life Safety survey June 5, 2025
CMS Certification Number 676441 · first certified April 2018
Ownership
Operated by TOUCHSTONE COMMUNITIES · For profit - Corporation
- Ownership changed April 1, 2021 (change of ownership)from TOUCHSTONE STRATEGIES - ALAMO LLC
Position within TX
3 citations — more than 14% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
Well past the typical window (July 2026 to August 2026), and past the point by which nine in ten TX facilities have been surveyed. This facility’s last Life Safety survey was June 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 3 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 3 |
| Median facility in TX | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| February 10, 2023 | 0 |
| April 11, 2024 | 3 |
| June 5, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-04-11 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2024-04-11 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2024-04-11 |
What the citations cover
- Miscellaneous Deficiencies 2
- Smoke Deficiencies 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 2 |
| Smoke Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 11, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (April 15, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (April 15, 2024) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (April 15, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.