McAllen Senior AdvisorThe Heights of Alamo is a 130-bed nursing home at 1214 S. Alamo Road, Alamo, certified for Medicare and Medicaid and licensed by the Texas Health and Human Services Commission as nursing facility #308218; CMS rates The Heights of Alamo 5 out of 5 stars overall in Care Compare data dated October 1, 2026.
How does CMS rate The Heights of Alamo in Alamo, Texas?
CMS rates The Heights of Alamo 5 out of 5 stars overall, with 4 stars for health inspections, 2 for staffing and 5 for quality measures.
| Measure | Value |
|---|---|
| CMS overall rating | 5 of 5 |
| Health inspections (CMS) | 4 of 5 |
| Staffing (CMS) | 2 of 5 |
| Quality measures (CMS) | 5 of 5 |
| Long-stay / short-stay quality (CMS) | 5 / 5 |
| Certification (CMS) | Medicare and Medicaid |
| Certified beds; average daily census | 130; 106.3 |
| Ownership (CMS) | For profit - Corporation |
| Chain (CMS) | TOUCHSTONE COMMUNITIES, 25 homes |
| Medicare/Medicaid participation since | April 5, 2018 |
| HHSC nursing facility license | #308218, 130 licensed beds |
| Alzheimer's beds (HHSC directory) | 0 |
| Licensee (HHSC) | Uvalde County Hospital Authority |
About 106 residents live there on an average day, 82% of certified beds, above the 78% median for certified homes in Hidalgo County.
How many deficiencies does CMS show for The Heights of Alamo?
Surveyors' latest standard health inspection of The Heights of Alamo was on August 5, 2026; CMS records 11 health deficiencies in that cycle (9 standard, 4 complaint).
An earlier cycle, surveyed June 5, 2025, recorded 10 deficiencies. Against a county median of 11 deficiencies, the latest count is typical or better.
Within CMS's three-year penalty window it shows 1 fine totaling $8,414 and 0 payment denials.
Is The Heights of Alamo well staffed?
Residents at The Heights of Alamo get about 3.42 hours of nursing staff time per day in CMS's payroll data, above the Hidalgo County median of 3.30; registered nurses supply 0.31 of those hours.
Nurse aides account for 2.19 hours per resident day. Weekend total nurse staffing is 2.89 hours per resident day. Nursing staff turnover is 40.8%, above the Hidalgo County median of 38.5%; RN turnover is 33.3%. CMS counts 0 administrator departures in its measurement period.
Who can pay for a stay at The Heights of Alamo?
CMS lists The Heights of Alamo as certified for Medicare and Medicaid, so it can bill Medicare for qualifying short-term skilled stays and Texas Medicaid for long-term residents who qualify financially and medically.
Medicare's skilled nursing benefit requires a qualifying inpatient hospital stay of at least three days and pays in full only for the first 20 days; a daily coinsurance applies from day 21 to day 100. Long-term custodial care is paid privately, by long-term care insurance, or by Medicaid. A Texas Medicaid resident keeps a $75 monthly personal needs allowance; the rest of their income goes toward the cost of care.
Which nursing homes are closest to The Heights of Alamo?
The closest other certified nursing home is San Juan Nursing Home in San Juan (2.7 mi, CMS 4 of 5), and the nearest acute-care hospital is Rio Grande Regional Hospital, about 7.5 miles away.
| Facility or agency | Miles (straight line) | Licensed capacity | CMS overall rating | Latest CMS health inspection | Health deficiencies (latest cycle) |
|---|---|---|---|---|---|
| San Juan Nursing Home 300 N Nebraska Ave., 78589 | 2.7 | 100 | 4 of 5 | December 11, 2025 | 7 |
| Windsor Las Palmas Nursing and Rehabilitation Center 1301 E Quebec Ave, 78503 | 5.3 | 120 | 5 of 5 | May 7, 2026 | 6 |
| McAllen Transitional Care Center 2109 South K Street, 78503 | 5.4 | 100 | 4 of 5 | March 11, 2026 | 12 |
| Alfredo Gonzalez Texas State Veterans Home 301 E Yuma Ave, 78503 | 5.9 | 160 | 2 of 5 | January 7, 2026 | 16 |
| Avir at McAllen 600 N Cynthia St, 78501 | 6.3 | 122 | 3 of 5 | June 24, 2026 | 8 |
Which questions does The Heights of Alamo's CMS record raise?
Use the public numbers to steer the visit. First, ask for the full statement of deficiencies from August 5, 2026, even though the count (11) is not high.
- Turnover of 40.8% is above the local median; ask what share of aides on nights and weekends are agency staff.
- Ask what led to the $8,414 in CMS fines and whether the problem has been closed out.
- With occupancy near 82%, ask which halls have openings and why.
- CMS shows a none council; ask when it meets and how families raise concerns.
- Ask whether nurses and aides on every shift speak Spanish, and how care conferences are held for Spanish-speaking families.
- Ask who the attending physicians are and how often they see long-term residents.
