{
 "id": "675890",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "The Heights at Medical Center",
 "slug": "the-heights-at-medical-center",
 "path": "/tx/bexar/san-antonio/the-heights-at-medical-center",
 "address": {
  "street": "3935 MEDICAL DR",
  "city": "San Antonio",
  "county": "Bexar",
  "state": "TX",
  "state_name": "Texas",
  "zip": "78229"
 },
 "phone": "2106144888",
 "coords": [
  29.51998,
  -98.560169
 ],
 "capacity": 134,
 "residents_per_day": 86.4,
 "status": "Medicare and Medicaid",
 "licensee": "Uvalde County Hospital Authority",
 "administrator": null,
 "licensed_since": "2001-10-04",
 "last_visit": "2025-08-15",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "TOUCHSTONE COMMUNITIES",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 1,
   "health_inspection": 2,
   "staffing": 1,
   "quality": 4
  },
  "cycle1": {
   "date": "2025-08-15",
   "total": 9,
   "standard": 7,
   "complaint": 2
  },
  "fines": {
   "count": 2,
   "dollars": 22052,
   "penalties": 3
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.00251,
   "turnover_pct": 56.3
  },
  "on_record": {
   "immediate_jeopardy": 3,
   "actual_harm": 0,
   "potential_harm": 40,
   "minimal": 1
  },
  "penalties_on_file": {
   "count": 3,
   "dollars": 22052
  },
  "owners": [
   {
    "name": "APOLINAR, ADAM",
    "role": "Individual",
    "since": "since 03/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "TOUCHSTONE STRATEGIES - MED CENTER LLC",
    "role": "Organization",
    "since": "since 11/24/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "OOMMEN, BIJU",
    "role": "Individual",
    "since": "since 10/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ROBINSON, LARRY",
    "role": "Individual",
    "since": "since 09/17/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "TOUCHSTONE STRATEGIES - MED CENTER LLC",
    "role": "Organization",
    "since": "since 11/24/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "OOMMEN, BIJU",
    "role": "Individual",
    "since": "since 10/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ROBINSON, LARRY",
    "role": "Individual",
    "since": "since 04/01/2025",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-08-15",
   "tag": "0584",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0690",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0695",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0812",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0880",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-08-15",
   "tag": "0640",
   "sev": "B",
   "complaint": false
  },
  {
   "date": "2025-08-04",
   "tag": "0627",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-08-04",
   "tag": "0726",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-07-18",
   "tag": "0801",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0558",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0584",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0550",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0677",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0690",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0693",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-18",
   "tag": "0695",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "675890"
 }
}