47/100
Below average
414 Liberty Blvd., Penitas, TX 78576
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$166,236 in federal fines
CMS has fined this facility across 4 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 28, 2026 (2 months ago).
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Part of TOUCHSTONE COMMUNITIES, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| FROST BANK | Organization | 5% OR GREATER SECURITY INTEREST | — |
| JURADO, JORGE | Individual | CORPORATE OFFICER | — |
| TOUCHSTONE STRATEGIES - PENITAS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CAMPBELL, LESLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CASTILLO, LYNNEA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| GILCREASE, CYNTHIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HINOJOSA, ROSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| OLIVAREZ, YVONNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SEHLKE, BRYON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ZUROVEC, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| AEGIS THERAPIES, INC. | Organization | ADP OF THE SNF | — |
| CARVAJAL PHARMACY LTC | Organization | ADP OF THE SNF | — |
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Las Alturas De Penitas holds an ElderGrade of D (47 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Las Alturas De Penitas is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.