TOUCHSTONE COMMUNITIES

Nurse hours

3.74 /day

Staff turnover

39%

Serious cites

0

The Heights On Valley Ranch runs 16 deficiencies on its current record, but none at the harm or jeopardy level and none tied to abuse, a meaningful distinction when you're comparing homes. Its last inspection was in May 2025, so the picture is recent. Nurse staffing sits at 3.74 hours per resident day, about 3% under the national average, and weekends run roughly 11% lighter than weekdays, which is worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover comes in at 39.3%, better than the 45.8% national figure. Corporate-owned, 122 beds.

Nurse hours

3.25 /day

Staff turnover

45%

Serious cites

0

The Heights of Gonzales runs about 3.25 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip another 15% below its own weekday numbers. Turnover sits at 44.9%, basically in line with the national rate, so that's not the standout issue here, the thin staffing is. The inspection record shows 22 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was in March 2026. Corporate for-profit ownership at 132 certified beds, with quality and inspection scores that look better than the staffing score does.

Nurse hours

2.95 /day

Staff turnover

37%

Serious cites

0

Del Rio Nursing and Rehabilitation Center is run by a hospital district, and its inspection record is strong, four stars, with the most recent survey in May 2025. Quality measures also score five stars. The tradeoff sits in direct care: 2.95 nurse hours per resident day, roughly a quarter below the national average, and weekends run about 19% thinner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Eighteen deficiencies are on file, including one at the harm level and two tied to abuse, plus an $8,018 fine. Turnover, at 36.7%, is better than the national 45.8%, which suggests a steadier crew than most.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Mid Valley runs on a thinner nursing crew than most homes, 3.32 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. That staffing shows up in the numbers: 27 deficiencies on the current record, four of them serious enough to cite harm or jeopardy, and three tied to abuse. Turnover sits near the national mark at 45%, and the hospital district ownership doesn't change what families experience day to day. The quality measure score looks strong, but it's the staffing and inspection record that tells you whether help arrives when someone needs it.

Nurse hours

3.37 /day

Staff turnover

25%

Serious cites

0

West Oaks runs lean on nursing hours, 3.37 per resident day against a national average of 3.86, and weekends dip about 15% below what the home staffs on weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. What works in its favor is stability: turnover sits at 24.7%, well under the 45.8% national figure, meaning the aides and nurses you meet are more likely to still be there next year. Its inspection record is current as of January 2025, with 11 deficiencies and none tied to harm, jeopardy, or abuse. Corporate-owned and 136 beds; a decent record, but ask about weekend coverage.

Nurse hours

3.09 /day

Staff turnover

43%

Serious cites

0

The Heights on Huebner runs on thinner staffing than most homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building staffs on weekdays. The two abuse-related deficiencies on record are worth asking about directly, even though none of the 18 total deficiencies rose to harm or jeopardy level, and the most recent inspection in January 2026 is recent enough to reflect current conditions. Turnover at 42.7% is slightly better than the 45.8% national figure, and inspection and quality measure ratings both came in at 4 out of 5. This for-profit corporate home's weak spot is clearly the day-to-day staffing number, not its survey history.

Nurse hours

3.13 /day

Staff turnover

49%

Serious cites

0

Las Alturas runs 3.13 nurse hours per resident per day, about 19% under the national average, and the gap widens on weekends, when staffing drops roughly 13% below its own weekday level. That thin coverage is the main reason its staffing rating sits at 1 out of 5 even though quality measures score 5 out of 5, those measures reflect clinical outcomes, not how many hands are on the floor. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy level, and turnover at 49.2% means nearly half the nursing staff leaves within a year. The last inspection was February 2026.

Nurse hours

3.18 /day

Staff turnover

39%

Serious cites

0

The Heights of Alamo runs lean on direct care: 3.18 nurse hours per resident day against a national average of 3.86, with weekends dropping about 15% below its own weekday coverage. That thin weekend staffing matters most when residents need help and fewer hands are on the floor. Turnover sits at 38.9%, better than the 45.8% national figure, so the crew that is there tends to stay. Inspections in June 2025 produced a 4-star health rating and 5-star quality measures, but the record carries 12 deficiencies, including one at harm level and two tied to abuse, plus an $8,414 fine. Corporate-owned and for-profit, this is a home where care quality scores well while daily staffing is the weak point.

Nurse hours

3.17 /day

Staff turnover

39%

Serious cites

0

Country Care Manor runs lean on the floor. At 3.17 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly another 21% below its own weekday pace, the gap families feel most on Saturday and Sunday. Turnover is the brighter spot: 38.5% against a national 45.8% means the staff who are there tend to stay, which matters for consistency even when the numbers are thin. On paper, inspections and quality measures both rate well, with no harm-level or abuse-related deficiencies among the 12 on record and $22,143 in fines across two events. A hospital district runs it, and the last inspection was recent.

Nurse hours

3.42 /day

Staff turnover

41%

Serious cites

0

The Heights of Atascosa runs lean on nursing hours: 3.42 per resident day against a national average of 3.86, and weekends drop about 16 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and problems tend to surface. Turnover sits at 41.2 percent, slightly better than the national 45.8 percent, so the staff who are there tend to stay. Inspections look stronger, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level, though one abuse-related citation appears on the current record among 16 total. The last inspection was in May 2025. The staffing star rating of 2/5 is the weak point; quality measures score 4/5.

Nurse hours

3.48 /day

Staff turnover

42%

Serious cites

0

Hill Country Heights runs a 96-bed for-profit operation in Copperas Cove, and its inspection record is genuinely solid, a four-star health inspection and four-star quality measures, with 23 deficiencies on file but only one reaching harm or jeopardy level and none tied to abuse. Staffing is where the picture dims. At 3.48 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 12% below its own weekday coverage. Turnover at 42.1% is slightly better than the 45.8% national figure, which helps. A single fine of $12,356 and a May 2026 inspection round out the record. The takeaway: decent care oversight, thinner hands on weekends.

Nurse hours

3.05 /day

Staff turnover

50%

Serious cites

0

The Heights of Tomball has 131 certified beds and a for-profit corporate owner, and its nurse staffing comes in at 3.05 hours per resident day, roughly a fifth below the national average of 3.86. Weekends run about 10% lighter than weekdays, and annual turnover sits at 49.5%, above the 45.8% national figure. Inspections look better than that staffing picture: the last visit was March 28, 2024, and the health inspection rating is 4 out of 5. But the record still carries 14 deficiencies, two at harm or jeopardy level and one abuse-related, plus two fines totaling $21,908. The staffing star lands at 1.

Nurse hours

3.21 /day

Staff turnover

35%

Serious cites

0

Laredo Nursing and Rehabilitation Center runs 120 beds under individual for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17 percent under the national average, with weekends about 15 percent thinner than its own weekdays. Turnover is actually better than average at 34.9 percent, so the problem isn't churn so much as how few hands are scheduled on any given shift. What should concern you most is the inspection record: 27 deficiencies, six serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $93,962. The most recent inspection was March 2026. Low staffing plus that many serious findings is a pattern worth asking about directly before you decide.

Nurse hours

3.31 /day

Staff turnover

48%

Serious cites

0

The Heights of North Houston runs about 3.31 nurse hours per resident day, roughly 14% under the national average, and weekend coverage dips another 11% below its own weekday level. That thin staffing sits alongside a 48.2% annual turnover rate, slightly above the national 45.8%, and it shows up in the inspection record: 25 deficiencies, three serious enough to involve harm or jeopardy, plus $31,541 in fines across two penalties. A 2/5 inspection rating and a 2/5 staffing rating tell the same story, even though the 4/5 quality measure score looks better on paper, that measure reflects resident care outcomes, not whether enough hands are on deck. The most recent inspection was May 8, 2025.

Nurse hours

3.31 /day

Staff turnover

35%

Serious cites

0

Las Alturas De Penitas runs lean on nursing hours, 3.31 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday levels, so coverage loosens exactly when families tend to visit. The inspection record is the bigger concern: 17 deficiencies, five of them at harm or jeopardy level and three tied to abuse, with four fines totaling $166,236. Turnover at 35.1% actually beats the national 45.8%, and the quality measure score is strong, but a 2/5 inspection rating and 2/5 staffing rating carry more weight for daily safety. The most recent inspection was May 2026, so the record is current, not stale.

Nurse hours

3.24 /day

Staff turnover

n/a

Serious cites

0

La Frontera runs 186 certified beds in Laredo under corporate for-profit ownership, and its nursing hours come in around 3.24 per resident per day, roughly 16% under the national average of 3.86. Weekends are thinner still, about 19% below what the home staffs on weekdays, so the coverage gap families notice most is the one that shows up on Saturdays and Sundays. Inspectors were last in on May 29, 2025, and the record carries 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $8,021. The health inspection rating holds at 4 of 5 and quality measures at 3, but staffing sits at 1.

Nurse hours

3.13 /day

Staff turnover

56%

Serious cites

0

The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.

Nurse hours

3.40 /day

Staff turnover

56%

Serious cites

0

Harker Heights Nursing & Rehabilitation runs 199 certified beds under corporate ownership, and the numbers show a building stretched thin on the clinical side. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86, and weekends dip about 9% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover of 55.9% outpaces the 45.8% national figure, which matters because constant churn makes consistent care hard. The inspection record is the harder read: 46 deficiencies, three at harm or jeopardy level, two tied to abuse, plus $64,760 in fines. The last inspection was February 2025. Quality measures score well; staffing and inspections don't.

Nurse hours

2.88 /day

Staff turnover

60%

Serious cites

0

Stone Oak Care Center runs about 2.88 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 14% below its own weekday levels. That matters because the people in these beds need help every day, not just Monday through Friday. Annual turnover sits at 59.8%, well above the 45.8% national figure, so the staff who are there are often new. The current record includes 39 deficiencies, one at the harm level and three tied to abuse. The last inspection was July 2025, so that record is recent.

Nurse hours

3.81 /day

Staff turnover

68%

Serious cites

0

Rosewood Heights runs 64 beds in Killeen under corporate ownership, and its staffing is the number that stands out. At 3.81 nurse hours per resident day it sits just under the national average, but weekends drop roughly 12% below its own weekday level, and turnover runs 67.6% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 15 deficiencies, 5 of them at harm or jeopardy level, plus $42,298 in fines across three penalties. A recent August 2025 inspection and no abuse citations are the bright spots. Ask about weekend coverage and how they keep CNAs.

Nurse hours

3.00 /day

Staff turnover

56%

Serious cites

0

The Heights At Medical Center runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and its own weekend coverage drops another 10% below weekdays. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people left covering those shifts are often new. Inspectors cited 44 deficiencies, three of them serious enough to put residents in harm's way, and fined the home twice for $22,052 combined. A for-profit LLC operates the 134-bed building, and its last inspection was August 2025. Resident outcome measures look better than the staffing does, but the hands-on care numbers are what families feel day to day.

Nurse hours

3.13 /day

Staff turnover

56%

Serious cites

0

The Heights of Tyler runs 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips about 12 percent below what it manages on weekdays. That thin margin sits behind a staffing rating of 1 out of 5 even though the home's last inspection in February 2026 produced a 4-star health inspection result. Turnover adds another layer: 56.1 percent of staff leave annually, well above the 45.8 percent national figure. The current record lists 21 deficiencies, one involving harm or jeopardy and one abuse-related, plus a $14,276 fine. Ownership is for-profit partnership. The inspection picture looks better than the day-to-day staffing reality.

Nurse hours

3.63 /day

Staff turnover

61%

Serious cites

0

The Enclave runs on thinner nursing coverage than most homes, 3.63 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below what it manages on weekdays, so the thinnest shifts land when families tend to visit. Staff turnover sits at 60.9%, well above the 45.8% national figure, which means the people caring for residents keep changing. Inspectors cited 46 deficiencies on the current record, including three tied to abuse and one at the harm level, and the last inspection was in August 2025. That combination of low staffing, high turnover, and repeat citations is what drives the low rating here.

Nurse hours

3.38 /day

Staff turnover

70%

Serious cites

0

The Heights of League City runs on thin nursing coverage: 3.38 hours per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when problems tend to surface. Staff turnover sits at 69.7%, well above the 45.8% national figure, so the people caring for residents are frequently new to the building. The inspection record backs this up: 28 deficiencies, nine at harm or jeopardy level, six fines totaling $144,668. A hospital district owns it, which might suggest stability, but the numbers here tell a different story.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

The Heights of Magnolia runs 138 certified beds under for-profit LLC ownership in Montgomery County, and its inspection record is unusually clean: a single deficiency on the current record, none at the harm or jeopardy level, and nothing abuse-related. The last full inspection came on August 20, 2025, so the picture is recent rather than a stale survey from years back that may no longer reflect the building. What the record doesn't show is how the place is staffed day to day. ElderGrade couldn't compute a grade here because the usual staffing and quality measures weren't available, so there's no confirmed comparison against the national average. Before you decide, ask the administrator directly about nurse aide hours per resident per day on evenings and weekends, that's the number that tells you the most.