THE HEIGHTS OF BULVERDE – SPRING BRANCH, TX

CMS Verified | 2026-03-01

The Heights Of Bulverde

384 HARMONY HILLS, Spring Branch, TX 78070
(830) 438-1276
124 beds
All Spring Branch facilities
1.0*
Overall
1.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
62.42
Score /100
#11291
National Rank

#11291
of 14703 facilities
National
23.2% position
#892
of 1177 in TX
State Rank
#5
of 6 in Comal
County Rank
#1
City Rank
#1
of 1 in ZIP 78070
ZIP Rank






About The Heights Of BulverdeThe Heights Of Bulverde is located at 384 Harmony Hills, Spring Branch, TX, reachable at (830) 438-1276. This For profit – Corporation facility operates 124.0 certified beds and serves an average of 104 residents per day. It is part of the Touchstone Communities network (28 facilities nationwide). Medicare and Medicaid services have been provided since 2017-03-15. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

The Heights Of Bulverde

Address

384 Harmony Hills, Spring Branch, TX 78070

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 124 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: TOUCHSTONE COMMUNITIES

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 9 fine(s) over 5 years
5-Year Trend
Declining over 5 years
62.42
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11291 of 14703 nationally – #892 of 1177 in Texas

Who Is This Facility Best For?

The Heights Of Bulverde may be considered for families with limited options in Spring Branch, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightThe Heights Of Bulverde currently provides 3 hours 2 minutes of total nurse staffing per resident per day, including 25 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 69.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 2 minutes
Nurse Aide Hours1 hour 51 minutes
Licensed Practical Nurse (LPN) Hours47 minutes
Registered Nurse (RN) Hours25 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 33 minutes
Weekend Registered Nurse (RN) Hours20 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 9 fine(s) over the 5-year period, totaling $420,260. 27 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 173.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,291
of 14,703
National
Bottom 23%
#892
TX State
Bottom 24% in TX
#5
of 6
️ Comal County
#5 of 6
#1
of 1
️ Spring Branch
Best in city
#1
of 1
ZIP 78070
Best in ZIP

Nationally, The Heights Of Bulverde ranks 11291st out of 14,703 facilities (composite score: 62.4/100), placing it in the bottom 25% nationwide. Within TX, it ranks 892nd out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,012 nationally and RN hours rank #10,635 nationally (#461 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.19 #13,862 / 14,703 #1,105 / 1,177 ⚠️ Bottom 10%
2023 3.06 #11,577 / 14,703 #756 / 1,177 ⚠️ Bottom 25%
2024 3.55 #7,717 / 14,703 #264 / 1,177 Below average
2025 3.35 #10,318 / 14,703 #424 / 1,177 Below average
2026 3.03 #13,012 / 14,703 #872 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.43 #10,152 / 14,703 #369 / 1,177 Below average
2023 0.33 #11,533 / 14,703 #513 / 1,177 ⚠️ Bottom 25%
2024 0.47 #8,985 / 14,703 #245 / 1,177 Below average
2025 0.44 #9,815 / 14,703 #353 / 1,177 Below average
2026 0.41 #10,635 / 14,703 #461 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

The Heights Of Bulverde is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2017-03-15. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 438-1276 or your local Medicaid office to verify current eligibility.

The Heights Of Bulverde holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 62.4/100, placing it #11291 of 14703 facilities nationally and #892 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Heights Of Bulverde receives a reported average of 3 hours 2 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 47 minutes; Nurse Aide — 1 hour 51 minutes. On weekends, total nurse staffing is 2 hours 33 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 69.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 9 fine(s) over the 5-year period, totaling $420,260. 27 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 173.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Heights Of Bulverde ranks 11291st out of 14,703 facilities (composite score: 62.4/100), placing it in the bottom 25% nationwide. Within TX, it ranks 892nd out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #13,012 nationally and RN hours rank #10,635 nationally (#461 in TX). Our composite quality score of 62.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Spring Branch, visit: https://nursinghomesnearme.org/texas/spring-branch/

Contact and Location

ADR
Address

384 HARMONY HILLS, Spring Branch, TX 78070
Get directions on Google Maps

TEL
LLC
Legal Name

UVALDE COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Comal County ·
Spring Branch ·
ZIP 78070

Facility Details

Number of Certified Beds 124
Average Residents / Day 104 (84% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Comal County, TX
City Spring Branch, TX
ZIP Code 78070
Approved Since March 15, 2017
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676418
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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