The Heights At Medical Center has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
With 3.31 total nurse hours per resident per day, The Heights At Medical Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 46 deficiencies at The Heights At Medical Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.31 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.38 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 2.84 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 14, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Aug 14, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventAug 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Aug 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 14, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.3% | 4.5% | Better |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 7.9% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 8.9% | 14.0% | Better |
| Excessive weight loss | 1.0% | 7.5% | Better |
| New/worsened incontinence | 7.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $22,052
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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