Nursing homeActive
The Heights Of Gonzales
701 N Sarah Dewitt, Gonzales, TX 786298306724530132 certified beds · 93 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
22
● 1● 21● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-27
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-27 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2026-01-28 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2024-12-13 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-04-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-20 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-10-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 676138-20260327-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 676138-20260327-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 676138-20260327-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 676138-20260327-F755
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 676138-20260327-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2026-01-30Record 676138-20260128-F803
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-14Record 676138-20241213-F583
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-14Record 676138-20241213-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 676138-20241213-F690
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-14Record 676138-20241213-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-14Record 676138-20241213-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 676138-20241213-F814
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 676138-20241213-F880
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-19Record 676138-20240401-F695
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 676138-20231020-F583
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 676138-20231020-F609
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 676138-20231020-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 676138-20231020-F657
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 676138-20231020-F842
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 676138-20231020-F849
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 676138-20231020-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-24Record 676138-20231006-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.27
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.25
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.77
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover45%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover50%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.4% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.8% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.4% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.2% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Gonzales Healthcare Systems Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boening, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dyer, Roger Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hisey, Commie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Teri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Touchstone Strategies - Go LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aegis Therapies, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Anzaldua, Brandon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Boening, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carvajal Pharmacy Ltc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dyer, Roger Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Ernest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hisey, Commie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Teri Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keybank National Association Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Nutritious Lifestyles, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Plante & Moran Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Stanley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Realty - Gonzales, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Strategies - Go LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trident Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Touchstone Communities — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Gonzales.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir At Gonzales Gonzales | 0.6 mi | 2026-06-16 | 0300 |
| Diversicare Of Luling Luling | 15.0 mi | 2025-05-08 | 0130 |
| Avir at Magnolia Luling | 16.9 mi | 2025-11-05 | 0217 |
| Avir at Luling Luling | 17.1 mi | 2026-02-04 | 0323 |
| Shiner Nursing and Rehabilitation Center Shiner | 18.0 mi | 2026-03-20 | 0290 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |