CCN 676181 · Atascosa County, Texas
The Heights of Atascosa
1855 W Goodwin, Pleasanton, TX 78064
The Heights of Atascosa is a 100-bed government-owned nursing home in Pleasanton, Texas, first certified for Medicare or Medicaid in 2008. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 85.2 residents a day, about 85% of its certified beds. It has an active FHA-insured Section 232 loan: $6.2 million originally, at 4.02%, with $4.9 million outstanding as of September 30, 2026 and maturity in June 2049.
Facility facts
- Certified beds
- 100
- Average residents per day
- 85.2 (85.2% of beds)
- Ownership type
- Government - Hospital district
- Certification
- Medicare and Medicaid
- Legal business name
- Bexar County Hospital District
- Certified since
- May 16, 2008
- Chain or affiliated group
- Touchstone Communities (25 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.42 | 3.27 | 3.68 |
| RN hours per resident per day | 0.28 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.88 | ||
| Nursing staff turnover | 41.2% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 85.2% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Jul 1, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Heights of Atascosa meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bexar County Hospital DistrictOrganization | Direct Ownership Interest | 100% | 02/28/2015 |
| Lument Real Estate Capital LLCOrganization | Mortgage Interest | n/a | 05/05/2014 |
| Touchstone Strategies - Pleasanton LLCOrganization | Operational / Managerial Control | n/a | 03/01/2016 |
| Campbell, LeslieIndividual | Operational / Managerial Control | n/a | 04/01/2020 |
| Castillo, LynneaIndividual | Operational / Managerial Control | n/a | 02/28/2015 |
| Clayton, JonathonIndividual | Operational / Managerial Control | n/a | 05/01/2023 |
| Duenes, MariaIndividual | Operational / Managerial Control | n/a | 08/17/2020 |
| Morris, NicoleIndividual | Operational / Managerial Control | n/a | 10/01/2025 |
| Sehlke, BryonIndividual | Operational / Managerial Control | n/a | 12/16/2016 |
| Zertuche, BenjaminIndividual | Operational / Managerial Control | n/a | 12/01/2014 |
| Zurovec, DarrellIndividual | Operational / Managerial Control | n/a | 08/01/2017 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Lument Real Estate Capital LLC.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 5, 2014 | 223(f) refinance or purchaseHUD project name: The Heights of Atascosa, 100 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $6,223,300 | Active: 4.02%, $4,937,837 balanceMatures Jun 1, 2049. Servicer: Lument Real Estate Capital | 11522284 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.