CCN 676418 · Comal County, Texas
The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070
The Heights of Bulverde is a 124-bed for-profit nursing home in Spring Branch, Texas, first certified for Medicare or Medicaid in 2017. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 97.3 residents a day, about 79% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 124
- Average residents per day
- 97.3 (78.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Uvalde County Hospital Authority
- Certified since
- Mar 15, 2017
- Chain or affiliated group
- Touchstone Communities (25 facilities, chain average 2.9 stars)
- Location
- Urban, inside a hospital
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 | 2 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.13 | 3.27 | 3.68 |
| RN hours per resident per day | 0.52 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.61 | ||
| Nursing staff turnover | 55.9% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 78.5% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 16 (Jun 25, 2025) | ||
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 Bulverde meets that part today: 2 stars overall, 2 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 |
|---|---|---|---|
| Frost BankOrganization | Security Interest | n/a | 05/23/2024 |
| Touchstone Strategies - Bulverde LLCOrganization | Operational / Managerial Control | n/a | 04/01/2019 |
| Campbell, LeslieIndividual | Operational / Managerial Control | n/a | 04/01/2020 |
| Castillo, LynneaIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Clayton, JonathonIndividual | Operational / Managerial Control | n/a | 05/01/2023 |
| Dentino, AndrewIndividual | Operational / Managerial Control | n/a | 10/01/2025 |
| Hackett, EdwardIndividual | Operational / Managerial Control | n/a | 09/01/2025 |
| Prado, AaronIndividual | Operational / Managerial Control | n/a | 03/28/2024 |
| Sehlke, BryonIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
| Zurovec, DarrellIndividual | Operational / Managerial Control | n/a | 04/01/2019 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2019 | Uvalde County Hospital Authority | Touchstone Strategies - Bulverde LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
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.