The Heights of Bulverde
384 Harmony Hills, Spring Branch, TX 78070 · (830) 438-1276
For profit - Corporation · 124 certified beds
The Heights of Bulverde has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 8 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 25, 2025 found 8 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 25, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.June 25, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.June 25, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 25, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.June 25, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.June 25, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 25, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 25, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 25 citations.
- Ensure 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.April 1, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.January 13, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).December 10, 2025 · F0603 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 10, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.December 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.December 9, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 9, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 9, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.April 24, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 24, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 19, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 21, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 21, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide and implement an infection prevention and control program.March 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 22, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 22, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.May 5, 2024 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 5, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 5, 2024 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 5, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.May 5, 2024 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.May 5, 2024 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 21, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.13 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.52 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | 0.86 |
| Nurse aides | 1.74 | 2.01 | 2.32 |
| Total nursing staff turnover | 55.9% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 124 |
| Average residents per day | 97.3 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Eden Home New Braunfels · ★★★★★ 3 out of 5 stars
- Legend Oaks Healthcare and Rehabilitation - New Br New Braunfels · ★★★★★ 3 out of 5 stars
- Cedar Creek Nursing and Rehabilitation Center Bandera · ★★★★★ 2 out of 5 stars
- Avir at Bandera Bandera · ★★★★★ 1 out of 5 stars
- Kendall House Wellness & Rehabilitation Boerne · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Heights of Bulverde on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.