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The Heights of Bulverde

384 Harmony Hills, Spring Branch, Texas 78070

Overview

The Heights of Bulverde has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It is the only Medicare-rated nursing home in Spring Branch. Its strongest area is quality of care (3 of 5), and its weakest is staffing (1 of 5).

Residents receive about 3.2 hours of nursing care per day, fewer than at 60% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.5 hours come from registered nurses.

Its most recent standard inspection, on August 14, 2026, found 12 health deficiencies, more than the Texas average of 9.6. 8 of them came from complaint investigations. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.

The Heights of Bulverde is a government-run facility with 124 certified beds, caring for about 100 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2017. It is located inside a hospital.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

Within 100 miles177th of 206 facilities

Top 86%

In Texas1010th of 1,166 facilities

Top 87%

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Inspections and penalties

Most recent standard inspection
August 14, 2026
Health deficiencies cited
12
Complaint-related deficiencies
8
Fines in the last 3 years
0
Payment denials
0
Total penalties
0

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.21 hrs
  • Registered nurses (RN)0.46 hrs
  • Licensed practical nurses (LPN)0.90 hrs
  • Nurse aides1.84 hrs
  • Physical therapists0.00 hrs

Facility details

Ownership
Government - Hospital district
Certified beds
124
Average residents per day
100
Participates in
Medicare and Medicaid
Medicare/Medicaid since
March 15, 2017
Inside a hospital
Yes
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes