The Heights of Bulverde
384 HARMONY HILLS, Spring Branch, TX 78070
Spring Branch, Texas · CMS verdict
On the federal five-star scale, The Heights of Bulverde carries a 1 of 5 CMS overall rating, below-average quality that runs below Texas's state average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Heights of Bulverde in Spring Branch, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 30 of 100 (grade F). The 124-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 30 is built
Each segment is a dimension's weighted points toward the score, summing to 30.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
The Heights of Bulverde holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Spring Branch, Texas, this facility operates 124 certified beds with an average daily census of roughly 104 residents - an occupancy rate of about 84%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 84%, bed usage here sits in the range typical of a stabilized facility.
Same-ownership peers
Within Texas, The Heights of Bulverde is one of 413 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (45 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How The Heights of Bulverde compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where The Heights of Bulverde ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, The Heights of Bulverde’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 124 |
| Residents | 104 |
| Ownership | For profit - Corporation |
| County | Comal |
| Penalties | 0 |
| Deficiencies | 45 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Heights of Bulverde? ▾
CMS rates The Heights of Bulverde at 1 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 1/5, quality measures 4/5.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does The Heights of Bulverde offer? ▾
With 124 beds with approximately 104 current residents, The Heights of Bulverde is a skilled nursing facility. It operates under for profit - corporation ownership, and CMS's inspection record shows 45 deficiencies and 0 penalties.
Does The Heights of Bulverde have any deficiencies or penalties? ▾
The Heights of Bulverde has multiple deficiencies (45 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 676418.
Read our methodology - how this data is sourced, computed, and verified.