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Bexar County Hospital District: Nursing Home Ownership, Facilities & Performance
Bexar County Hospital District is an operating family resolved from federal CMS ownership and enrollment records. It controls 4 Medicare-certified facilities in WhoOwnsCare's covered states (Texas): 4 skilled nursing facilities. CMS lists its facilities under the affiliation entity TOUCHSTONE COMMUNITIES. It also files as Touchstone Strategies in CMS records.
Also Known As
Bexar County Hospital District does not file under one name. These names appear on the legal entities inside this family in CMS ownership records, which is why a search for them belongs here:
- Touchstone Strategies — 4 legal entities in this family file under this name in CMS ownership records.
Names are taken from the legal entities attributed to this family, not from branding. A shared word does not imply a relationship; where another resolved family uses the same leading word it is named above.
Portfolio Overview
States of Operation
| State | Facilities | Beds | Share of state market | State page |
|---|---|---|---|---|
| Texas | 4 | 463 | 0.1% | Bexar County Hospital District in Texas |
Ownership Structure
| Operating family | Bexar County Hospital District |
|---|---|
| Resolution basis | federal CMS ownership and enrollment records; grouping is WhoOwnsCare analysis, not a CMS designation |
| CMS affiliation entity | TOUCHSTONE COMMUNITIES (4 facilities) (CMS evidence; does not define the family) |
| Legal corporate parent | none on file from the SEC/IRS evidence currently integrated |
| Recorded lender / security relationships | 4 across the portfolio (lenders are never treated as operators; names in the full report) |
| Property ownership | not derivable from the public sources currently integrated |
CMS records 5 separate legal entities for this family. 5 related legal entities identified. 5 shown publicly.
- BEXAR COUNTY HOSPITAL DISTRICT
- TOUCHSTONE STRATEGIES - HB, LLC
- TOUCHSTONE STRATEGIES - LAVERNIA LLC
- TOUCHSTONE STRATEGIES - PLEASANTON LLC
- TOUCHSTONE STRATEGIES STONE OAK LLC
Operating family, CMS affiliation and legal parent are separate relationships and are never merged. A lender, trustee or property owner is never the operator.
Financial Reporting Coverage
HCRIS cost-report metrics are available for 100% of eligible facilities (4 of 4), using each facility's latest FY2024 or FY2025 period attributed to the current operator. Among reporting facilities, 100% reported a positive net result; the median facility result is positive. 100% coverage (High)
Facts: exact reporting periods, never annualised; straddling and unresolved periods excluded and counted (0 straddling, 0 unresolved). Limitation: partial-portfolio figures are not a corporate financial statement.
Performance Snapshot
| Occupancy data coverage | 100% of facilities |
|---|---|
| CMS star-rating coverage | 100% of facilities |
| Staffing (PBJ) coverage | 100% of facilities |
| Health deficiency data coverage | 100% of facilities |
Facility-level occupancy, star ratings, nurse hours, deficiencies and penalties are in the full report. Public values here are coverage only.
Distress 2.0 Distribution
4 facilities are scored on WhoOwnsCare's Distress 2.0 methodology; none score in the high or severe band.
Interpretation: bands summarise financial, occupancy, staffing, deficiency, penalty and reporting-instability signals. Facilities with fewer than two of three core signals are shown as insufficient data rather than scored. The full band breakdown, the specific facilities and the drivers behind each score are in the full report.
Ownership Activity
| Recorded ownership-change events touching the portfolio (all time) | 1 |
|---|---|
| Recent trend (36 months) | stable, with no net change (exact counts by window are in the full report) |
Basis: recorded CMS changes of ownership for skilled nursing facilities through 2026-07-17. Home health and hospice have no public CHOW dataset. Openings, closures and rebrands cannot be derived from this source. Family-resolution changes are never counted as transactions.
Which Facilities Does Bexar County Hospital District Operate?
| Facility | City | State | Type |
|---|---|---|---|
| Country Care Manor | La Vernia | Texas | Skilled Nursing Facility |
| Stone Oak Care Center | San Antonio | Texas | Skilled Nursing Facility |
| The Heights of Atascosa | Pleasanton | Texas | Skilled Nursing Facility |
| The Heights on Huebner | San Antonio | Texas | Skilled Nursing Facility |
4 facilities identified. 4 shown publicly.
Bexar County Hospital District by State
Common Questions About Bexar County Hospital District
How Many Facilities Does Bexar County Hospital District Operate?
WhoOwnsCare resolves Bexar County Hospital District to 4 Medicare-certified facilities in its covered states (Texas): 4 skilled nursing facilities.
Which States Does Bexar County Hospital District Operate In?
Texas (4). Counts are facilities resolved to this corporate family in WhoOwnsCare's seven covered states, not a national total.
Has Bexar County Hospital District Acquired Facilities Recently?
No recorded CMS change of ownership involving this family is on file in the 36 months to 2026-07-17; home health and hospice transfers are not covered by the public CHOW dataset.
Who Is the Legal Parent of Bexar County Hospital District?
No legal corporate parent is on file from the SEC and IRS evidence currently integrated. The operating family is resolved from CMS records and is not a statement about legal ownership.
Methodology
Facilities are grouped into an operating family only when multiple structural signals in federal CMS filings independently support the grouping. CMS affiliation entities and SEC-filed legal parents are recorded as separate relationships. Financial figures use exact HCRIS reporting periods attributed to the operator in control at the time. Ownership activity counts recorded CMS changes of ownership only. Read the full methodology.
Bexar County Hospital District: Corporate Family Intelligence Report
| Section | Rows | Preview |
|---|---|---|
| Complete facility portfolio (address, CCN, care setting) | all | |
| Ownership percentage and association date per facility | all | ••••% |
| Related legal entities with evidence and confidence | 5 | |
| Change-of-ownership history (acquisitions and divestitures) | all | |
| Facility-level financial and staffing measures | all | |
| Distress exposure across the portfolio | all |
The public profile shows a limited preview where records are available. The licensed package provides the complete covered roster and supporting files in HTML, JSON and CSV formats. Fields unavailable from the integrated authoritative sources remain labelled unavailable.
Ownership is reported to CMS by the enrolling provider. Entities are grouped into a corporate family where their facility portfolios overlap; this is our analysis, not a CMS designation, and it is described in full on the methodology page. A private-equity or REIT tag reflects a box the filer ticked on their own enrolment form.