The Heights Of Atascosa
The Heights of Atascosa in PLEASANTON, TX — inspection on November 24, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
and off and would refer to her rapist [unknown male].
She revealed Resident #1 would say people were transforming into [unknown male].
She revealed there was no one with this name that came into the facility.
She revealed she reported this allegation to the DON and the DON told her to document everything in order to record Resident #1's delusions as Resident #1 had a history of delusion. LVN A further revealed if there was an allegation of abuse or neglect, she would report to ADM immediately.
She revealed she should have called the Administrator to report this allegation.
Interview on 10/16/25 at 10:01 AM, CNA B revealed Resident #1 had schizophrenia and would always mention she was raped.
She revealed Resident #1 would say all kinds of statements and she would make sure to report these allegations to her nurse who would report to DON.
She revealed there were no residents or staff members with this name.
Interview on 10/16/25 at 10:13 AM, CNA C revealed Resident #1 hallucinated and had schizophrenia.
She revealed she would say she was being raped in the facility. CNA C revealed she would report this allegation to her nurse.
She revealed the DON knew about these allegations and would speak with Resident #1.
Interview on 10/16/25 at 11:59 AM, LVN D revealed Resident #1 would have delusions at times but not every day.
She revealed Resident #1 would say she had a rapist in the past and her roommate would change gender and become her rapist.
She reported this to the DON about behaviors and delusions.
Interview on 10/16/25 at 12:08 PM, LVN E revealed Resident #1 did make allegations of abuse, but Resident #1 had this issue prior.
She revealed she reported this to her DON and the ADM immediately.
Interview on 10/16/25 at 12:42PM, the DON and current ADM revealed they were aware of these allegations, but Resident #1 had these delusions due to her diagnoses to include schizophrenia, personality disorder, and bipolar disorder.
They revealed the allegations were unsubstantiated because Resident #1 would make claims like her roommate transformed into her rapist, so they switched Resident #1's room and then she was fine.
The DON revealed Resident #1 would also say [unknown male] was a rapist from another facility.
The DON revealed this was not reported to state because it was a part of delusions and there were no concerns Resident #1 was being raped in the facility.
The DON revealed there was no one with this name in the facility.
The DON was also at another facility with this resident and Resident #1 made these allegations and it was not reported at the other facility when this happened.
Interview on 10/16/25 at 01:09 PM, the current ADM revealed she was not at this facility when Resident #1 was a resident.
She revealed she spoke with the DON and the facility had done an investigation where the facility found these allegations were hallucinations.
She revealed if she had completed an internal investigation and found the allegations were hallucinations the harm was not present so she would not report this to the state.
Interview on 10/16/25 at 01:16PM, the former ADM revealed Resident #1 would make some comments about someone transforming into different, not realistic things so they deemed these comments as hallucinations.
She revealed there were no team members, health care providers, or vendors named [unknown male].
She revealed they did not report to the state because it was not suspicious and it was not a realistic allegation based on her comments.
Record review of facility's policy Abuse Guidance: Preventing, Identifying, and Reporting, dated February 2017, reflected Report alleged or suspicions of abuse to [Health and Human Services Commission] by email reporting or via TULIP reporting within designated time frames in accordance with HHSC's PL 19-17.
Are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury.
Facility ID: