What Touchstone Communities does

Touchstone Communities is a Texas-based, privately-held skilled nursing and senior care provider headquartered in San Antonio at 250 W. Nottingham, Ste. 200. Founded by Stan Studer Jr. in 1991 as Care Inn Properties Inc. (with first acquisition Brenham Rest Home) and rebranded in 1994, the company operates 36 properties across Texas staffed by approximately 3,000 team members under the leadership of CEO Carl Fellbaum (CEO since January 2017), President Bryon Sehlke, COO Leslie Cunningham Campbell, CFO Lynnea Castillo, and Chairman Stan Studer Jr. Its core service portfolio comprises skilled nursing, rehabilitation therapy (physical, occupational, and speech), 24/7 long-term care, Alzheimer's and dementia memory care, and respite/temporary stay services, delivered through directly operated skilled nursing facilities, the branded "Heights" sub-brand, and four Texas State Veterans Homes managed under state partnership.

Beyond its core SNF operations, Touchstone has expanded into specialized clinical offerings including in-house dialysis, pulmonary care, veteran-focused skilled care, and an on-site Concierge Medical Care ISNP. The company's go-to-market combines direct resident/family admissions via a 24/7 toll-free CareLine (877-995-0950), website-driven tour scheduling, and institutional channel partnerships — most notably an independent provider association with Longevity Health Plan and Humana covering 27 Texas communities to deliver Institutional Special Needs Plan benefits to Medicare Advantage members, plus a Touchstone Health joint venture with Heritage Management (Albuquerque) launched in October 2022 to provide home health and hospice services in San Antonio with CHAP-certified hospice. Revenue is generated primarily through Medicare and Medicaid reimbursement, value-based managed care contracts under the Longevity-Humana ISNP, and private pay for specialized services; pricing is not publicly disclosed.

Touchstone's technology stack is described as standard healthcare information systems for patient records and care management, with no proprietary AI/ML capabilities, no public API or SDK, and no disclosed data platform; technology differentiation is articulated through the proprietary "Touchstone Experience" service excellence framework (Purpose, Vision, Mission, TouchPOINTS, Be Attitudes). The company is HIPAA-compliant (Notice of Privacy Practices originally effective October 2023, updated February 2026). Recent operating activity signals an active M&A and de novo expansion program — including the acquisition of Azalea Heights in Tyler (Jan 2023), three Killeen-area properties (May 2024), and three Regent Care facilities in San Antonio, League City, and Laredo (September 2024), plus greenfield openings of Las Alturas in Brownsville (May 2024) and The Heights of Magnolia (June 2025).

Name

Touchstone Communities

Legal name

Touchstone Communities

Website

https://touchstone-communities.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Touchstone Communities is a Texas-based, privately-held skilled nursing and senior care provider operating 36 properties across the state, delivering post-acute, rehabilitation, long-term, memory, and veteran-focused care to senior citizens and recovering patients.

Ownership category

akta.pro rank

Product category

Skilled Nursing and Long-Term Care

NAICS

Nursing Care Facilities (Skilled Nursing Facilities) (62311), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Small Residential Care Homes (RCFE/Board & Care) (HLADABAF)

akta.pro secondary industries

Facility-Based Respite (Assisted Living/SNF/Memory Care Short Stays) (HLADAKAB), Dementia/Alzheimer’s Respite Care (Specialized) (HLADAKAG), Hospice & Palliative Care Care Coordination / Navigation (HLADAHAK)

Keywords

• Skilled nursing care
• Rehabilitation therapy
• Long-term care
• Memory care
• Senior living services

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices9 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Skilled Nursing and Rehabilitation Services: Revenue generated from providing short-term care, post-hospital recovery, skilled nursing, long-term care, rehabilitation therapy, and memory support services to residents and patients
2. Government Healthcare Programs: Revenue from Medicare, Medicaid, and other government healthcare programs for eligible senior care services
3. Managed Care Contracts: Value-based care partnerships with Medicare Advantage plans through Longevity Health Plan and Humana, serving Humana members in Texas skilled nursing facilities
4. Specialized Clinical Services: Additional revenue streams from specialized services including in-house dialysis, pulmonary care, memory care, and concierge medical care insurance options

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

Touchstone Communities operates skilled nursing, rehabilitation, and long-term care facilities across 36 properties in Texas, providing 24/7 clinical care, post-hospital recovery, memory care, respite care, and specialized clinical programs (in-house dialysis, pulmonary care, veteran-focused care, concierge medical care). The company also delivers home health and hospice services through the Touchstone Health joint venture and manages four Texas State Veterans Homes.

Product overview

Touchstone Communities is a Texas-based skilled nursing and senior care provider offering a comprehensive portfolio of healthcare services across 36 properties in Texas. The core service offerings include Skilled Nursing, Rehabilitation Services (Physical, Occupational, and Speech Therapy), Long-Term Care, Memory Care, and Temporary Stay/Respite Care. These core services are complemented by specialized care solutions including Lonestar Memory Care, Concierge Medical Care (ISNP), In-House Dialysis, Pulmonary Care, Veteran-Focused Skilled Care, and Short-Stay Recovery. The company also operates Touchstone Health as a home health and hospice partnership with Heritage Management, and manages four Texas State Veterans Homes. Services are delivered under branded community names (primarily the 'Heights' brand) across the state, unified by 'The Touchstone Experience' philosophy of care.

Differentiator

Problem solved

Functional benefit

Brands

• Heights: Premier skilled nursing brand under Touchstone Communities, including properties like The Heights of Magnolia, The Heights at Medical Center, The Heights of League City, and others.
• Touchstone Health

Products and services

• Skilled Nursing
• Rehabilitation Services
• Long-Term Care
• Memory Care
• Temporary Stay / Respite Care
• Lonestar Memory Care
• Concierge Medical Care
• In-House Dialysis
• Pulmonary Care
• Veteran-Focused Skilled Care
• Short-Stay Recovery
• Touchstone Health Home Health and Hospice
• Texas State Veterans Homes

Quantifiable outcome

• Top overall multi-community skilled nursing provider in Texas by CMS
• +2 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Four partnerships are on record, tiered core and minor.

• Longevity Health PlancoreStrategic or Co-development Partner · 26 October 2023Longevity Health Plan and Touchstone Communities formed an independent provider association to serve Humana Medicare members living in Texas starting in 2024. Longevity hires and manages specially trained care teams including nurse practitioners, physician assistants, medical directors, and pharmacy experts who work on-site in Touchstone communities. Longevity is the fastest-growing ISNP in the country and may be the second or third largest.
• HumanacoreStrategic or Co-development Partner · 26 October 2023Humana's Medicare Advantage plans partner with Touchstone Communities through Longevity Health Plan's ISNP to provide special needs health plan offerings for Medicare-eligible individuals in skilled nursing facilities. Humana serves 5 million people daily and covers more than 440,000 Medicare Advantage members in Texas. The partnership provides benefits including no copays for primary care and behavioral health visits, transportation, OTC benefits, and preventive coverage.
• AetnaminorStrategic or Co-development Partner · 26 October 2023Longevity Health Plan mentioned having a partnership with Aetna that is quite large in scope, already up and running in Pennsylvania with additional markets launching with both Aetna and Humana.
• Heritage ManagementcoreStrategic or Co-development Partner · 6 October 2022Touchstone Communities partnered with Heritage Management (Albuquerque, NM) to launch Touchstone Health, providing home health care and hospice services in San Antonio. Heritage Management brings 100+ years of healthcare innovation experience. The partnership offers a unique transitional care model allowing patients to be evaluated by nurses while still in hospital or skilled nursing facilities to plan their care transition.

Scale indicators10 records

Recent moves8 records

Expansion highlights3 records

Direct peers

• Genesis HealthCare: Genesis HealthCare is one of the largest U.S. skilled nursing operators, providing short-stay post-acute care, long-term care, and specialty services. While larger and more geographically diversified, Genesis is directly comparable to Touchstone in core service mix and payor profile.
• The Ensign Group: The Ensign Group is a leading publicly traded skilled nursing facility operator with a clustered-market growth model very similar to Touchstone's Texas-focused approach. Like Touchstone, Ensign combines SNF operations with skilled nursing, rehabilitation, and assisted living services across multiple state markets.
• National HealthCare Corporation: NHC is a long-established, publicly traded operator of skilled nursing facilities, assisted living, home care, and hospice across the Southeast and Midwest. Its integrated service model (SNF + rehab + home health) closely mirrors Touchstone's Touchstone Health extension of its SNF base.
• PACS Group: PACS Group is a rapidly growing skilled nursing operator that went public in 2024. Like Touchstone, PACS pursues a roll-up strategy of acquiring and operating SNFs in regional clusters, and similarly emphasizes operational turnaround and clinical quality as a growth driver.

Broad incumbents

• Brookdale Senior Living: Brookdale is the largest U.S. senior living operator, offering independent living, assisted living, and memory care. While primarily housing-focused rather than skilled nursing, Brookdale competes with Touchstone in the Texas senior care market for assisted living residents (e.g., Rosewood Villas) and memory care referrals.
• Encompass Health: Encompass Health is the largest U.S. operator of inpatient rehabilitation hospitals, with overlapping patient populations (post-stroke, post-surgical) and rehabilitation therapy capabilities. It competes with Touchstone for post-acute referrals but at a higher acuity tier in dedicated IRFs.

Emerging players

• The Pennant Group: Pennant Group operates home health, hospice, and senior living services with a clustered-market growth strategy modeled on Ensign's. Pennant's home health and hospice service lines are directly comparable to Touchstone's Touchstone Health partnership with Heritage Management.
• Addus HomeCare: Addus HomeCare provides personal care, home health, and hospice services with a focus on Medicaid and dual-eligible populations. Its personal care service line is comparable to Touchstone's non-skilled caregiver support offerings and overlaps in target patient populations.
• Enhabit: Enhabit is a home health and hospice provider that was spun off from Encompass Health in 2022. Enhabit competes directly with Touchstone Health in the Texas home health and hospice market, particularly in San Antonio.

Others

• Heritage Management (Heritage Provider Network): Heritage Management is Touchstone's actual joint venture partner in Touchstone Health, providing home health and hospice services in San Antonio. As a direct partner, it is included as an ecosystem participant that also reflects the type of home-health operator Touchstone competes and collaborates with in adjacent service lines.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/touchstonetexas
• Facebookfacebook.com/TouchstoneCommunities
• LinkedInlinkedin.com/company/touchstone-communities

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Touchstone Communities