The Heights of League City
League City, Texas · CCN 676153
43 surveys since 2010, 10 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 143
- Surveys
- 43
- Harm or worse
- 10
- Immediate jeopardy
- 8
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 194
- Ownership
- Government - Hospital district
- Chain
- TOUCHSTONE COMMUNITIES
- County
- Galveston
- Medicare-certified since
- 2007
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 70 government-run facilities with 128 or more beds in Texas.
Last survey on record
Jul 23, 2026
109 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.38 | 3.23 |
| Registered-nurse hours per resident day | 0.29 | — |
| Annual nurse turnover | 69.7% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $129,645 across 5 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J517.2% | K310.3% | L— |
| Actual harm | G13.4% | H— | I— |
| No harm, potential for more than minimal | D1551.7% | E413.8% | F— |
| No harm, potential for minimal | A— | B— | C13.4% |
Most frequently cited here
In CMS’s current monthly file.
- F5803×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6402×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F6442×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at The Heights of League City, in the surveyor’s own words.
- Immediate jeopardy, patternF580Jan 13, 2025
Based on interviews, and record review the facility failed to immediately consult with the resident's physician when there is a significant change in the resident's physical status for 1 of 4 residents (CR #1) reviewed for notification of changes. The facility failed to ensure CR #1's physician was consulted when he was short of breath while receiving oxygen treatment. This failure could place residents at risk of respiratory distress or significant decline in physical or mental functioning. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 7:11 p.m. […]
- Immediate jeopardy, patternF695Jan 13, 2025
Based on interviews, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 1 of 4 residents (CR #1) reviewed for respiratory therapy. The facility failed to ensure CR #1 was provided with repiratory services to meet his needs. CR #1 ambulated with a walker approximately 30 feet without oxygen, slid out of a shower chair onto the floor and became unresponsive and later died . The facility failed to ensure CR #1 who was admitted with a verbal order for oxygen administration was documented, verified, and communicated to staff for proper implementation. This failure could place residents at risk of respiratory distress or dependency. […]
- Immediate jeopardy, patternF755May 30, 2024
Based on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for one resident (CR #1) of five residents (CR #1) reviewed for pharmacy services. 1. The facility failed to ensure CR #1's discharge orders from a transferring hospital were transcribed to the facility orders. 2. The facility failed to ensure CR #1's two anti-rejection medications were obtained by the facility. 3. The facility failed to ensure CR #1 received daily anti-rejection medications as ordered by the hospital from 04/09/24 to 05/23/24, when she was re-hospitalized and admitted to the ICU. 4. […]
- Immediate jeopardy, isolatedF580Mar 19, 2026
Based on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (CR #1) of 4 residents reviewed for notification of changes. 1. On [DATE], LVN B and LVN C failed to notify the physician when CR#1 had a significant change in condition where he refused all meals, had increased drowsiness, and had hypotensive BP readings of 89/59 at 2:31 p.m. and 86/57 at 7:08 p.m. 2. On [DATE], CR#1 was sent to the hospital due to unresponsiveness and was placed in ICU. […]
- Immediate jeopardy, isolatedF684Mar 19, 2026
Based on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (CR#1) of 4 residents reviewed for quality care. 1. MA B and CNA B failed to notify LVN B and LVN C on [DATE] when CR#1 refused all meals, had increased drowsiness, and had hypotensive BP readings of 89/59 at 2:31 p.m. and 86/57 at 7:08 p.m. In result, LVN's failed to seek medical guidance from CR #1's physician related to the change in condition until 8:30 am on [DATE] when he became unresponsive and was sent out via EMT.2. […]
Read 23 findings in full →The most serious and the most recent: 23 of 143 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 18, 2026Complaint1 finding
- Jul 23, 2026Complaint1 finding
- Apr 24, 2026Complaint1 finding
- Mar 19, 2026Complaint2 findings · 2 harm
- Dec 19, 2025Complaint1 finding
- Jul 10, 2025Complaint1 finding · 1 harm
- Mar 7, 2025Complaint1 finding · 1 harm
- Jan 13, 2025Complaint4 findings · 3 harm
Show the 35 earlier surveys
- Aug 21, 2024Standard and complaint8 findings
- May 30, 2024Complaint1 finding · 1 harm
- May 9, 2024Complaint1 finding
- Sep 5, 2023Complaint3 findings · 1 harm
- May 25, 2023Standard and complaint5 findings
- Feb 10, 2023Complaint1 finding
- Oct 27, 2022Complaint1 finding
- Jun 8, 2022Complaint2 findings
- Mar 25, 2022Standard5 findings
- Jan 12, 2022Complaint1 finding
- Feb 12, 2021Standard and complaint15 findings
- Jul 14, 2020Infection control1 finding
- Jun 17, 2020Complaint1 finding
- May 31, 2019Standard and complaint3 findings
- May 25, 2018Standard1 finding
- Nov 30, 2017Complaint2 findings
- Jul 13, 2017Standard3 findings
- Aug 11, 2016Standard2 findings
- Jan 12, 2016Complaint3 findings
- Oct 20, 2015Complaint1 finding
- Aug 6, 2015Standard1 finding
- Apr 1, 2015Complaint2 findings
- Feb 26, 2015Complaint2 findings
- Sep 19, 2014Complaint5 findings
- Aug 22, 2014Standard and complaint6 findings
- Jul 3, 2014Complaint3 findings
- Sep 28, 2013—9 findings
- Jun 4, 2013—6 findings
- Sep 20, 2012—9 findings
- May 23, 2012—4 findings
- Jan 24, 2012—2 findings
- Sep 16, 2011—19 findings
- Mar 11, 2011—1 finding · 1 harm
- Nov 16, 2010—1 finding
- Sep 14, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- Park Bend Rehabilitation and Healthcare CenterBurleson9 harm findings
- Cherokee Trails Nursing HomeRusk7 harm findings
- Buena Vida Nursing and Rehab-San AntonioSan Antonio7 harm findings
- Focused Care of WaxahachieWaxahachie7 harm findings
- Kingwood Rehabilitation and Healthcare CenterKingwood9 harm findings
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