The Heights of League CityCMS ratings, inspections and fines
- Address
- 2620 West Walker Street, League City, TX 77573
- CCN
- 676153
- Ownership type
- Government, hospital district
- Certified beds
- 194
- Residents per day
- 123
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Heights of League City an overall rating of 1 of 5 stars. The last standard survey was on 17 Sep 2025. The latest survey cycle has 4 health citations. The median for nursing homes in Texas is 8. CMS lists 6 fines with a total of $144,668 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Galveston County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 12 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Sep 2025 | 4 | 8 |
| Cycle 2 | 21 Aug 2024 | 14 | 8 |
| Cycle 3 | No date | 10 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 15 May 2026 |
| 19 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 20 Mar 2026 |
| 19 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 20 Mar 2026 |
| 19 Dec 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 20 Dec 2025 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Jul 2025 |
| 7 Mar 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 8 Mar 2025 |
| 13 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 18 Jan 2025 |
| 13 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Jan 2025 |
| 13 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | K | Complaint investigation | 18 Jan 2025 |
| 13 Jan 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 18 Jan 2025 |
| 21 Aug 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 15 Sep 2024 |
| 21 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 15 Sep 2024 |
| 21 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 15 Sep 2024 |
| 21 Aug 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 15 Sep 2024 |
| 21 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Sep 2024 |
| 21 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 15 Sep 2024 |
| 21 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 15 Sep 2024 |
| 21 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Sep 2024 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint investigation | 21 Jun 2024 |
| 9 May 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 31 May 2024 |
| 5 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Sep 2023 |
| 5 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Sep 2023 |
| 5 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Sep 2023 |
| 25 May 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 1 Jul 2023 |
| 25 May 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 1 Jul 2023 |
| 25 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 1 Jul 2023 |
| 25 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Jul 2023 |
| 25 May 2023 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 1 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Mar 2026 | Fine | $21,610 | |
| 10 Jul 2025 | Fine | $17,345 | |
| 7 Mar 2025 | Fine | $24,622 | |
| 13 Jan 2025 | Fine | $18,353 | |
| 30 May 2024 | Fine | $55,278 | |
| 5 Sep 2023 | Fine | $7,460 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.38 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.29 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.80 | 0.95 | |
| Nurse aides | 2.29 | 2.00 | |
| All nurse staff, weekends | 3.08 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 69.7%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 83.3%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.9% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Setting
- In a hospital
- Legal business name
- Uvalde County Hospital Authority
- Chain
- Touchstone Communities (25 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frost Bank | 5% or greater security interest | 17 Sep 2024 | |
| Touchstone Strategies - League City LLC | Operational/managerial control | 17 Sep 2024 | |
| Aegis Therapies, Inc. | Adp of the snf | 17 Sep 2024 | |
| Alamo Advisors LP | Adp of the snf | 17 Sep 2024 | |
| Carvajal Pharmacy LTC | Adp of the snf | 17 Sep 2024 | |
| Touchstone Communities Inc | Adp of the snf | 17 Sep 2024 | |
| Touchstone Realty - League City LLC | Adp of the snf | 17 Sep 2024 | |
| Touchstone Strategies - League City LLC | Adp of the snf | 14 Apr 2026 | |
| Trident Health Services Inc | Adp of the snf | 17 Sep 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Galveston County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Baywind Village Skilled Nursing & Rehab | League City | 5 of 5 | 4 | $8,278 | 7 May 2025 | |
| MRC the Crossings | League City | 5 of 5 | 4 | $0 | 13 Mar 2026 | |
| Friendship Haven Healthcare and Rehabilitation Cen | Friendswood | 4 of 5 | 4 | $8,018 | 20 Feb 2026 | |
| The Lakes at Texas City | Texas City | 2 of 5 | 9 | $8,410 | 4 Dec 2025 | |
| Bayou Pines Care Center | La Marque | 2 of 5 | 8 | $14,069 | 1 Aug 2025 | |
| Seabreeze Nursing and Rehabilitation | Texas City | 1 of 5 | 6 | $146,420 | 8 Jan 2026 | |
| The Shoal | Texas City | 5 of 5 | 2 | $0 | 11 Jun 2026 | |
| Harbor Point Skilled Nursing | Texas City | 4 of 5 | 4 | $0 | 17 Apr 2026 | |
| The Phoenix Post-Acute | Texas City | 3 of 5 | 1 | $90,049 | 14 May 2026 | |
| Galveston Nursing and Rehabilitation CenterSpecial Focus candidate | Galveston | 1 of 5 | 17 | $272,498 | 29 May 2025 | |
| The Meridian | Galveston | 3 of 5 | 6 | $0 | 30 Oct 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Heights of League City (CCN 676153). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-heights-of-league-city-league-city-tx-676153/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Heights of League City last inspected?
- The latest inspection with a citation in the CMS record was on 24 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 21 Aug 2024.
- Who operates The Heights of League City?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Touchstone Communities. The CMS ownership file names Touchstone Strategies - League City LLC for operational or managerial control. This site does not show the names of persons.
- Is The Heights of League City a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.