The Heights of League City

2620 W Walker · League City, TX · 77573 · 2813095400

194 certified beds Government - Hospital district Chain: Touchstone Communities Hospital-based

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $79,180 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$79,180 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 4
Staffing 20% 53
Federal penalties 15% 5
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day3.19≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)6 · $141,918

Inspection citations (28 in the current record)

  • Potential for harm · D April 24, 2026 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Immediate jeopardy · J March 19, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 20, 2026 · Resident Rights

  • Immediate jeopardy · J March 19, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D December 19, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected December 20, 2025 · Environmental

  • Immediate jeopardy · J July 10, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 10, 2025 · Quality of Life and Care

  • Immediate jeopardy · J March 7, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected March 8, 2025 · Quality of Life and Care

  • Immediate jeopardy · K January 13, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 18, 2025 · Resident Rights

  • Immediate jeopardy · J January 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 18, 2025 · Quality of Life and Care

  • Immediate jeopardy · K January 13, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 18, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025 · found via complaint

    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.

    Corrected January 18, 2025 · Nutrition and Dietary

  • Potential for harm · D August 21, 2024

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 21, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 15, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 15, 2024 · Infection Control

  • Potential for harm · E August 21, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2024 · found via complaint

    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.

    Corrected September 15, 2024 · Quality of Life and Care

  • Potential for harm · E August 21, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 15, 2024 · Pharmacy Service

  • Potential for harm · D August 21, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 15, 2024 · Pharmacy Service

  • Immediate jeopardy · K May 30, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 21, 2024 · Pharmacy Service

  • Potential for harm · D May 9, 2024 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 31, 2024 · Resident Assessment and Care Planning

  • Actual harm · G September 5, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 28, 2023 · Quality of Life and Care

  • Potential for harm · D September 5, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 28, 2023 · Resident Rights

  • Potential for harm · D September 5, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 28, 2023 · Quality of Life and Care

  • Potential for harm · E May 25, 2023

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected July 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 25, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 1, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 19, 2026Fine$18,860
July 10, 2025Fine$17,345
March 7, 2025Fine$24,622
January 13, 2025Fine$18,353
May 30, 2024Fine$55,278
September 5, 2023Fine$7,460

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676153 · certified since September 12, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.