The Heights of League City has a 1-out-of-5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. Reported nurse staffing is 3.56 hours per resident per day, below the 4.1-hour federal benchmark, and the facility has had $134,458 in fines in the last 24 months plus a recent federal penalty.
Last inspection: March 19, 2026Penalties, last 24 months: $134,458recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5621.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
0.88
Nurse aides
2.38
Weekend nursing
3.19
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 89%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.7%Worsening
Residents with a fall causing major injury
1.2%Steady
Residents with pressure ulcers (bedsores)
6%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
1.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.8%Improving
Residents whose ability to walk got worse
10.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.5%Improving
Short-stay residents newly given an antipsychotic
0.7%Worsening
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
9.6%Improving
Residents with depressive symptoms
0.2%Worsening
Long-stay residents given the seasonal flu vaccine
85%Steady
Long-stay residents given the pneumonia vaccine
64.6%Improving
Short-stay residents given the seasonal flu vaccine
42.7%Steady
Short-stay residents given the pneumonia vaccine
56.8%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited January 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: K
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $18,860 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $17,345 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $24,622 was recorded.
PENALTY
A federal fine of $18,353 was recorded.
PENALTY
A federal fine of $55,278 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $141,918 in total fines.
Federal fine
Mar 19, 2026
$18,860
Federal fine
Jul 10, 2025
$17,345
Federal fine
Mar 7, 2025
$24,622
Federal fine
Jan 13, 2025
$18,353
Federal fine
May 30, 2024
$55,278
Federal fine
Sep 5, 2023
$7,460
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.7 stars avg
Occupancy
123.9 residents on an average day (64% of 194 beds)
Resident voice
Resident council
Medicare history
Certified for 18 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.