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Nursing home report

THE HEIGHTS OF TOMBALL

TOMBALL, TX · Medicare-certified · 131 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
4 of 5 overall

The Heights of Tomball has a 4-star overall rating, with strong quality measures and health inspection scores but a very low 1-star staffing rating and nurse staffing below the federal benchmark (3.05 vs. 4.1 hours per resident per day). It also had $21,908 in fines in the last 24 months and a recent federal penalty, with recent inspection citations for accident hazards/supervision, pressure ulcer care, and timely assessment data transmission.

Facility ratings

Health inspections

Staffing

3.0475 hrs/resident/day

Quality measures

Last inspection: May 12, 2025Penalties, last 24 months: $21,908recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0475.

Staffing detail

Registered nurses
0.28
Licensed practical nurses
0.73
Nurse aides
2.03
Weekend nursing
2.76

Hours per resident per day.

Total staff turnover: 50%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

8.2%8.7%No change

Residents with a fall causing major injury

5.6%2.2%Improving

Residents with pressure ulcers (bedsores)

1.9%0.9%Improving

Residents with a urinary tract infection

1.1%0%Improving

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.4%8.3%Worsening

Residents whose ability to walk got worse

4.2%8.8%Worsening

Long-stay residents on antianxiety or sleep medication

4.9%8.8%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

19.6%6%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%98.9%Worsening

Short-stay residents given the seasonal flu vaccine

—94.6%—

Short-stay residents given the pneumonia vaccine

98.2%99.5%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited March 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 640 — 42 CFR §483.20 — S/S: D

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited March 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: D

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited January 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $8,281 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $13,627 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $21,908 in total fines.

  • Federal fine

    May 12, 2025

    $8,281
  • Federal fine

    Dec 3, 2024

    $13,627

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of TOUCHSTONE COMMUNITIES · 25 homes · 2.9 stars avg
Occupancy
120.5 residents on an average day (92% of 131 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 12 years

The most recent standard health inspection was more than two years ago.

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.