Nursing homeActive
The Heights of League City
2620 West Walker Street, League City, TX 775732813095400194 certified beds · 123 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
12
since 2023
Deficiencies
28
● 1● 18● 9
Penalties · 3 yrs
$144,668
6 fines
Last survey
2026-04-24
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-19 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2025-12-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-17 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2025-07-10 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-07 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-13 | Complaint | 013 | CMS-2567 (Care Compare) | — |
| 2024-08-21 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-05 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-05-25 | Standard | 140 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 676153-20260424-F697
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-03-20Record 676153-20260319-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-03-20Record 676153-20260319-F684
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-20Record 676153-20251219-F908
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-10Record 676153-20250710-F689
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-03-08Record 676153-20250307-F678
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-01-18Record 676153-20250113-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-01-18Record 676153-20250113-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-01-18Record 676153-20250113-F695
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-18Record 676153-20250113-F808
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F640
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F656
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 676153-20240821-F880
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-06-21Record 676153-20240530-F755
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-31Record 676153-20240509-F644
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-28Record 676153-20230905-F689
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 676153-20230905-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 676153-20230905-F684
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-01Record 676153-20230525-F638
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-01Record 676153-20230525-F640
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-01Record 676153-20230525-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-01Record 676153-20230525-F656
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2023-07-01Record 676153-20230525-F814
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-19 | Civil money penalty | $21,610 | CMS · Penalties |
| 2025-07-10 | Civil money penalty | $17,345 | CMS · Penalties |
| 2025-03-07 | Civil money penalty | $24,622 | CMS · Penalties |
| 2025-01-13 | Civil money penalty | $18,353 | CMS · Penalties |
| 2024-05-30 | Civil money penalty | $55,278 | CMS · Penalties |
| 2023-09-05 | Civil money penalty | $7,460 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.29
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.38
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.08
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover70%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover83%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.9% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.2% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.8% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.1% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Boening, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Coleman, Juanita Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gordy, Otis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Touchstone Strategies - League City LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aegis Therapies, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alamo Advisors LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Apolinar, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Armstrong, Robin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boening, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Carvajal Pharmacy Ltc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coleman, Juanita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum 2023 Descendants Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Ernest Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Kelly Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Frost Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Gordy, Otis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jan Studer 2023 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelly Fellbaum 2023 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Plante & Moran Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Rena Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer 2023 Descendants Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Laura Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Studer, Stanley Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Bryon And Rena Sehlke Living Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Realty - League City LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Strategies - League City LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trident Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Touchstone Communities — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Galveston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Baywind Village Skilled Nursing & Rehab League City | 3.0 mi | 2026-05-22 | 091 |
| Mrc The Crossings League City | 3.2 mi | 2026-03-13 | 050 |
| Regency Village Webster | 4.0 mi | 2026-01-15 | 0155 |
| Focused Care at Webster Webster | 4.9 mi | 2026-06-05 | 0215 |
| Ignite Medical Resort Webster, LLC Webster | 5.9 mi | 2026-04-24 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |