The Heights Of League City
League City, Galveston County, Texas · CCN 676153 · Government (Hospital district) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)
CMS rates The Heights Of League City 1 of 5 overall as of August 2026. 194 certified beds, 123 residents a day on average. 28 citations on record from the current inspection cycles, 8 at immediate jeopardy; 6 fines totalling $144,668.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 5 / 1 of 5 |
Staffing
| Total nurse staffing | 3.38473 hours per resident per day |
|---|---|
| Registered nurses | 0.28767 hours per resident per day |
| Weekend total | 3.07848 hours per resident per day |
| Nursing staff turnover | 69.7% (registered nurses 83.3%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-24 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-03-19 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2026-03-19 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2025-12-19 complaint survey |
Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-20 |
| 2025-07-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-07-10 |
| 2025-03-07 complaint survey |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · tag F0678 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-03-08 |
| 2025-01-13 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-01-18 |
| 2025-01-13 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-01-18 |
| 2025-01-13 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-18 |
| 2025-01-13 complaint survey |
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. Nutrition and Dietary Deficiencies · tag F0808 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-18 |
| 2024-08-21 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 complaint survey |
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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 complaint survey |
Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-21 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-05-30 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-09 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-31 |
| 2023-09-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-09-05 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-09-05 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-05-25 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-01 |
| 2023-05-25 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-01 |
| 2023-05-25 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-01 |
| 2023-05-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-01 |
| 2023-05-25 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-07-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-19 | Fine | $21,610 |
| 2025-07-10 | Fine | $17,345 |
| 2025-03-07 | Fine | $24,622 |
| 2025-01-13 | Fine | $18,353 |
| 2024-05-30 | Fine | $55,278 |
| 2023-09-05 | Fine | $7,460 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Frost Bank Organization | 5% or greater security interest | — | 2024-09-17 |
| Aegis Therapies, Inc. Organization | adp of the snf | — | 2024-09-17 |
| Alamo Advisors Lp Organization | adp of the snf | — | 2024-09-17 |
| Carvajal Pharmacy Ltc Organization | adp of the snf | — | 2024-09-17 |
| Fellbaum 2023 Descendants Trust Organization | adp of the snf | — | 2024-09-17 |
| Jan Studer 2023 Spousal Trust Organization | adp of the snf | — | 2024-09-17 |
| Kelly Fellbaum 2023 Spousal Trust Organization | adp of the snf | — | 2024-09-17 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2024-09-17 |
| Studer 2023 Descendants Trust Organization | adp of the snf | — | 2024-09-17 |
| The Bryon And Rena Sehlke Living Trust Organization | adp of the snf | — | 2024-09-17 |
| Touchstone Communities Inc. Organization | adp of the snf | — | 2024-09-17 |
| Touchstone Realty - League City LLC Organization | adp of the snf | — | 2024-09-17 |
| Touchstone Strategies - League City LLC Organization | adp of the snf | — | 2026-04-14 |
| Trident Health Services Inc. Organization | adp of the snf | — | 2024-09-17 |
| Touchstone Strategies - League City LLC Organization | operational/managerial control | — | 2024-09-17 |
| Armstrong, Robin Individual | adp of the snf | — | 2025-01-01 |
| Boening, Christopher Individual | adp of the snf | — | 2024-09-17 |
| Campbell, Leslie Individual | adp of the snf | — | 2024-09-17 |
| Castillo, Lynnea Individual | adp of the snf | — | 2024-09-17 |
| Coleman, Juanita Individual | adp of the snf | — | 2026-03-16 |
| Gordy, Otis Individual | adp of the snf | — | 2026-04-06 |
| Sehlke, Bryon Individual | adp of the snf | — | 2024-09-17 |
| Zurovec, Darrell Individual | adp of the snf | — | 2024-09-17 |
| Apolinar, Adam Individual | corporate officer | — | 2015-08-01 |
| Fellbaum, Ernest Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-15 |
| Fellbaum, Kelly Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-15 |
| Sehlke, Rena Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-15 |
| Studer, Laura Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-15 |
| Studer, Stanley Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-15 |
| Boening, Christopher Individual | operational/managerial control | — | 2024-09-17 |
| Campbell, Leslie Individual | operational/managerial control | — | 2024-09-17 |
| Castillo, Lynnea Individual | operational/managerial control | — | 2024-09-17 |
| Coleman, Juanita Individual | operational/managerial control | — | 2026-03-16 |
| Gordy, Otis Individual | operational/managerial control | — | 2026-04-06 |
| Sehlke, Bryon Individual | operational/managerial control | — | 2024-09-17 |
| Zurovec, Darrell Individual | operational/managerial control | — | 2024-09-17 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Heights Of League City.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Galveston County.