Government - Hospital district · 194 certified beds · CMS number 676153
The Heights of League City, League City, TX
CMS records 29 health deficiencies at The Heights of League City in League City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 17, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 8 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 5 fines totaling $129,645 in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $129,645fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Heights of League City as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Heights of League City may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Sep 17, 2025. CMS counts 5 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 23, 2026 · Complaint inspection
1 deficiency, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 14, 2026
Apr 24, 2026 · Complaint inspection
1 deficiency, highest D
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2026
Mar 19, 2026 · Complaint inspection
2 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 20, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 20, 2026
Dec 19, 2025 · Complaint inspection
1 deficiency, highest D
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2025
Previous cycle: 14 deficiencies (standard inspection Aug 21, 2024)
Standard inspection Aug 21, 2024. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 10, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jul 10, 2025
Mar 7, 2025 · Complaint inspection
1 deficiency, highest J
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 8, 2025
Jan 13, 2025 · Complaint inspection
4 deficiencies, highest K
F808 · Physician-ordered therapeutic diets
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 18, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jan 18, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 18, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jan 18, 2025
Aug 21, 2024 · Standard + complaint inspection
8 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 2024
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2024
Earlier cycle: 10 deficiencies (standard inspection May 25, 2023)
Standard inspection May 25, 2023. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.
May 30, 2024 · Complaint inspection
1 deficiency, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jun 21, 2024
May 9, 2024 · Complaint inspection
1 deficiency, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
Sep 5, 2023 · Complaint inspection
3 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Sep 28, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2023
May 25, 2023 · Standard inspection
5 deficiencies, highest E
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 1, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 1, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 1, 2023
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 1, 2023
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 1, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at The Heights of League City; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F580 Telling residents and families about changes | 3 | Mar 19, 2026; Jan 13, 2025; Sep 5, 2023 |
| F689 Accident prevention and supervision | 3 | Jul 10, 2025 (PNC); Jan 13, 2025; Sep 5, 2023 |
| F640 Submitting assessment data on time | 2 | Aug 21, 2024; May 25, 2023 |
| F644 Coordinating with PASARR screening | 2 | Jul 23, 2026; May 9, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Aug 21, 2024; May 25, 2023 |
| F684 Quality of care | 2 | Mar 19, 2026; Sep 5, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Aug 21, 2024; May 30, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 19, 2026 | Fine | $14,047 |
| Jul 10, 2025 | Fine | $17,345 |
| Mar 7, 2025 | Fine | $24,622 |
| Jan 13, 2025 | Fine | $18,353 |
| May 30, 2024 | Fine | $55,278 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.38 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.29 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.08 h
- Nursing staff turnover
- 69.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for The Heights of League City, copied as published; Texas medians are ours.
Facility details
- Address
- 2620 West Walker Street, League City, TX 77573
- Phone
- (281) 309-5400
- County
- Galveston
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 194
- Average residents per day
- 123.4
- In Medicare/Medicaid since
- Sep 12, 2007
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- Who is responsible for completing and submitting resident assessment data? (F640, cited 2 times)
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
Other nursing homes in League City and the same chain
- Baywind Village Skilled Nursing & Rehab
League City · 15 deficiencies - MRC the Crossings
League City · 5 deficiencies - Harker Heights Nursing & Rehabilitation
Harker Heights · 51 deficiencies - The Heights of Bulverde
Spring Branch · 47 deficiencies - The Enclave
San Antonio · 46 deficiencies - The Heights at Medical Center
San Antonio · 44 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.