For profit - Corporation · 122 certified beds · CMS number 676476
The Heights on Valley Ranch, Porter, TX
CMS records 18 health deficiencies at The Heights on Valley Ranch in Porter, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 15, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Heights on Valley Ranch as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Heights on Valley Ranch may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection May 15, 2025. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 18, 2026 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 10, 2026
F773 · Ordering labs and reporting results
Requirement cited (CMS): Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 10, 2026
May 15, 2025 · Standard inspection
6 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 Jun 15, 2025
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jun 15, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 15, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 15, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 15, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 15, 2025
Previous cycle: 8 deficiencies (standard inspection Mar 21, 2024)
Standard inspection Mar 21, 2024. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Oct 11, 2024 · Complaint inspection
1 deficiency, highest E
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 28, 2024
Mar 21, 2024 · Standard + complaint inspection
7 deficiencies, highest E
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 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 Apr 8, 2024
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 8, 2024
Earlier cycle: 2 deficiencies (standard inspection Dec 20, 2022)
Standard inspection Dec 20, 2022. CMS counts 2 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 20, 2022 · Standard inspection
2 deficiencies, highest E
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 23, 2023
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 22, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at The Heights on Valley Ranch; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 2 | May 15, 2025; Dec 20, 2022 |
| F880 Infection prevention and control program | 2 | Jul 18, 2026; May 15, 2025 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.74 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.17 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.33 h
- Nursing staff turnover
- 39.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
CMS figures for The Heights on Valley Ranch, copied as published; Texas medians are ours.
Facility details
- Address
- 23200 Valley Ranch Parkway, Porter, TX 77365
- Phone
- (346) 326-5085
- County
- Montgomery
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Touchstone Communities
- Certified beds
- 122
- Average residents per day
- 111.1
- In Medicare/Medicaid since
- Jan 23, 2020
- Inside a hospital
- No
- 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 often are rooms cleaned and bed linens changed? (F584, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- Can residents choose when they wake up, go to bed, and bathe? (F561, cited 1 time)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
Other nursing homes in Porter and the same chain
- 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.