01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-17 | 4 | 2025-09-17 | 3 |
| Cycle 2 | 2024-08-21 | 14 | 2024-08-21 | 3 |
| Cycle 3 | 2023-05-25 | 10 | 2023-05-25 | 3 |
CMS CCN 6761532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Heights Of League City
2620 West Walker Street · League City, TX 77573 · Galveston County
Certified beds194CMS provider file
Recent citation rows37current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
9 rows carry G–L scope/severity codes; 8 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-24 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-05-15 · complaint2026-03-19 · HEALTHF0580Severity J · isolated immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2026-03-19 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2025-12-19 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-12-20 · complaint2025-09-17 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-09-172025-09-17 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-09-172025-09-17 · FIREK0929Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2025-09-172025-07-10 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-07-10 · complaint2025-03-07 · HEALTHF0678Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2025-03-08 · complaint2025-01-13 · HEALTHF0580Severity K · pattern of immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-01-18 · complaint2025-01-13 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-18 · complaint2025-01-13 · HEALTHF0695Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-01-18 · complaint2025-01-13 · HEALTHF0808Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-01-18 · complaint2024-08-21 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-21 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-21 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-21 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-21 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-21 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-21 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-21 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-09-112024-08-21 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-21 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-03-19 | Fine | $21,610 | 0 |
| 2025-07-10 | Fine | $17,345 | 0 |
| 2025-03-07 | Fine | $24,622 | 0 |
| 2025-01-13 | Fine | $18,353 | 0 |
| 2024-05-30 | Fine | $55,278 | 0 |
| 2023-09-05 | Fine | $7,460 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FROST BANKOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 09/17/2024
- APOLINAR, ADAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/01/2015
- TOUCHSTONE STRATEGIES - LEAGUE CITY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- BOENING, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- CAMPBELL, LESLIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- CASTILLO, LYNNEAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- COLEMAN, JUANITAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/16/2026
- GORDY, OTISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/06/2026
- SEHLKE, BRYONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- ZUROVEC, DARRELLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/17/2024
- FELLBAUM, ERNESTIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- FELLBAUM, KELLYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- SEHLKE, RENAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- STUDER, LAURAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- STUDER, STANLEYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- AEGIS THERAPIES, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 09/17/2024
- ALAMO ADVISORS LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/17/2024
- CARVAJAL PHARMACY LTCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/17/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.38per resident day
RN hours0.29per resident day
Weekend nurse hours3.08per resident day
Staff turnover69.7%CMS reported field
06 / LOCAL RECORDS
Open the League City ledger →