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Nursing HomeMedicaid Investigative

The Heights of League City

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2620 West Walker Street, League City, TX 77573194 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 64 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (69%)
  • High RN turnover (100%)

Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in TOUCHSTONE COMMUNITIES chain · $132,398 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and a clean environment, which is great for rehabilitation. However, you must be extremely vigilant regarding medication administration and nursing responsiveness, as multiple families have reported life-threatening lapses in care and neglect.

Google Reviews

Google Reviews

64 reviews on Google
Families often praise the facility for its friendly, welcoming atmosphere and the high quality of the physical therapy team. However, there are serious, recurring allegations regarding medication errors, inadequate responsiveness to call lights, and instances of neglect in personal care. While some visitors find the recent renovations impressive, others report significant issues with staffing consistency and management attitude.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean8.0Activities7.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate physical therapy team
  • Friendly and welcoming front-end staff
  • Clean and recently renovated facilities
  • Warm and inviting atmosphere

Concerns

  • Medication management errors and delays (mentioned by 3 reviewers)
  • Unresponsive nursing staff/call buttons (mentioned by 2 reviewers)
  • Inadequate personal care and hygiene assistance (mentioned by 2 reviewers)
  • Rude or unprofessional management/administration (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.22025(45)4.02026(15)

Distribution · 60 analyzed

5
44
4
4
3
1
2
1
1
10

How They Respond to Reviews

90%response rate
Generic

The owner relies heavily on a set of pre-written templates that use repetitive phrases like 'Make Lives Better' and 'best-in-class care.' While they acknowledge the reviewer's name, the responses rarely address the specific details or unique sentiments expressed in the reviews.

Questions for Your Tour

  • 1It's wonderful to see how clean and recently renovated the facility looks; what kind of new amenities or updates have been added for the residents recently?
  • 2We've heard great things about the physical therapy team here; how do you work with therapists to create a personalized movement plan for our loved one?
  • 3Could you walk us through your specific process for ensuring medications are administered accurately and on a strict schedule?
  • 4What is the protocol for responding to call buttons, and how do you ensure nursing staff are available to assist with personal care needs promptly?
  • 5How does the administration handle communication with families to ensure we are always kept in the loop regarding any changes in care?
  • 6What does a typical day look like in terms of social activities and group events to keep residents engaged and connected?

Personalized based on this facility's data


Key Review Excerpts

The physical therapists are two of the best and are dedicated to helping the residents. Every day I visit him and there is always staff around who welcomes me, knows my dad and keep me[...]

Long-term resident's family · 2026★★★★★

My daughter had a horrible time at this place. She was suppose to be here for 5 days but by the third day she was in so much pain because the nurses would not give her her prescribed medications they were supposed to.

Rehab patient's family · 2026☆☆☆☆

The Heights is finding those/has f[ound]... I’ve had my mom in every local facility over the last 12 years after each surgery. I would never go and go back to any of them! Awful experiences. But we have had the BEST experience here at The Heights!

Long-term resident's family · 2025☆☆☆☆
Source: 64 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
40%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)
RN Turnover
89%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility64.6%
Worse than Avg
Here
64.6%
US
93.4%
TX
96.9%
Galveston
96.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility85.0%
Worse than Avg
Here
85.0%
US
95.5%
TX
98.0%
Galveston
96.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.4%
TX
9.4%
Galveston
11.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
12.1%
TX
2.5%
Galveston
5.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
19.4%
TX
14.2%
Galveston
17.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
14.4%
TX
16.1%
Galveston
14.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility42.7%
Worse than Avg
Here
42.7%
US
79.7%
TX
88.0%
Galveston
82.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.8%
Worse than Avg
Here
56.8%
US
81.8%
TX
89.2%
Galveston
87.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
TX
1.5%
Galveston
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
6penalties
Well below state avg (9.1)
21 complaint-triggered
$132,398 in fines

Families have filed 19 complaints triggering inspections, raising significant concerns about this facility's care quality. The most recurring issues involve accident prevention and safety hazards, resident assessment and care planning, and fire safety problems. While the facility has corrected most deficiencies when cited, the high volume of complaints suggests ongoing care issues that families should investigate thoroughly before placement.

Mar 19, 2026Complaint
2
0580Immediate jeopardy · IsolatedCorrected

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.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 19, 2025Complaint
1
0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Sep 17, 2025Routine
3
0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jul 10, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 7, 2025Complaint
1
0678Immediate jeopardy · IsolatedCorrected

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.

Jan 13, 2025Complaint
4
0580Immediate jeopardy · PatternCorrected

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.

0695Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0808Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Mar 19, 2026

$18,860

Fine

Jul 10, 2025

$17,345

Fine

Mar 7, 2025

$24,622

Fine

Jan 13, 2025

$18,353

Fine

May 30, 2024

$55,278

Fine

Sep 5, 2023

$7,460

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES LEAGUE CITY, LLC

Administrator

JOHN PAUL LOPEZ

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 22 of 27 (Worst)

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Key personnel

Apolinar, AdamOfficer / DirectorTouchstone Strategies - League City LLCManagerLowe, MeganManagerTouchstone Strategies - League City LLCAdp of the SnfArmstrong, RobinAdp of the Snf
Source: Medicare provider data

Contact

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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