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Nursing HomeMedicaid

The Heights on Valley Ranch

Strong Medicare quality ratings; families often praise clean and modern facility. Still worth an in-person visit.

23200 Valley Ranch Parkway, Porter · Porter, TX 77365122 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 210 Google reviews

5
4
3
2
1
The Heights on Valley Ranch Nursing Home in Porter, TX — Street View
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What this means for your family

The facility's modern environment and highly praised therapy and nursing teams make it an excellent choice for rehabilitation. However, families should remain vigilant regarding communication from the administration and closely monitor response times for call lights, as these were recurring points of frustration for some residents.

Google Reviews

Google Reviews

210 reviews on Google
The Heights on Valley Ranch is widely praised for its modern, clean, and beautiful facility, with many families highlighting the exceptional kindness of the nursing and therapy teams. However, some families have reported serious concerns regarding inconsistent staffing levels, delayed responses to call lights, and lapses in communication from administration.

Quality Themes

Tap a score for details
Food6.0Staff8.0Clean9.0Activities7.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Clean and modern facility
  • Compassionate and professional nursing staff
  • Effective physical and occupational therapy
  • Beautifully maintained grounds and gardens

Concerns

  • Delayed response to call lights and patient needs (mentioned by 4 reviewers)
  • Inconsistent communication from administration/management (mentioned by 3 reviewers)
  • Staffing shortages or slow response times (mentioned by 3 reviewers)
  • Issues with food service timing or quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02021(4)4.02022(24)4.12023(47)3.12024(16)4.32025(65)4.82026(56)

Distribution · 212 analyzed

5
155
4
16
3
5
2
7
1
29

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on a set of pre-written templates that rotate through specific phrases like 'Making Lives Better' and 'best-in-class, compassionate care.' While they personalize the responses by including the reviewer's name, the core content of the message is often a copy-paste of the same mission statement.

Questions for Your Tour

  • 1The gardens and grounds look so beautiful; what kind of outdoor activities or strolls are available for residents to enjoy the scenery?
  • 2I noticed the facility is very clean and modern; how often are the resident rooms and common areas deep-cleaned?
  • 3When a resident uses their call light, what is the typical process for ensuring a nurse or aide responds promptly to their needs?
  • 4How does the administration keep families updated on changes in a resident's care or health status to ensure we are always in the loop?
  • 5In the event of a medical emergency during the night, what is the protocol for getting immediate physician or specialized care?
  • 6We'd love to know more about the dining experience—how do you manage meal timing and ensure the food stays high quality for everyone?

Personalized based on this facility's data


Key Review Excerpts

The staff is amazing,so courteous and caring, compassionate. I would recommend this place for anyone needing a place for a loved one to get the absolute best care possible.

Local Guide · 2026★★★★★

My dad who is 96 and needed a lot of care after being in the hospital received great care there and he really liked the food. Everyone took such good care of him, the nurses and aids were very attentive tending to his needs.

Rehab patient's family · 2026★★★★★

The building, only four years old, was modern but cozy and felt more like home

Long-term resident's family · 2024★★★★★
Source: 210 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
22%
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
43%
Lower is better (< 30% = good)
RN Turnover
67%
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

14

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
TX
2.5%
Montgomery
25.0%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
15.4%
TX
9.4%
Montgomery
12.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
TX
96.9%
Montgomery
90.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
19.4%
TX
14.2%
Montgomery
19.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
95.5%
TX
98.0%
Montgomery
92.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.1%
Mixed vs Avgs
Here
14.1%
US
14.4%
TX
16.1%
Montgomery
8.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.7%
TX
88.0%
Montgomery
71.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
81.8%
TX
89.2%
Montgomery
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Montgomery
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.1)
4 complaint-triggered

The Heights on Valley Ranch has a concerning pattern with 19 deficiencies across multiple areas, including four triggered by family complaints. The most recurring issues involve fire safety systems, resident rights violations, and basic care deficiencies including nutrition and infection control. While all deficiencies show correction dates, the facility has struggled with fundamental care areas like maintaining a safe environment and providing appropriate treatment according to resident preferences.

May 15, 2025Routine
7
0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0814Minimal · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Oct 11, 2024Complaint
1
0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Mar 21, 2024Routine
5
0656Potential for harm · PatternCorrected

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.

0688Potential for harm · PatternCorrected

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.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Mar 21, 2024Complaint
3
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Dec 20, 2022Routine
3
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

TOUCHSTONE STRATEGIES MC2 LLC

Administrator

MARILYN S BOOKER

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 5 of 27

Ownership & Management

Key personnel

Frost Bank5% or Greater Security InterestThompson, JohnnyOfficer / DirectorTouchstone Strategies - Mc2 LLCManagerBoening, ChristopherManagerBooker, MarilynManager
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.

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