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The Heights of League City

All states › Texas › League City › The Heights of League City

2620 West Walker Street League City, TX 77573 · Galveston County

(281) 309-5400

All 3 nursing homes in League City, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 194 certified beds Government

CMS certification number 676153 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Heights of League City a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Heights of League City as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 27 citations in the last three years. CMS imposed 5 penalties, including $129,645 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.22 hours per resident per day at The Heights of League City, about the same as the Texas median of 3.30 (US median: 3.72). About 0.30 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 12% below its all-week average. 65.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 3.22 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.30 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 65.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 83.3% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds194
Residents per day 136 About 70% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 2007
Part of a chainTouchstone Communities
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY
Located in a hospitalYes

Paying for care at The Heights of League City: Medicare and Medicaid

The Heights of League City is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on September 17, 2025 and found 0 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 27 citations at The Heights of League City across 12 inspection dates, 18 of them from complaint investigations. 8 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 19, 2026 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and quality of life and care (8). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level K, January 13, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 18, 2026 · 1 citation · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Sep 14, 2026)

July 23, 2026 · 1 citation · includes complaint inspection

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Aug 14, 2026)

April 24, 2026 · 1 citation · includes complaint inspection

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2026)

March 19, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection

JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2026)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Mar 20, 2026)

December 19, 2025 · 1 citation · includes complaint inspection

DKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2025)

July 10, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jul 10, 2025)

March 7, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0678 · Complaint inspection · Deficient, Provider has date of correction (Mar 8, 2025)

January 13, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection

KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2025)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2025)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2025)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Complaint inspection · Deficient, Provider has date of correction (Jan 18, 2025)

August 21, 2024 · 8 citations · includes complaint inspection

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 15, 2024)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Sep 15, 2024)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Sep 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Sep 15, 2024)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Complaint inspection · Deficient, Provider has date of correction (Sep 15, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Sep 15, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Sep 15, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 15, 2024)

May 30, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

KProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jun 21, 2024)

May 9, 2024 · 1 citation · includes complaint inspection

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (May 31, 2024)

May 25, 2023 · 5 citations

EAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Jul 1, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Jul 1, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jul 1, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 1, 2023)

CDispose of garbage and refuse properly.

Potential for minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jul 1, 2023)

Questions to ask on a tour of The Heights of League City

  1. Inspectors cited the home at the immediate-jeopardy level on January 13, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 18, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 65.8% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

5 penalties in the last three years, including $129,645 in fines.

DateTypeAmount or 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

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 3/5
August 2026 1/5 1/5 1/5 3/5
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Location

Hospitals near The Heights of League City

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Baywind Village Skilled Nursing & Rehab League City · 3.0 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 107 beds · Medicaid
MRC the Crossings League City · 3.2 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 48 beds · Medicaid
Regency Village Webster · 4.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 122 beds · Medicaid
Focused Care at Webster Webster · 4.9 mi away ★★☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid
Ignite Medical Resort Webster Webster · 5.9 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 70 beds

More nursing homes near The Heights of League City ›   All nursing homes in League City ›

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Other Touchstone Communities nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Touchstone Communities nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/league-city/the-heights-of-league-city/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.