The Heights Of League City
2620 WEST WALKER STREET, League City, TX, 77573
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Touchstone Communities
- Certified beds
- 194 · avg 124 residents/day
- Total nursing staff turnover
- 69.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $132,398 total
State licensing & capacity
- License number
- 311906
- Service type
- Medicare/medicaid
- Licensed capacity
- 194 beds
- Bed type breakdown
- 58 Medicare-only · 136 Medicaid/Medicare
- Current license effective
- September 17, 2024
- Current license expires
- March 1, 2027
- Initial license date
- September 11, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies League City, Llc
- Administrator
- John Paul Lopez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (5 on record)
- Megan Lowe
Adp of The Snf · since 2025
- Robin l Armstrong
Adp of The Snf · since 2025
- Touchstone Strategies - League City Llc
Operational/managerial Control · since 2024
- Adam Apolinar
Corporate Officer · since 2024
- Uvalde County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2024
Recent change of ownership
March 2024 (2 years ago) · acquired from Regent Care Center of League City
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 25)
- D0908·Dec 19, 2025Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- J0689·Jul 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0678·Mar 7, 2025Complaint
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.
- D0808·Jan 13, 2025Complaint
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.
- K0695·Jan 13, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·Jan 13, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0580·Jan 13, 2025Complaint
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.
- D0759·Aug 21, 2024Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20253 fines · $70K
- 20241 fine · $55K
- 20231 fine · $7,460
Most recent events
- Jul 10, 2025Fine · $27K
- Mar 7, 2025Fine · $25K
- Jan 13, 2025Fine · $18K
- May 30, 2024Fine · $55K
- Sep 5, 2023Fine · $7,460
Largest single fine on record: $55K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Sep 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Heights of League City is a 194-bed nursing home in League City (Galveston County) operated under a hospital district license and managed by Touchstone Communities. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Five fines totaling $132,398 have been issued, and three administrators have turned over in the past year. The facility is currently at 64% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 215 minutes of total nursing care per day, about 26 minutes less than at a 4-star-staffing facility in Texas. Of that, only 9 minutes comes from a registered nurse, compared to 37 minutes at a 4-star-staffing facility in the state.
Seven in 10 nursing staff left in the past year — above the 75th-percentile cutoff for Texas, meaning turnover here is worse than at least three-quarters of nursing homes in the state. Every registered nurse on staff turned over: 10 in 10. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
Three administrators have turned over in the past year. That level of leadership instability touches staffing decisions, care-plan oversight, and day-to-day operations in ways that front-line numbers alone don't capture.
Five CMS fines totaling $132,398 have been issued against this facility. The state median fine total across penalized Texas nursing homes is about $20,699; this facility's total is more than six times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 64% of its 194 licensed beds — about 124 residents on an average day. Paired with the staffing, turnover, and fine data above, the low occupancy reflects a pattern rather than available capacity in an otherwise healthy setting.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Three administrators in one year
CMS records show three administrator changes in the past 12 months — ask who is currently in the role, how long they have been here, and whether a permanent hire is in place.
RN coverage on a typical day
Reported data shows only 9 minutes of registered-nurse time per resident per day — ask how many RNs are scheduled per shift and what happens when an RN calls out.
Staff continuity for long-stay residents
Seven in 10 nursing staff left in the past year; ask how the facility assigns consistent caregivers to residents and how it handles the transition when a caregiver leaves.
Background on the five CMS fines
Five fines totaling $132,398 have been issued — ask what deficiencies triggered each fine and what specific corrective steps have been completed.
Why beds are running at 64% occupancy
The facility averages about 124 residents against 194 licensed beds — ask the administrator what accounts for the low census and whether that affects staffing levels.
Resident Council access and frequency
A Resident Council is listed but no Family Council — ask how often the Resident Council meets, who facilitates it, and how families can raise concerns formally.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.