The Heights On Valley Ranch
23200 VALLEY RANCH PARKWAY, Porter, TX, 77365
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
- For profit - Corporation · Chain: Touchstone Communities
- Certified beds
- 122 · avg 107 residents/day
- Total nursing staff turnover
- 47.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311306
- Service type
- Medicare/medicaid
- Licensed capacity
- 122 beds
- Bed type breakdown
- 23 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- January 22, 2020
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Mc2 Llc
- Administrator
- Marilyn S Booker
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 (23 on record)
- Touchstone Strategies - Mc2 Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Frost Bank
5% or Greater Security Interest · 14% · since 2024
- Felecia Carmouche
Operational/managerial Control · since 2023
- Johnny Thompson
Corporate Officer · since 2023
- Aegis Therapies, Inc.
Adp of The Snf · since 2023
+ 17 additional owners on the federal record.
Recent change of ownership
March 2023 (3 years ago) · acquired from Touchstone Strategies - Mc2 Llc
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
Recent health-deficiency citations (most recent 8 of 16)
- D0880·May 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- B0814·May 15, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·May 15, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·May 15, 2025
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.
- E0640·May 15, 2025
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D0584·May 15, 2025
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.
- E0561·Oct 11, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E0684·Mar 21, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: May 15, 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 on Valley Ranch is a 122-bed nursing home in Porter, Texas, licensed through 2029 and operating at about 88% of capacity. CMS rates it 4 stars overall, with a 4-star health inspection and a 4-star quality-of-care rating — though staffing comes in at 2 stars. The facility is part of Touchstone Communities and is licensed to West Wharton County Hospital District, managed by Touchstone Strategies Mc2 LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 218 minutes of nursing care per day — roughly 23 minutes less than at a 4-star-staffing facility in Texas, where the threshold is 241 minutes. Of those 218 minutes, only 9 come from a registered nurse; the Texas 4-star threshold for RN time alone is 37 minutes. About 32% of Texas nursing homes share this staffing rating.
One administrator has turned over in the past year. A single departure is less disruptive than repeated turnover, but leadership transitions take time to stabilize, and residents and staff feel the gap while a new administrator finds footing.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing plan on nights and weekends
With 218 daily nursing minutes per resident and only 9 from an RN, ask how RN coverage is scheduled outside daytime hours and on weekends, when total nursing hours drop to 3.14 per resident.
New administrator's tenure and background
The facility logged one administrator departure in the past year; ask who is currently in that role, how long they have been on-site, and whether they were promoted internally or hired from outside.
Short-stay quality rating of 2 stars
CMS rates short-stay quality outcomes at 2 stars while long-stay outcomes rate 5 stars; ask which specific measures — such as rehospitalization or pain management — pulled the short-stay score down.
Resident Council meeting schedule
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets, who on staff attends, and how concerns raised there get addressed and documented.
Waitlist and bed availability
At roughly 107 residents in a 122-bed building, ask whether specific Medicare or Medicaid beds are currently open or whether a waitlist applies to the care level your family member needs.
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.