The Heights Of League City

Penalties

• Mar 19, 2026 — Fine ($21,610)
• Jul 10, 2025 — Fine ($17,345)
• Mar 7, 2025 — Fine ($24,622)
• Jan 13, 2025 — Fine ($18,353)
• May 30, 2024 — Fine ($55,278)
• Sep 5, 2023 — Fine ($7,460)

Inspection findings

1. Apr 24, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

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

     Corrected May 15, 2026 · CMS health inspection

2. Mar 19, 2026 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0580 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.

     Corrected Mar 20, 2026 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Mar 20, 2026 · CMS health inspection

3. Dec 19, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Dec 20, 2025 · CMS health inspection

4. Sep 17, 2025 Fire Safety · 3 findings
   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Sep 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Sep 17, 2025 · CMS fire safety

5. Jul 10, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 10, 2025 · CMS health inspection

6. Mar 7, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0678 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.

     Corrected Mar 8, 2025 · CMS health inspection

7. Jan 13, 2025 Health · 4 findings
   • Serious Scope/severity K Complaint

     F0580 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.

     Corrected Jan 18, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jan 18, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0808 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.

     Corrected Jan 18, 2025 · CMS health inspection

8. Aug 21, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

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

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 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.

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0688 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.

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

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

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 15, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Sep 11, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Sep 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Sep 17, 2024 · CMS fire safety

9. May 30, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Jun 21, 2024 · CMS health inspection

10. May 9, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0644 Resident Assessment and Care Planning Deficiencies

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

      Corrected May 31, 2024 · CMS health inspection

11. Sep 5, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0580 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.

      Corrected Sep 28, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

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

      Corrected Sep 28, 2023 · CMS health inspection

12. May 25, 2023 Health · 8 findings
    • Not serious Scope/severity E

      F0638 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jul 1, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0640 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jul 1, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

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

      Corrected Jul 1, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0656 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.

      Corrected Jul 1, 2023 · CMS health inspection

    • Not serious Scope/severity C

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Jul 1, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0355 Smoke Deficiencies

      Properly select, install, inspect, or maintain portable fire extinguishes.

      Corrected Jul 1, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Jul 1, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0929 Gas, Vacuum, and Electrical Systems Deficiencies

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

      Corrected Jul 1, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 08/01/2015
• ARMSTRONG, ROBIN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BOENING, CHRISTOPHER — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• BOENING, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 09/17/2024
• CAMPBELL, LESLIE — adp of the snf, NOT APPLICABLE, since 09/17/2024
• CAMPBELL, LESLIE — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• CASTILLO, LYNNEA — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• CASTILLO, LYNNEA — adp of the snf, NOT APPLICABLE, since 09/17/2024
• COLEMAN, JUANITA — adp of the snf, NOT APPLICABLE, since 03/16/2026
• COLEMAN, JUANITA — operational/managerial control, NOT APPLICABLE, since 03/16/2026
• FELLBAUM, ERNEST — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/15/2026
• FELLBAUM, KELLY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/15/2026
• GORDY, OTIS — operational/managerial control, NOT APPLICABLE, since 04/06/2026
• GORDY, OTIS — adp of the snf, NOT APPLICABLE, since 04/06/2026
• SEHLKE, BRYON — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• SEHLKE, BRYON — adp of the snf, NOT APPLICABLE, since 09/17/2024
• SEHLKE, RENA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/15/2026
• STUDER, LAURA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/15/2026
• STUDER, STANLEY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/15/2026
• ZUROVEC, DARRELL — adp of the snf, NOT APPLICABLE, since 09/17/2024
• ZUROVEC, DARRELL — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• AEGIS THERAPIES, INC. — adp of the snf, NOT APPLICABLE, since 09/17/2024
• ALAMO ADVISORS LP — adp of the snf, NOT APPLICABLE, since 09/17/2024
• CARVAJAL PHARMACY LTC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• FELLBAUM 2023 DESCENDANTS TRUST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• FROST BANK — 5% or greater security interest, NOT APPLICABLE, since 09/17/2024
• JAN STUDER 2023 SPOUSAL TRUST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• KELLY FELLBAUM 2023 SPOUSAL TRUST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• PLANTE & MORAN PLLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• STUDER 2023 DESCENDANTS TRUST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• THE BRYON AND RENA SEHLKE LIVING TRUST — adp of the snf, NOT APPLICABLE, since 09/17/2024
• TOUCHSTONE COMMUNITIES INC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• TOUCHSTONE REALTY - LEAGUE CITY LLC — adp of the snf, NOT APPLICABLE, since 09/17/2024
• TOUCHSTONE STRATEGIES - LEAGUE CITY LLC — operational/managerial control, NOT APPLICABLE, since 09/17/2024
• TOUCHSTONE STRATEGIES - LEAGUE CITY LLC — adp of the snf, NOT APPLICABLE, since 04/14/2026
• TRIDENT HEALTH SERVICES INC — adp of the snf, NOT APPLICABLE, since 09/17/2024