2620 West Walker Street, League City, TX 77573 · Galveston County · (281) 309-5400
194 certified beds, about 123 residents a day · Government - Hospital district · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676153 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 17, 2025, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 29 health citations since May 2023, 9 were rated as actual harm or immediate jeopardy to residents (8 immediate jeopardy).
CMS lists 5 fines totaling $129,645 in the last three years; the largest was $55,278, and the latest is dated March 19, 2026.
Nurses and nurse aides worked 3.38 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.
69.7% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Touchstone Communities, an affiliated group of 25 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 29 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the pre-admission screening and resident review (PASARR) program under Medicaid in subpart C to the maximum extent practicable to avoid duplicative testing and effort for 1 of 4 residents (Resident #1) reviewed for PASRR. The facility failed to coordinate and submit a complete and accurate request for specialized services in the LTC Online Portal within 20 business days after the date of the IDT meeting for Resident #1 within the time frame set by PASARR or asked for guidance from PASARR support when the form was not accepted. This failure could place residents requiring PASRR services at risk of not receiving their specialized services and met by the facility. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferencesfor 1 of 4 residents (Resident #1) reviewed for pain management. The facility failed to administer prescribed pain medication and adequately address Resident #1's complaints of pain. As a result, Resident #1 experienced unrelieved pain, and left the facility AMA on 3/28/2026 due to the facility's inability to provide pain management as requested. This failure could place the residents at risk of a decrease in quality of life due to pain.
Inspectors wroteBased on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (CR #1) of 4 residents reviewed for notification of changes. 1. On [DATE], LVN B and LVN C failed to notify the physician when CR#1 had a significant change in condition where he refused all meals, had increased drowsiness, and had hypotensive BP readings of 89/59 at 2:31 p.m. and 86/57 at 7:08 p.m. 2. On [DATE], CR#1 was sent to the hospital due to unresponsiveness and was placed in ICU. He required several rounds of CPR and was diagnosed with a blood infection, septic shock, and suffered an acute stroke. On [DATE] at 1:47 p.m. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (CR#1) of 4 residents reviewed for quality care. 1. MA B and CNA B failed to notify LVN B and LVN C on [DATE] when CR#1 refused all meals, had increased drowsiness, and had hypotensive BP readings of 89/59 at 2:31 p.m. and 86/57 at 7:08 p.m. In result, LVN's failed to seek medical guidance from CR #1's physician related to the change in condition until 8:30 am on [DATE] when he became unresponsive and was sent out via EMT.2. CR#1 required several rounds of CPR and was diagnosed with a blood infection, septic shock, and suffered an acute stroke. On [DATE] at 1:47 p.m. an Immediate Jeopardy (IJ) was identified. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 4 (suction machine #1) suction machines reviewed for essential equipment. The facility failed to ensure the suction machine in CR #1's room was functioning correctly to suction oral secretions on 11/29/25, causing staff to get the suction machine from the crash cart. This failure could place residents at risk of not having their needs met due to a functional suction system not readily available.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 out of 1 resident (CR #1) reviewed for adequate supervision. The facility failed to provide adequate supervision to residents and adequate training of the staff regarding monitoring and documenting resident whereabouts (location) to mitigate accidents such as elopement when CR#1 eloped on 01/02/2025 and was found to have laceration to nose that required 3 sutures, a closed fracture to left wrist with splint in place, and a closed fracture to nasal bone. This noncompliance was identified as Past Non-Compliant Immediate Jeopardy (PNC IJ) was identified on 07/09/2025. The noncompliance began on 01/02/2025 and ended 01/31/2025. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure personnel provided basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel for 1 of 77 residents (CR #1) reviewed for CPR. LVN A failed to call out a change in condition and obtain assistance from available staff when CR #1 was found unresponsive. This led to a delay of approximately 3 minutes before CPR was started on CR #1 on [DATE]. LVN B failed to enter CR #1's DNR code status at the time of admission which resulted in LVN A making multiple phone calls to determine code status prior to initiating CPR. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 12:16 p.m. [...]
Inspectors wroteBased on interviews, and record review the facility failed to immediately consult with the resident's physician when there is a significant change in the resident's physical status for 1 of 4 residents (CR #1) reviewed for notification of changes. The facility failed to ensure CR #1's physician was consulted when he was short of breath while receiving oxygen treatment. This failure could place residents at risk of respiratory distress or significant decline in physical or mental functioning. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 7:11 p.m. While the IJ was removed on [DATE], the facility remained out of compliance at a severity of no actual harm with potential for more than minimal harm that was not an immediate jeopardy and a scope of pattern because all staff had not been trained on notification of changes to the physician.
Inspectors wroteBased on interviews, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 1 of 4 residents (CR #1) reviewed for respiratory therapy. The facility failed to ensure CR #1 was provided with repiratory services to meet his needs. CR #1 ambulated with a walker approximately 30 feet without oxygen, slid out of a shower chair onto the floor and became unresponsive and later died. The facility failed to ensure CR #1 who was admitted with a verbal order for oxygen administration was documented, verified, and communicated to staff for proper implementation. This failure could place residents at risk of respiratory distress or dependency. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 7:11 p.m. [...]
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (CR #1) of four residents reviewed for accidents, hazards, and supervision. -The facility failed to ensure CNA C followed CR#1's care plan when transferring CR#1 who required two staff for transfers. CR#1 slide out of shower chair onto the floor and became unresponsive and later died. -The facility failed to ensure CNA C followed CR#1's care plan when during ambulation. CR#1 ambulated with a walker instead of wheelchair as care planned. CR#1 slide out of shower chair onto the floor and became unresponsive and later died. These failures can place residents at risk of injury due to not being supervised properly. An IJ was identified on [DATE]. [...]
Inspectors wroteBased on interviews and record review, the facility failed to ensure a therapeutic diet was prescribed by the attending physician for one of 5 residents (CR #1) reviewed for food and nutrition services. The facility failed to ensure CR#1's diet order was transcribed and administered as ordered by the physician for a cardiac (2 GM sodium, low fat, low cholesterol) diet. This failure put residents at risk for health complications related to nonadherence to diet order.
Inspectors wroteBased on observations, interviews, and record review the facility failed to conduct initial and periodical and comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity for 4 (Residents #4, #7, #34, & #97) of 16 residents reviewed for accuracy of resident assessments. -Residents #4 was not assessed for her mental diagnoses condition on her admission MDS dated [DATE] MDS. -Resident # 4 was not accurately assessed for her hearing difficulty on her comprehensive MDS dated [DATE] and on her Quarterly MDS dated [DATE]. -Residents #7 was not assessed for her mental illness and her oral cavity on her annual comprehensive MDS assessment dated [DATE]. -Resident #34 was not assessed for her mental diagnoses. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure comprehensive resident centered care plans were reviewed and revised by the interdisciplinary team after each assessment for 7 residents reviewed for care plan accuracy (Residents #4, # 7, #10, #13, #48, #53, #70). -The facility failed to revise and update Resident #4's care plan to include her cognitive loss, dementia, mental illness of bipolar disorder, communication, and dental care that were triggered on her admission MDS assessment dated [DATE]. - Resident #7 care plan was not updated for cognitive function, visual Function, Psychosocial well-being and activities that were triggered on her annual MDS dated [DATE] -Resident #7's care plan was not updated to include her oral\dental care. --Resident #48's care plan was not updated to reflect DNR status. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure expired drugs were removed from the medication room used to store drugs and biologicals in accordance with currently accepted professional principles when applicable for 1 of 1 medication room, 4 of 7 medication carts observed for labeling and storage of drugs and biologicals. The facility failed to ensure expired medications stored in the medication storage room were removed and disposed according to facility procedures for drug destruction and drugs open were dated. This deficient practice could place residents who receive medications from the medication room at risk for receiving outdated medications and could result in residents not getting the intended therapeutic effects of their medications and worsening of residents' symptoms.
Inspectors wroteBased on record review and interviews, the facility failed to electronically transmit within 14 days after the facility completed a resident's assessment, encoded MDS data including a subset of items upon a resident's transfer, reentry, discharge, and death for 3 of 3 residents (CR #16, 44, and #114) reviewed for electronic transmission of MDS data to the CMS system. The facility failed to complete and transmit discharge MDS data to the CMS system for (CR #16, 44, and #114 residents within 14 days of Residents discharge from the facility. These failures could place residents at risk for not having their assessments transmitted timely and or having their long-term care nursing facility Medicaid payments and or services interrupted. Findings Include: [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents with limited range of motion received appropriate treatment and services to prevent a decline in range of motion for 1 (Resident #10) of 17 residents. The facility failed to ensure Resident #10 had interventions in place for her left side foot drop (difficulty lifting the front part of the foot) using the brace/splint to foot can help hold the foot in a normal position. This deficient practice placed residents at risk for decrease in mobility, range of motion, and could contribute to worsening of foot drop. Findings Include: Record review of Resident #10's annual MDS assessment, dated 07/06/24, reflected a [AGE] year-old female with an admission date of 10/16/18 and was re-admitted [DATE]. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for one (Resident #10) of two residents reviewed for incontinence care. -The facility failed to ensure CNA BB provided appropriate perineal care for Resident #10 after an incontinent episode when she failed to open and clean the labia. -The facility failed to ensure CNA BB cleaned and wiped around the resident's buttocks after an incontinent episode . These failures could place residents at risk for the development and/or worsening of urinary tract infections and skin breakdown.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not five percent (5%) or greater. The facility had a medication error rate of 14.28%, based on 4 errors out of 28 opportunities, which involved 1 of 4 residents (Resident #93), and 1 of 4 staff (Medication Aide DD) reviewed for medication errors. -Medication Aide DD failed to administer 4 medications Ferrous Sulfate Tab EC 325 MG (iron supplement used to treat or prevent low blood levels of iron), Cholecalciferol Tab 50 MCG (2000 Unit) (a fat-soluble vitamin that helps your body absorb calcium and phosphorus), Gabapentin Cap 100 MG (used to treat epilepsy. It's also taken for nerve pain, which can be caused by different conditions) and Carbamazepine Tab 200 MG (an anticonvulsant. [...]
Inspectors wroteBased on observation, interview, and record review, the facility did not maintain an infection prevention program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 4 Staff (CNA BB) reviewed for infection control. The facility failed to ensure CNA BB followed proper hand hygiene during incontinent. These deficient practices could affect residents and place them at risk for infection, and reinfection.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for one resident (CR #1) of five residents (CR #1) reviewed for pharmacy services. 1. The facility failed to ensure CR #1's discharge orders from a transferring hospital were transcribed to the facility orders. 2. The facility failed to ensure CR #1's two anti-rejection medications were obtained by the facility. 3. The facility failed to ensure CR #1 received daily anti-rejection medications as ordered by the hospital from [DATE] to 05/23/24, when she was re-hospitalized and admitted to the ICU. 4. The facility failed to ensure CR #1, who had a liver transplant, was provided with two anti-rejection medications. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure recommendations from PASARR evaluation were incorporated for 1 of 9 residents reviewed for coordination of PASARR services. (Resident #1). Facility failed to provide specialized services for PASARR positive residents as agreed to during Resident #1's meeting by the required timeframe. This failure could place residents at risk of not receiving specialized services that would enhance their highest level of functioning.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure the environment remained free of accident hazards and each resident received adequate supervision and assistance to prevent accidents for 1 of 6 residents (Resident#1) reviewed for accidents and hazards. The facility failed to ensure hot coffee was maintained at a temperature that prevented Resident #1 from sustaining a second-degree burn to his left groin. This failure could place residents at risk of second degree burns and a decline in quality of life. Findings Included Resident #1 Record review of Resident #1's admission face sheet, dated 8/25/2023, revealed an [AGE] year-old male who was admitted to the facility on [DATE] and readmitted [DATE]. [...]
Inspectors wroteBased on interview and record review, the facility failed to immediately inform the resident consult with the resident's physician and notify the resident representative when there was an accident involving the resident which resulted in injury and had the potential for requiring physician intervention for 1 of 6 residents (Resident #1) reviewed for notification of changes. Licensed Vocational Nurse A failed to notify the physician in a timely manner when Resident #1 sustained a 2nd degree burn to the left groin. This failure could place residents at risk of second degree burn and decline in quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for one of 6 residents (Resident #1) reviewed for quality of care. 1. The facility failed to ensure that hot coffee was maintained at a temperature that could prevent Resident #1 from sustaining a second-degree burn to his left groin. 2. The facility failed to assess and treat Resident #1 in a timely manner after LVN A was notified of a new wound on 8/22/2023 to his groin. 3. [...]
Inspectors wroteBased on interview and record review, the facility failed to complete a resident assessment within the required time frame for 7 of 11 residents (Resident #11, Resident #16, Resident#28, Resident #44, Resident #56, Resident #69 and Resdient #72) reviewed for quarterly assessments in that: --Resident's #11, #16, #28, #44, #56, #69, and #72 Quarterly MDS' with ARDs in April of 2023, were not completed and transmitted until 5/24/23 and 5/25/23. These failures placed residents at risk of not having their assessments completed timely which could result in not having their individually assessed needs met. [...]
Inspectors wroteBased on interview and record review, the facility failed to transmit resident assessments within the required time frame for 1 of 11 residents (Resident #2) reviewed for data transmission in that: -- Resident #2's Discharge return anticipated assessment with an ARD of 1/2/23 was not completed or transmitted until 5/2/423. These failures could place residents at risk for not having their assessments transmitted timely and or having their long-term care nursing facility Medicaid payments and or services interrupted. Findings Include: [...]
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 of 6 residents (Resident #7). - The facility did not develop a base line care plan for Resident #7 that addressed Resident #7's change of condition after returning to the facility from the hospital. This failure could affect residents who require a change in care, and assessments, and could place them at risk for physical harm, pain, mental anguish, or emotional distress.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement person-centered care plans for each resident's services furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 24 residents (Resident #33) reviewed for the develop and implement comphrehensive care plans. - The facility failed to ensure Resident #33's comprehensive care plan included the care for his schizophrenia diagnosis. This deficient practice could place residents at risk of not being provided with the necessary care or services and having personalized plans developed to address their specific needs.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure waste were properly contained in 2 dumpsters and covered in that . -On 5-23-2023 at 9:37 am the facility lid on one dumpster was open and there were 2 large cardboard boxes sitting on the side of one dumpster. This failure has the potential to affect residents in the facility, staff, and visitors placing them at risk for infection and a decreased quality of life due to having an exterior environment which could attract pests, rodents, and other animals.
9 fire safety citations on file: 3 on September 17, 2025, 3 on August 21, 2024, 3 on May 25, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| March 19, 2026 | Fine | $14,047 |
| July 10, 2025 | Fine | $17,345 |
| March 7, 2025 | Fine | $24,622 |
| January 13, 2025 | Fine | $18,353 |
| May 30, 2024 | Fine | $55,278 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.38 | 3.39 | 3.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.08 | 2.98 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 69.7% | 55.3% | 45.8% |
| Registered nurse turnover | 83.3% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.51 on weekdays and 3.08 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.38 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.38 | 0.29 | 3.51 | 3.08 | 4.9% | 0 of 90 | 123 |
| Oct to Dec 2025 | 3.56 | 0.30 | 3.71 | 3.19 | 8.5% | 0 of 92 | 124 |
| Jul to Sep 2025 | 3.59 | 0.15 | 3.79 | 3.08 | 7.8% | 0 of 92 | 124 |
| Apr to Jun 2025 | 3.62 | 0.20 | 3.76 | 3.25 | 13.1% | 1 of 91 | 124 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.2 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.2 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.2 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Heights of League City's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (32.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
32.5% this home
Worse than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 54 eligible stays.
11.5% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 79 eligible stays.
8.1% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 47 eligible stays.
39.4% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 59 residents counted.
2.3% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 59 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 13 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY. CMS links this home to Touchstone Communities, a group of 25 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Frost Bank | 5% or greater security interest | Organization | 09/17/2024 | |
| Apolinar, Adam | Corporate officer | Individual | 08/01/2015 | |
| Touchstone Strategies - League City LLC | Operational/managerial control | Organization | 09/17/2024 | |
| Boening, Christopher | Operational/managerial control | Individual | 09/17/2024 | |
| Campbell, Leslie | Operational/managerial control | Individual | 09/17/2024 | |
| Castillo, Lynnea | Operational/managerial control | Individual | 09/17/2024 | |
| Coleman, Juanita | Operational/managerial control | Individual | 03/16/2026 | |
| Gordy, Otis | Operational/managerial control | Individual | 04/06/2026 | |
| Sehlke, Bryon | Operational/managerial control | Individual | 09/17/2024 | |
| Zurovec, Darrell | Operational/managerial control | Individual | 09/17/2024 | |
| Fellbaum, Ernest | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2026 | |
| Fellbaum, Kelly | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2026 | |
| Sehlke, Rena | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2026 | |
| Studer, Laura | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2026 | |
| Studer, Stanley | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/15/2026 | |
| Aegis Therapies, Inc. | Adp of the SNF | Organization | 09/17/2024 | |
| Alamo Advisors LP | Adp of the SNF | Organization | 09/17/2024 | |
| Carvajal Pharmacy LTC | Adp of the SNF | Organization | 09/17/2024 | |
| Fellbaum 2023 Descendants Trust | Adp of the SNF | Organization | 09/17/2024 | |
| Jan Studer 2023 Spousal Trust | Adp of the SNF | Organization | 09/17/2024 | |
| Kelly Fellbaum 2023 Spousal Trust | Adp of the SNF | Organization | 09/17/2024 | |
| Plante & Moran PLLC | Adp of the SNF | Organization | 09/17/2024 | |
| Studer 2023 Descendants Trust | Adp of the SNF | Organization | 09/17/2024 | |
| The Bryon and Rena Sehlke Living Trust | Adp of the SNF | Organization | 09/17/2024 | |
| Touchstone Communities Inc | Adp of the SNF | Organization | 09/17/2024 | |
| Touchstone Realty - League City LLC | Adp of the SNF | Organization | 09/17/2024 | |
| Touchstone Strategies - League City LLC | Adp of the SNF | Organization | 04/14/2026 | |
| Trident Health Services Inc | Adp of the SNF | Organization | 09/17/2024 | |
| Armstrong, Robin | Adp of the SNF | Individual | 01/01/2025 | |
| Boening, Christopher | Adp of the SNF | Individual | 09/17/2024 | |
| Campbell, Leslie | Adp of the SNF | Individual | 09/17/2024 | |
| Castillo, Lynnea | Adp of the SNF | Individual | 09/17/2024 | |
| Coleman, Juanita | Adp of the SNF | Individual | 03/16/2026 | |
| Gordy, Otis | Adp of the SNF | Individual | 04/06/2026 | |
| Sehlke, Bryon | Adp of the SNF | Individual | 09/17/2024 | |
| Zurovec, Darrell | Adp of the SNF | Individual | 09/17/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.