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Home / Texas / Houston

The Heights of North Houston

303 Hollow Tree Lane, Houston, TX 77090 · Harris County · (832) 705-8700

131 certified beds, about 94 residents a day · For profit - Corporation · Medicare and Medicaid since 2014

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676356 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 8, 2025, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 26 health citations since December 2022, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $31,541 in the last three years; the largest was $23,520, and the latest is dated March 31, 2026.

Nurses and nurse aides worked 3.31 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

48.2% 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.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 26 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
11E
2F
Potential for minimal harm
0A
0B
1C
June 18, 2026Complaint inspection · 1 citation
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the personal privacy during personal care for 1 (Resident #1) out of 1 residents reviewed for privacy.-The facility failed to ensure CNA M closed the door and/or the privacy curtain while providing incontinence care to Resident #1, on 6/17/26. This failure could place the residents at risk of not having their personal privacy maintained during personal care, and a decrease in dignity.
May 19, 2026Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections that includes written standards, policies, and procedures for the program for 2 (Resident #2, Resident #3) of 4 residents reviewed for infection control. 1. ADON B failed to perform proper hygiene when she touched the tube and button device for the G Tube for Resident #2. ADON B failed to wash her hands prior, failed to wear gloves, and failed to wash her hands after for a resident on enhanced barrier precautions. 2. ADON B failed to perform proper hygiene when she opened the brief for Resident #3. [...]
March 31, 2026Complaint inspection · 3 citations
  1. J
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, 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 preferences for 1 of 13 residents (Resident #2) reviewed for pain. - The Facility failed to ensure Resident #2's pain was assessed and treated prior to wound care treatments causing the resident to cry out when touched or moved. An immediate Jeopardy (IJ) was identified on 03/26/2026. The IJ template was provided to the facility on [DATE] at 5:22 PM. [...]
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 2 (Residents #3 and #4) of 6 residents reviewed for pharmaceutical services. The facility failed to ensure accurate administering of all drugs and biologicals to meet the needs of Resident #4, whomissed 2 doses of Lidocaine External Patch 4% on 03/25/26 and 03/26/26 resulting in resident being sore, was administered high dosages and low dosages of Tramadol and Resident #4 putting her at risk of overdose, and Resident #3 was administered insulin outside of her parameters which could cause her to go into hyper or hypoglycemia. MA C and LVN G failed to administer Resident #4's Lidocaine External Patch 4 % during the scheduled time. [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2026
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 of 4 residents (Resident #2) reviewed for infection control, in that: -CNA J failed to wear PPE for EBP, when she provided incontinent care to Resident #2. These deficient practices could place residents at-risk for infection, sepsis, and hospitalization due to cross contamination.
June 27, 2025Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on interview, and record review the facility failed to have an established system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and failed to determine that drug records were in order and that an account of all controlled drugs were maintained and periodically reconciled for 1 (CR #1) of 5 residents reviewed for pharmacy services. - The facility failed to document CR #1's ABH cream on her May 2025 MAR. - The facility failed to document CR #1's Morphine on her April 2025 MAR. - The facility failed to document CR #1's Morphine on her May 2025 MAR. These failures could place residents at risk for inaccurate administration of medication, over medication, or drug diversion.
May 8, 2025Standard inspection, Complaint inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 1, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen observed for kitchen sanitation. The facility failed to ensure the kitchen vents above the steam table was free from dripping condensation on 05/07/2025. This failure could have the potential to affect residents who ate food from the facility's kitchen placing them at risk of foodborne illness.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections for 1 of 1 facility reviewed for infection control. The facility failed to provide documentation regarding regular or periodic testing and monitoring of environmental control limts, such as PH levels, temperature levels and disinfectant levels according to their policy and procedure regarding their water management plan. This failure could place residents at risk of exposure to Legionnaires' disease (a serious type of lung infection caused by Legionella bacteria which can live in standing water within facility water systems).
  3. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed to maintain an effective pest control program to remain free of pests on 1 of 1 kitchen. The facility failed on 05/08/2025 to ensure the dishwashing area was free from 1 roach observed. This failure could place residents at risk of food borne illnesses and unsanitary conditions in the kitchen which could result in a decline in health.
  4. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 6 medication carts (100 hall nursing cart) and 1 of 15 resident rooms (Resident #2)reviewed for drug labeling and storage. 1- The facility failed on 05/07/2025 to ensure prescribed medication, not belonging to Resident#2 be left bedside tray, unattended. 2. The facility failed to ensure on 05/07/2025 the following was not left on top of the 100 Hall Nursing Cart unattended: [...]
  5. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2025
    Inspectors wroteBased on observations and interviews, the facility failed to ensure the right to a safe, clean, comfortable and homelike environment for 3 of 4 resident bathrooms (room [ROOM NUMBER], 218 and 411) reviewed for environmental concerns in that: The facility failed to maintain a clean and homelike environment on 05/6/2025 as followed: -The toilet in room [ROOM NUMBER] was not kept clean and had a large yellow stain in the bowl. -The toilet seats in rooms [ROOM NUMBERS] had yellow stains. -The floors in the bathroom of room [ROOM NUMBER] were not in good condition. The floors were covered in black tread tape (tape that prevents slipping) that was peeling off and no longer intact. These failures could place residents at risk of a diminished quality of life due to exposure to an environment that is was unpleasant, unsanitary, and unsafe.
March 1, 2024Standard inspection, Complaint inspection · 6 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident environment remained as free of accident hazards and each resident received adequate supervision to prevent accidents for 1 (CR #100) of 1 resident reviewed for adequate supervision. -The facility failed to provide adequate supervision and training of the staff when they incorrectly identified CR #100 as having left the facility with a family member on 05/22/2023 but later identified him as eloped on 05/23/2023. This failure placed residents living in the facility at risk of harm due to avoidable accidents by inadequately monitoring and documenting resident whereabouts, with the potential of the residents eloping from the facility while still requiring care and treatment. This noncompliance was identified as Past Non-Compliant. The IJ began on 5/22/23 and ended on 5/24/23. [...]
  2. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteRecord review of Resident # 30's face sheet dated 02/29/24 revealed a [AGE] year-old female admitted to the facility on [DATE] re-admitted [DATE] with a diagnosis that included: [Dementia] a condition characterized by progressive or persistent loss of intellectual functioning, especially with impairment of memory. Cerebrovascular disease ( stroke), paraplegia ( inability to voluntarily move the lower parts of the body), muscle wasting and atrophy, (aphasia) is a disorder that affects how you communicate [ Depressive disorder] is a mood disorder that causes a persistent feeling of sadness and loss of interest. Record review of Resident # 30's Quarterly MDS dated [DATE], revealed Resident #30 had a BIMS score of 01, which indicated severe cognitive Impairment. [...]
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not five percent (%) or greater. The facility had a medication error rate of 8% based on 2 errors out of 25 opportunities, which involved 2 of 5 residents (Resident #36, and #75) reviewed for medication errors. 1.- MA B did not administer Turmeric capsule (a medication that helps the inflammation, metabolic syndrome, arthritis, hyperlipidemia, kidney) to Resident #75. 2.- LVN A poured (26mls) wrong dosage of Potassium Chloride 10mg/ml and was about to administered via GTube ( Gastrostomy tube) to Resident #36 . These failures could place residents at risk of inadequate therapeutic outcomes, increased negative side effects, and a decline in health.
  4. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to refer all level II residents and all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review upon a significant change in status assessment for 1 of 3 residents (Resident #13) reviewed for coordination of PASRR and assessments. The facility failed to request, submit and coordinate the PASRR assessment and screening in the Simple LTC portal to ensure therapeutic services (physical, speech and occupational) were completed for Resident #13 . This failure could place residents at risk of not receiving necessary care and services in accordance with individually assessed needs.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services that include procedures to ensure accurate acquiring, receiving, dispensing, administering of all drugs and disposingof expired medications for 2 of 4 medication carts residents (Nurse's cart for 100 and 200 hall) reviewed for medication storage. -The facility failed to ensure the nurse's cart for 100 hall,s did not have expired Lemon Glycerin swab sticks expired date 10/2023. -The facility failed to ensure the nurse's cart for 300 halls did not have expired lubricating jelly expired date 09/2023. These failures could place the residents in the facility at risk for not receiving needed medications to maintain optimum health, resulting in deterioration in their condition.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an infection control program designed to prevent the development and transmission of infections for 1 of 2 residents (Resident #30) reviewed for infection control. 1. CNA A failed to perform hand hygiene appropriately while providing incontinent care for Resident #30 by not changing gloves and washing hands . These failures could place residents at risk for transmission of diseases and organisms.
December 30, 2022Standard inspection · 9 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 (Residents #40 and #75) of 7 residents reviewed for quality of care. The facility failed to prevent Residents #40 and #75 from developing MASD (Moisture Associated Skin Damage) causing them pain and emotional distress. These failures placed residents at risk of a diminished quality of care which lead to residents having severe pressure ulcers and severe moisure associated skin damage.
  2. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent received appropriate treatment and services to prevent urinary tract infections for 2 of 4 residents (Resident #30 and Resident #135) reviewed for catheter and incontinent care in that: The facility failed to ensure CNA T and the treatment nurse placed Resident # 30's Foley bag below the bladder during wound care. The facility failed to ensure WFM YY followed proper infection control procedures, and completely cleaned Resident #135, during incontinent care. These failures could affect residents, who were incontinent or had a catheter, and placed them at risk for urinary tract infection, discomfort, skin breakdown and decreased quality of life.
  3. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1 (Resident #16) of 6 residents reviewed for pharmacy services. RN E did not administer Humulin N insulin to Resident #16 as ordered by the physician. Resident #16 had medication at the bedside and did not have an order to self-administer medication. These failures could place residents at risk of not receiving the therapeutic outcomes, increased side effects, or a decline in health.
  4. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not five percent (%) or greater. The facility had a medication error rate of 10% based on 3 errors out of 30 opportunities, which involved 3 of 6 residents (Resident #52, #65, and #66) reviewed for medication errors. - RN E did not administer Furosemide (a medication that helps the body get rid of extra water) to Resident #52. - LVN P administered expired Insulin aspart to Resident #65. - MA A administered four drops of Cyclosporine eye drops in each eye instead of one drop in each eye as directed by the physician for Resident #66. These failures could place residents at risk of inadequate therapeutic outcomes, increased negative side effects, and a decline in health.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen reviewed for food service safety, in that: -Three dented cans were on the can rack located in the dry storage room. -1 box of chips were on the floor in the dry storage room. -4 plastic containers of potentially rotten or expired fruit was present in the walk-in cooler. This failure could place residents at risk for cross-contamination and foodborne illnesses.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 3, 2023
    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 6 of 6 residents (Resident #10, #26, #29, #40, #75, and #135) reviewed for infection control. -CNA C failed to change gloves and wash or sanitize her hands when moving from a dirty area to a clean area when providing incontinent care to Resident #10. -CNA AA failed to change gloves and wash or sanitize her hands when moving from a dirty area to a clean area when providing incontinent care to Resident #29. -CNA BB failed to change gloves when providing wound care to Resident #26. [...]
  7. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that housekeeping and maintenance services maintained a sanitary, orderly, and comfortable interior for 1 (Resident #135) of 7 residents reviewed for environment. -Resident #135's restroom had a sewage odor causing the resident not to want to use the restroom to shower. This failure placed her at risk of a diminished quality of life leading to a variety of emotional and physical problems/issues.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 (Resident #135) of 7 residents reviewed for ADLs. The facility failed to provide routine showers and timely incontinent care to Resident #135. These failures placed residents at risk of poor personal hygiene, skin problems, infection, and a diminished quality of life.
  9. C
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 3, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to dispose of garbage and refuse properly for 1 of 1 dumpster reviewed for garbage disposal. -The facility failed to ensure the dumpster lids and doors were secured. This failure could result in providing harborage and breeding areas for insects, rodents and other pests which could infest the facility.

Fire safety inspections

9 fire safety citations on file: 5 on May 8, 2025, 2 on March 1, 2024, 2 on December 30, 2022.

Every fire safety citation9 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 8, 2025 · Corrected (the home has a date of correction)
  2. E
    Install an approved automatic sprinkler system.
    K 351 · May 8, 2025 · Corrected (the home has a date of correction)
  3. E
    Install corridor and hallway doors that block smoke.
    K 363 · May 8, 2025 · Corrected (the home has a date of correction)
  4. E
    Have proper medical gas storage and administration areas.
    K 923 · May 8, 2025 · Corrected (the home has a date of correction)
  5. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · May 8, 2025 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 1, 2024 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 1, 2024 · Corrected (the home has a date of correction)
  8. E
    Provide properly protected cooking facilities.
    K 324 · December 30, 2022 · Corrected (the home has a date of correction)
  9. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 30, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 31, 2026Fine $23,520
March 31, 2026Payment Denial 18 days from May 2, 2026
March 1, 2024Fine $8,021

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.313.393.86
Registered nurses0.370.430.69
All nursing staff on weekends2.962.983.42
Nurse aides2.10
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)48.2%55.3%45.8%
Registered nurse turnover50.0%54.6%42.9%
Administrators who left1

CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.46 on weekdays and 2.96 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.31 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.310.373.462.96 0.0%0 of 9094
Oct to Dec 20253.330.393.472.99 0.0%0 of 9298
Jul to Sep 20253.450.413.623.01 1.4%0 of 92104
Apr to Jun 20253.280.363.482.79 3.0%0 of 91107
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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

Staff pay at this home

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For The Heights of North Houston. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.515.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.23.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.99.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.125.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
2.112.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Heights of North Houston's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.8% this home

No different from 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. 47 eligible stays.

Potentially preventable readmissions

12.3% 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. 58 eligible stays.

Infections that led to a hospital stay

7.7% 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. 30 eligible stays.

Self-care and mobility at discharge

43.5% 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. 23 residents counted.

Falls with major injury

2.7% 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. 37 residents counted.

New or worsened pressure ulcers

1.9% 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. 37 residents counted.

Medication list given at discharge

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. 7 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.

Owners and operators

Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1. CMS links this home to Touchstone Communities, a group of 25 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Liberty County Hospital District No 15% or greater direct ownership interestOrganization100%04/01/2017
Stratton, CharlesCorporate officerIndividual05/01/2005
303 Hollow Tree Ln Opco LLCOperational/managerial controlOrganization10/01/2002
Freund, NochumOperational/managerial controlIndividual10/01/2025
Travitsky, AaronOperational/managerial controlIndividual10/01/2025
Dagan, AmitaiIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
Goldberger, AbrahamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/16/2026
Goldberger, FaigyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2026
303 Hollow Tree Ln Opco LLCAdp of the SNFOrganization03/17/2026
303 Hollow Tree Ln Property Owner LLCAdp of the SNFOrganization10/01/2025
Welltower IncAdp of the SNFOrganization10/01/2025
Welltower Nnn Group, LLCAdp of the SNFOrganization10/01/2025
Welltower Op, LLCAdp of the SNFOrganization10/01/2025
Guerrero, TeresaAdp of the SNFIndividual09/01/2017

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on March 31, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on March 31, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on May 19, 2026: "Provide and implement an infection prevention and control program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 18, 2026: "Keep residents' personal and medical records private and confidential."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Texas average of 2.98.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is The Heights of North Houston's Medicare star rating?
CMS rates The Heights of North Houston 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Heights of North Houston get at its last inspection?
4 health deficiencies at the standard inspection on May 8, 2025. The Texas average is 9.4.
Has The Heights of North Houston been fined?
Yes. CMS lists 2 fines totaling $31,541 in the last three years.
Does The Heights of North Houston accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Heights of North Houston?
CMS lists 14 owners and managers, and links the home to Touchstone Communities. Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1.

Sources

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