What is The Heights of Tomball's Medicare star rating?

CMS rates The Heights of Tomball 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Heights of Tomball get at its last inspection?

2 health deficiencies at the standard inspection on March 28, 2024. The Texas average is 9.4.

Does The Heights of Tomball 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 Tomball?

CMS lists 29 owners and managers, and links the home to Touchstone Communities. Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1.

The Heights of Tomball: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on March 28, 2024, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 10 health citations since October 2021, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $21,908 in the last three years; the largest was $13,627, and the latest is dated May 12, 2025.

Nurses and nurse aides worked 3.05 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

49.5% 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.

210/21

401/23

203/24

112/24

105/25

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 12, 2025Complaint inspection · 1 citation

J

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · 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) June 10, 2025

Inspectors wroteBased on interview and record review, the facility failed to ensure residents received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 (CR#1) of 5 residents reviewed for quality of care. The facility failed to ensure that CR#1 did not develop a pressure ulcer from date of admission, 3/6/25 through date of discharge, 3/19/25. An Immediate Jeopardy (IJ) was identified on 05/09/2025 at 7:18 pm. [...]

December 3, 2024Complaint inspection · 1 citation

K

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, pattern · 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 each resident received adequate supervision and assistive devices to prevent accidents for 1 of 8 (Resident #1) residents reviewed for accidents and supervision. CNA A failed to provide safe transfers for Resident #1 via mechanical lift/ 2-person assist, as required on 11/20/2024. Resident #1 complained of leg pain and was diagnosed with an acute, mildly displaced (broken bone where the ends of the bones are no longer aligned) spiral fracture (a fracture occurring when torque is applied along with the axis of a bone. They often occur when the body is in motion while one extremity is planted) of the right mid/distal femoral shaft (the long, straight middle part of the femur, or thigh bone) and required surgical intervention. The noncompliance was identified as Past Non-Compliance. [...]

March 28, 2024Standard inspection · 2 citations

D

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

F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 2, 2024

Inspectors wroteBased on observation, interview and record review the facility failed to transmit an MDS for 2 (Resident #57 and Resident #112) of 3 residents reviewed for resident assessment. The facility failed to transmit End of PPS Part A stay 12/13/2023 for Resident #57. The facility failed to transmit End of PPS Part A stay 11/10/2023 for Resident #112. The facility failed to transmit Discharge Return Not Anticipated 12/13/2023 for Resident #57. The facility failed to transmit Discharge Return Not Anticipated 11/10/2023 for Resident 112. This failure could place the residents at risk of not having their assessments transmitted timely.
D

Make sure that a working call system is available in each resident's bathroom and bathing area.

F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 2, 2024

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure resident rooms was adequately equipped at the resident's bedside to call for staff assistance through the communication system for 1 of 3 sampled residents (Resident #6) reviewed for call light function, in that: -The facility failed to ensure Resident #6 bedside call light was functioning.

January 20, 2023Standard inspection · 4 citations

D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from unnecessary physical restraints imposed for the purpose of convenience for 1 of 20 residents (Resident #58) reviewed for restraints, in that: The facility failed to assess the need for half-length side rails for Resident #58 prior to using them. This failure placed residents at risk of being injured as a result of using a physical restraint.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observation, interview and record review the facility failed to accurately assess each resident's status for 2 of 8 Residents (Resident #41 and #58) reviewed for assessment accuracy in that: - Resident #41's Comprehensive MDS dated [DATE] sections for cognition and mood were not complete. - Resident #58's Comprehensive MDS dated [DATE] did not correctly assess his fall history. This failure placed residents at risk of not receiving the proper care and services due to inaccurate MDS assessments.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet residents' mental and psychosocial needs for 1 of 8 (Residents #41 ) Residents reviewed for care plans. The facility did not develop and implement a comprehensive person-centered care plan that described Resident #41's medications that he was able to self-administer. This could place residents at risk of a medication error.
D

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, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for 1 of 3 residents (Resident #316) reviewed for urinary catheters in that: The facility failed to ensure Resident #316's urinary catheter bag was off the floor. This deficient practice could affect residents who had urinary catheters and result in trauma or urinary tract infections.

October 28, 2021Standard inspection · 2 citations

D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2021

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure individuals with mental health disorders were provided an accurate PASRR for 1of 4 residents, (Residents # 86) reviewed for PASRR Level 1 screenings. The facility did not send the correct PASRR Level 1 (PL1) screening to the local authority for Residents #86. This failure could place residents with positive PASRR at risk of not receiving specialized services which would enhance their highest level of functioning and could contribute to residents decline in physical, mental and psychosocial well-being.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2021

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free of significant medications errors for one of four residents (Resident #26) reviewed for medications, in that; Med Aide B crushed and administered Resident #26's Potassium Chloride ER 10 mEq medication without MD order to crush the tablet. This failure could place residents at risk for adverse consequences which could cause depleted potassium levels.

Fire safety inspections

4 fire safety citations on file: 1 on March 28, 2024, 2 on January 20, 2023, 1 on October 28, 2021.

Every fire safety citation4 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 28, 2024 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · January 20, 2023 · Corrected (the home has a date of correction)
E
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 20, 2023 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · October 28, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
May 12, 2025	Fine	$8,281
December 3, 2024	Fine	$13,627

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.

Measure	This home	Texas	United States
All nursing staff (RN, LPN and aides)	3.05	3.39	3.86
Registered nurses	0.28	0.43	0.69
All nursing staff on weekends	2.76	2.98	3.42
Nurse aides	2.03
Licensed practical nurses	0.73
Nursing staff turnover (share who left in a year)	49.5%	55.3%	45.8%
Registered nurse turnover	50.0%	54.6%	42.9%
Administrators who left	1

CMS expects 3.65 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 3.17 on weekdays and 2.76 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.05 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	3.05	0.28	3.17	2.76	3.0%	0 of 90	121
Oct to Dec 2025	3.23	0.39	3.35	2.93	3.1%	0 of 92	112
Jul to Sep 2025	3.21	0.37	3.34	2.88	2.8%	0 of 92	112
Apr to Jun 2025	3.23	0.37	3.37	2.86	2.8%	0 of 91	115
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.

Quality measures

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	6.6	15.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.3	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.3	0.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.7	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	9.1	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.2	3.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	10.0	9.6	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	20.0	25.7	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	8.8	12.3	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.4	2.2	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	2.1	1.8

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.

Name	Role	Type	Share	Since
Liberty County Hospital District No 1	5% or greater direct ownership interest	Organization	100%	04/01/2017
Keybank National Association	5% or greater mortgage interest	Organization		07/01/2021
Stratton, Charles	Corporate officer	Individual		05/01/2005
Touchstone Strategies - Tomball LLC	Operational/managerial control	Organization		04/01/2017
Baidoo, Joseph	Operational/managerial control	Individual		04/01/2025
Boening, Christopher	Operational/managerial control	Individual		01/13/2020
Campbell, Leslie	Operational/managerial control	Individual		04/01/2020
Castillo, Lynnea	Operational/managerial control	Individual		04/01/2017
Maire, Sanikqa	Operational/managerial control	Individual		05/21/2024
Sehlke, Bryon	Operational/managerial control	Individual		04/01/2017
Zurovec, Darrell	Operational/managerial control	Individual		08/01/2017
Aegis Therapies, Inc.	Adp of the SNF	Organization		04/01/2017
Carvajal Pharmacy LTC	Adp of the SNF	Organization		04/01/2017
Nutritious Lifestyles, Inc.	Adp of the SNF	Organization		04/01/2017
Plante & Moran PLLC	Adp of the SNF	Organization		04/01/2017
The Bryon and Rena Sehlke Living Trust	Adp of the SNF	Organization		01/01/2023
Touchstone Communities Inc	Adp of the SNF	Organization		04/01/2017
Touchstone Realty - Tomball LLC	Adp of the SNF	Organization		04/01/2017
Touchstone Strategies - Tomball LLC	Adp of the SNF	Organization		07/24/2025
Trident Health Services Inc	Adp of the SNF	Organization		04/01/2017
Baidoo, Joseph	Adp of the SNF	Individual		04/01/2025
Boening, Christopher	Adp of the SNF	Individual		01/13/2020
Campbell, Leslie	Adp of the SNF	Individual		04/01/2020
Castillo, Lynnea	Adp of the SNF	Individual		04/01/2017
Fellbaum, Ernest	Adp of the SNF	Individual		04/01/2017
Maire, Sanikqa	Adp of the SNF	Individual		05/21/2024
Sehlke, Bryon	Adp of the SNF	Individual		04/01/2017
Studer, Stanley	Adp of the SNF	Individual		04/01/2017
Zurovec, Darrell	Adp of the SNF	Individual		08/01/2017

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.

When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 28, 2024: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 12, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on March 28, 2024: "Make sure that a working call system is available in each resident's bathroom and bathing area."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on January 20, 2023: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the Texas average of 2.98.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Park Manor of Tomball
Tomball, 0.7 mi · 2 of 5 stars · 28 citations
Lawrence Street Health Care Center
Tomball, 0.7 mi · 4 of 5 stars · 13 citations
Tomball Rehab & Nursing
Tomball, 1.9 mi · 1 of 5 stars · 26 citations
Willow Creek Lodge
Tomball, 3.5 mi · 3 of 5 stars · 23 citations
The Broadmoor at Creekside Park
The Woodlands, 8.3 mi · 3 of 5 stars · 29 citations
North Houston Transitional Care
Houston, 8.5 mi · 3 of 5 stars · 8 citations
Cypress Creek Rehabilitation and Healthcare Center
Cypress, 8.7 mi · 3 of 5 stars · 17 citations
Misty Willow Healthcare and Rehabilitation Center
Houston, 8.8 mi · 1 of 5 stars · 30 citations

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is The Heights of Tomball's Medicare star rating?: CMS rates The Heights of Tomball 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Heights of Tomball get at its last inspection?: 2 health deficiencies at the standard inspection on March 28, 2024. The Texas average is 9.4.
Has The Heights of Tomball been fined?: Yes. CMS lists 2 fines totaling $21,908 in the last three years.
Does The Heights of Tomball 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 Tomball?: CMS lists 29 owners and managers, and links the home to Touchstone Communities. Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.