PlainNursing
CMS Nursing Home Compare · August 2026

The Heights of League City

2620 West Walker Street, League City, TX 77573

The Heights of League City, a 194-bed government - hospital district nursing facility in League City, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,104 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 9 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2813095400

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,104 of 1,165
In-state rank among rated TX homes
3.38
Below average · nurse hrs/day · nat'l 3.86
28
Inspection findings · 9 serious

The verdict

The Heights of League City, a 194-bed government - hospital district nursing facility in League City, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,104 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 9 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,104 of 1,165
In-state rank among rated TX homes
3.38
Nurse hrs/resident-day · national 3.86
28
Inspection findings · 9 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676153
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
194
Residents
123
In Hospital
Yes
County
Galveston
Last Inspection
Sep 17, 2025

Staffing Data

How the 3.38 total nursing hours per resident-day are staffed:

RN Hours
0.29 (nat'l avg: 0.69)
LPN Hours
0.80
CNA Hours
2.29
Total Nursing Hours
3.38 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
69.7%
RN Turnover
83.3%

What the CMS Record Reveals About The Heights of League City

According to CMS Nursing Home Compare, The Heights of League City ranks #1,104 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Heights of League City operates 194 certified beds in League City, TX with approximately 123 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 28 deficiency records from recent surveys, of which 9 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 6 times by CMS, for a combined $145K. Per resident day, this facility reports 3.38 total nursing hours (national average 3.86) and 0.29 RN hours.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, The Heights of League City falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 69.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2026

J - Isolated - Jeopardy Mar 19, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 20, 2026

J - Isolated - Jeopardy Mar 19, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 20, 2026

D - Isolated - Minimal harm Dec 19, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 20, 2025

J - Isolated - Jeopardy Jul 10, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 10, 2025

J - Isolated - Jeopardy Mar 7, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 8, 2025

D - Isolated - Minimal harm Jan 13, 2025 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 18, 2025

J - Isolated - Jeopardy Jan 13, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 18, 2025

K - Pattern - Jeopardy Jan 13, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 18, 2025

K - Pattern - Jeopardy Jan 13, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 18, 2025

D - Isolated - Minimal harm Aug 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 15, 2024

D - Isolated - Minimal harm Aug 21, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2024

D - Isolated - Minimal harm Aug 21, 2024 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2024

D - Isolated - Minimal harm Aug 21, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2024

D - Isolated - Minimal harm Aug 21, 2024 Tag: 0640

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 15, 2024

E - Pattern - Minimal harm Aug 21, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 15, 2024

E - Pattern - Minimal harm Aug 21, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 15, 2024

E - Pattern - Minimal harm Aug 21, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 15, 2024

K - Pattern - Jeopardy May 30, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 9, 2024 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 31, 2024

D - Isolated - Minimal harm Sep 5, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 28, 2023

D - Isolated - Minimal harm Sep 5, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 28, 2023

G - Isolated - Actual harm Sep 5, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 28, 2023

C - Widespread - No harm May 25, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 1, 2023

D - Isolated - Minimal harm May 25, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2023

D - Isolated - Minimal harm May 25, 2023 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2023

D - Isolated - Minimal harm May 25, 2023 Tag: 0640

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2023

E - Pattern - Minimal harm May 25, 2023 Tag: 0638

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 72.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 85.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 64.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 42.7% No

Penalty History 6 penalties totaling $145K

Date Type Amount
Mar 19, 2026 Fine $22K
Jul 10, 2025 Fine $17K
Mar 7, 2025 Fine $25K
Jan 13, 2025 Fine $18K
May 30, 2024 Fine $55K
Sep 5, 2023 Fine $7K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for The Heights of League City, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for The Heights of League City

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 194 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for The Heights of League City?
The Heights of League City has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does The Heights of League City rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), The Heights of League City ranks 1,104th among 1,165 rated nursing homes in TX (#1,104 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at The Heights of League City?
The Heights of League City reports 3.38 total nursing hours per resident day (national average: 3.86). RN hours are 0.29 per resident day (national average: 0.69). Nursing staff turnover is 69.7%.
How many beds does The Heights of League City have?
The Heights of League City has 194 certified beds with approximately 123 residents. The facility is located at 2620 West Walker Street, League City, TX 77573.
Does The Heights of League City have any deficiencies on record?
Yes, The Heights of League City has 28 deficiencies on record from recent inspections. Of these, 9 are classified as causing actual harm or jeopardy.
Has The Heights of League City received any fines or penalties?
Yes, The Heights of League City has received 6 penalties totaling $145K.
Who owns The Heights of League City?
The Heights of League City is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was The Heights of League City last inspected?
The most recent health inspection for The Heights of League City was on Sep 17, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for The Heights of League City?
The Heights of League City is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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