The Heights on Valley Ranch

Name: The Heights on Valley Ranch
Address: 23200 VALLEY RANCH PARKWAY, Porter, TX, 77365, US
Telephone: 3463265085

23200 Valley Ranch Parkway, Porter, TX 77365 · Montgomery County · 122 certified beds · avg 111 residents/day · certified since Jan 23, 2020

Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 15, 2025	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
May 15, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 15, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 15, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 15, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 15, 2025	B · Minimal risk, repeated	The facility did not dispose of garbage and refuse properly.
Oct 11, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 21, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 20, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 20, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).

Year	Citations	Worst severity that year
2022	2	E
2024	8	E
2025	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.94	3.46	3.95	top 17% in Texas; top 42% in the U.S.
Registered Nurse hours	0.18	0.44	0.69	bottom 5% in Texas; bottom 2% in the U.S.
Weekend total nurse staffing	3.50	3.04	3.50	top 17% in Texas; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.08	0.34	0.48	bottom 1% in Texas; bottom 1% in the U.S.
Total nursing staff turnover (%)	39.3	55.3	45.8	top 19% in Texas; top 35% in the U.S.
RN turnover (%)	50.0	54.6	42.9	top 41% in Texas; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.74, RN 0.17, weekend 3.33. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2023
Boening, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Boening, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Booker, Marilyn	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Booker, Marilyn	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Campbell, Leslie	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Campbell, Leslie	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Carmouche, Felecia	Individual	Operational/Managerial Control	NOT APPLICABLE	12/04/2023
Carmouche, Felecia	Individual	ADP of the SNF	NOT APPLICABLE	12/04/2023
Carvajal Pharmacy LTC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2023
Castillo, Lynnea	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Castillo, Lynnea	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Fellbaum, Ernest	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Frost Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	10/25/2024
Nutritious Lifestyles, INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2023
Plante & Moran PLLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2023
Sehlke, Bryon	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2023
Sehlke, Bryon	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
Studer, Stanley	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2023
The Bryon and Rena Sehlke Living Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure resident assessments are completed and submitted to the state on time?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see where garbage is stored and how often it's removed?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Kingwood Rehabilitation and Healthcare Center	3.8 mi	Kingwood, TX	★☆☆☆☆	1/5
Crimson Heights Health & Wellness	8.1 mi	Humble, TX	★★★☆☆	2/5
Deerbrook Skilled Nursing and Rehab Center	8.1 mi	Humble, TX	★☆☆☆☆	1/5	abuseSFF
Park Manor of Humble	8.3 mi	Humble, TX	★★★★☆	3/5
Focused Care at Humble	8.5 mi	Humble, TX	★☆☆☆☆	1/5	abuse
Oakmont Healthcare and Rehabilitation of Humble	9.5 mi	Humble, TX	★★☆☆☆	1/5
The Village at Gleannloch Farms	11.1 mi	Spring, TX	★★★★★	5/5
Fall Creek Rehabilitation and Healthcare Center	12.5 mi	Humble, TX	★☆☆☆☆	2/5
The Heights of North Houston	12.6 mi	Houston, TX	★★☆☆☆	2/5
Park Manor of Cypress Station	12.8 mi	Houston, TX	★☆☆☆☆	1/5	abuse
Paradigm Northwest	13.2 mi	Houston, TX	★☆☆☆☆	1/5
Park Manor of the Woodlands	14.1 mi	The Woodlands, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Porter →

Facility data as of CMS processing date 2026-08-01. CCN 676476.

The Care File

Visit checklist — The Heights on Valley Ranch

23200 Valley Ranch Parkway, Porter, TX 77365 · 3463265085

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676476 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)