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The Heights on Valley Ranch
23200 Valley Ranch Parkway, Porter, TX 77365 (opens Google Maps) · Montgomery County · (346) 326-5085· 122 certified beds · avg 111 residents/day · certified since Jan 23, 2020 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected May 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.94
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
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. F-0640
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. F-0812
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
View all 16 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0640 |
| May 15, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| May 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| May 15, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 15, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 15, 2025 | B · Potential for minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Oct 11, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0561 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0578 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0677 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0688 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Mar 21, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0693 |
| Dec 20, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Dec 20, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
All citationsSerious citations (G–L)
2022
All citations: 2
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | E |
| 2024 | 8 | 0 | E |
| 2025 | 6 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.94
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.18
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.50
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.74 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Heights on Valley Ranch. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Touchstone Communities — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- West Oaks Nursing & Rehabilitation — Houston, TX · overall 4/5
- Country Care Manor — La Vernia, TX · overall 4/5
- Del Rio Nursing and Rehabilitation Center — Del Rio, TX · overall 5/5
- Harker Heights Nursing & Rehabilitation — Harker Heights, TX · overall 1/5
- Hill Country Heights — Copperas Cove, TX · overall 4/5
- La Frontera Nursing & Rehabilitation — Laredo, TX · overall 3/5
- Laredo Nursing and Rehabilitation Center — Laredo, TX · overall 1/5
- Las Alturas de Penitas — Penitas, TX · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 23 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 →
Other facilities in the same county
CMS records place this facility in Montgomery, TX — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- The Woodlands Nursing and Rehabilitation Center — The Woodlands, TX · overall 3/5
- Willis Nursing and Rehabilitation — Willis, TX · overall 4/5
- Woodland Manor Nursing and Rehabilitation — Conroe, TX · overall 1/5
- Conroe Health Care Center — Conroe, TX · overall 2/5
- Park Manor of Conroe — Conroe, TX · overall 5/5
- Ridgewood at the Woodlands — The Woodlands, TX · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676476.
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