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Nursing homeFAID #14710

The Heights of North Houston

303 HOLLOW TREE LANE, HOUSTON, TX, 77090

(832) 705-8700

131 licensed beds

CMS rates The Heights of North Houston 2 out of 5 overall. Federal inspectors issued 35 citations across 12 inspections in the last three years, with $31,541 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · The Heights of North Houston (In-house Dialysis)

Address

303 Hollow Tree Lane

Houston, TX 77090

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Public record summary

What we can show you for free.

Bed capacity

131

CMS facility ID

676356

Care type

Nursing home

County

Harris

Facility name

The Heights of North Houston

Street address

303 HOLLOW TREE LANE

City / state / ZIP

Houston, TX 77090

Phone

(832) 705-8700

Website

avirhg.com

About this facility — The Heights of North Houston

The Heights of North Houston is a Medicare/Medicaid-certified skilled nursing facility in Houston, Texas. It is licensed for 131 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 720 senior care facilities in Houston and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Touchstone Communities, a group of 25 facilities on this site.

Federal inspectors have cited The Heights of North Houston 35 times across 12 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $31,541 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Touchstone Communities

Ownership type

For profit - Corporation

Registered owners & officers

Liberty County Hospital District No 1

Direct owner — 100% stake — since 2017

303 Hollow Tree Ln Opco Llc

Operational control · Additional disclosable party — since 2002

303 Hollow Tree Ln Property Owner Llc

Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2026

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2026

Goldberger, Faigy

Owner of a disclosable party — since 2026

Guerrero, Teresa

Additional disclosable party — since 2017

Stratton, Charles

Officer — since 2005

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2014-01-23

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$31,541 total

Last standard inspection

2025-05-08

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$298 per day (≈ $9,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 6% Medicare · 18% private/other

Occupancy

71% (fiscal year 2023)

Vs. state median

8% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

131

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-18Health inspectionComplaint-triggered1 citation

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-06-19

2026-05-19Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-05-20

8 earlier / fire-safety inspections (33 citations)

2026-03-31Health inspectionComplaint-triggered3 citations

F-0697

J · Immediate jeopardyFrom a complaint

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

Corrected 2026-04-20

F-0755

E · No harm foundFrom a complaint

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

Corrected 2026-04-20

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-05-20

2025-06-27Health inspectionComplaint-triggered1 citation

F-0755

E · No harm foundFrom a complaint

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

Corrected 2025-07-25

2025-05-08Health inspectionComplaint-triggered5 citations

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2025-06-01

F-0761

D · No harm found

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.

Corrected 2025-06-01

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-01

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-01

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-06-01

2024-03-01Health inspectionComplaint-triggered6 citations

F-0644

D · No harm foundFrom a complaint

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

Corrected 2024-03-01

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2023-05-24

F-0690

E · No harm found

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

Corrected 2024-03-08

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-03-01

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-01

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

2022-12-30Health inspection9 citations

F-0584

D · No harm found

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.

Corrected 2023-02-03

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-02-03

F-0684

G · Actual harm

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

Corrected 2023-02-03

F-0690

E · No harm found

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

Corrected 2023-02-03

F-0755

E · No harm found

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

Corrected 2023-02-03

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-02-03

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-03

F-0814

C · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-02-03

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-02-03

2025-05-08Fire-safety inspection5 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-10

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-06-01

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-01

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-06-01

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-06-01

2024-03-01Fire-safety inspection2 citations

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-04-01

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-01

2022-12-30Fire-safety inspection2 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2022-12-30

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-12-30

Federal penalties

2026-03-31Fine$23,520

2024-03-01Fine$8,021

2026-03-31Medicare payment denial — 18 days

Total fines$31,541

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676356.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 53% of nursing homes in the state

State median: 33

Federal fines, 3 years

$31,541

More than 66% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.5

Higher than 69% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

61%

Higher than 77% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 11 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	14.3%	15.8%	13.5%	Near state average
Lose too much weight	3.7%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.3%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.8%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.4%	96.4%	93.7%	Near state average
Ability to walk independently worsened	9.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	13.6%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	99.0%	97.0%	95.3%	Near state average
With pressure ulcers	5.0%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	14.3%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	7.7%	9.8%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	96.7%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	64.1%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	16.0%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	4.6%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 5 inspections. Provide and implement an infection prevention and control program.
F-0755 4 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0584 2 inspections. 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.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0759 2 inspections. Ensure medication error rates are not 5 percent or greater.

What its owners also hold

Liberty County Hospital District No 1 has an ownership stake on file at 35 nursing homes, averaging 2.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Cypress Creek Hospital, about 0.7 miles.
The Woodlands Specialty Hospital, about 7.2 miles.
St Luke's Hospital At the Vintage, about 8.5 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Park Manor of Cypress Station, Houston, about 0.3 miles. CMS rating 2 of 5.
Paradigm Northwest, Houston, about 0.7 miles. CMS rating 1 of 5.
Villa Toscana At Cypress Woods, Houston, about 2.8 miles. CMS rating 2 of 5.
The Village At Gleannloch Farms, Spring, about 5.3 miles. CMS rating 5 of 5.
Avir At Veterans Memorial, Houston, about 7.4 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.9142 ratings on Google

★libby bryant · 2026-05-13 · via Google
“This nursing facility need to be closed down. They have a big turn over. My family has laid in the bed for more than 8 to 10 hours, and was not changed on multiple occasions. Also somedays they donot get her up, or after 2pm. I filed a grievance with a social workers, but this is still happening. Her bed pillow and sheets was still soiled the entire day. I have pictures. At times, it smell like…”

★★★Jalise Farmer · 2026-03-09 · via Google
“I have been here 9 months & going home soon. I'm going to be nothing but honest. There is usually more bad than good in the care in all nursing homes... Some worse than others... I know this because I have now and have had several of my family members in one. It's a very first person I spoke to over the phone that my impression ever changed up with a wonderful woman named Betty. She answers the p…”

★Shanae · 2026-06-11 · via Google
“The people that work here at this establishment or non-knowledgeable they’re lazy they’re incompetent. They don’t have a no sense of urgency. They don’t enjoy their job. All they wanna do is come in and look good with tight uniforms on and don’t care about the patient this facility. I wish that I can remove my relative, but that’s their force to be here is unacceptable. The healthcare field with t…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered