The Heights of League City

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2026-03-19 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-20

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2026-03-19 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-20

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-07-10 · Tag F0689 · Complaint investigation · Past Non-Compliance · Correction reported 2025-07-10

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-03-07 · Tag F0678 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-08

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-01-13 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-18

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-01-13 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-18

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-01-13 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-18

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-05-30 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-06-21

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-09-05 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-28

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

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-04-24 · Tag F0697 · Complaint investigation · Deficient, Provider has no plan of correction

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-12-19 · Tag F0908 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-20

Keep all essential equipment working safely.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-01-13 · Tag F0808 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-18

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-21 · Tag F0640 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-15

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-21 · Tag F0641 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-15

Ensure each resident receives an accurate assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-21 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-15

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-21 · Tag F0688 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-15

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-21 · Tag F0690 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-15

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-21 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-15

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-21 · Tag F0759 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-15

Ensure medication error rates are not 5 percent or greater.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-21 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-15

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-05-09 · Tag F0644 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-05-31

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-05 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-28

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-09-05 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-28

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-05-25 · Tag F0638 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-07-01

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-05-25 · Tag F0640 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-07-01

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works