The Heights of North Houston
A nursing home in Houston, Texas 77090
303 Hollow Tree Lane, Houston, Texas 77090. (832) 705-8700.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Texas average: 9.6
- 3.48 nurse hours per resident per day Texas average: 3.42
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection May 8, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Mar 31, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
17 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 17 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 10 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 18, 2026: complaint inspection1 citation
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Keep residents’ personal and medical records private and confidential.
May 19, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Mar 31, 2026: complaint inspection3 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide and implement an infection prevention and control program.
Jun 27, 2025: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 8, 2025: standard inspection4 citations
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 8, 2025: complaint inspection1 citation
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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.
Mar 1, 2024: standard inspection3 citations
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure medication error rates are not 5 percent or greater.
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Provide and implement an infection prevention and control program.
Mar 1, 2024: standard and complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 23, 2014.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 131 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $31,541 in all.
- 1 Medicare payment denial in the last three years.
- 10 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 31, 2026 | Medicare payment denial | Not given |
| Mar 31, 2026 | Fine | $23,520 |
| Mar 1, 2024 | Fine | $8,021 |
Who does the caring?
3.48 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.48 | 3.42 |
| Of which registered nurses | 0.22 | 0.44 |
| At weekends | 3.18 | 2.99 |
| Nursing staff turnover | 60.7% | 50.8% |
| Registered nurse turnover | 77.8% | 49.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Liberty County Hospital District No 1 owns 100% directly since Apr 1, 2017.
- 303 Hollow Tree Ln Opco LLC runs it.
- 4 owners or officers are people: Charles Bruce Stratton (corporate officer, 0%); Nochum Freund (runs it (operational or managerial control)); Teresa Guerrero (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Travitsky (runs it (operational or managerial control)).
- Part of Touchstone Communities (25 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | Owns 5% or more directly | 100% | Apr 1, 2017 |
| 303 Hollow Tree Ln Opco LLC | Runs it (operational or managerial control) | Oct 1, 2002 | |
| 303 Hollow Tree Ln Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 17, 2026 | |
| 303 Hollow Tree Ln Property Owner LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 12, 2025 | |
| Welltower Nnn Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Op LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.7 miles, this one had the 7th most health citations at the latest inspection cycle (9; the middle value was 10).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Heights of North Houston This nursing home | 9 | |
| Park Manor of Cypress Station | 0.3 | 11 |
| Paradigm Northwest | 0.7 | 13 |
| Villa Toscana at Cypress Woods | 2.8 | 11 |
| The Village at Gleannloch Farms | 5.3 | 2 |
| Avir at Veterans Memorial | 7.4 | 20 |
| Champions Healthcare at Willowbrook | 7.6 | 12 |
| Misty Willow Healthcare and Rehabilitation Center | 8.6 | 9 |
| North Houston Transitional Care | 8.8 | 3 |
| The Broadmoor at Creekside Park | 9.0 | 9 |
| Deerbrook Skilled Nursing and Rehab Center | 9.2 | 20 |
| Crimson Heights Health & Wellness | 9.7 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.