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Skilled nursing facility · CMS certification number 676350

THE HEIGHTS OF TOMBALL

TOMBALL, Texas · Medicare and Medicaid · 131 certified beds in Care Compare

Download THE HEIGHTS OF TOMBALL’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $21,908.00 · Payment denials: 0. The most recent penalty on file: May 12, 2025, Fine, $8,281. Every penalty on file ↓

THE HEIGHTS OF TOMBALL: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on March 27, 2025.
  • Net patient revenue fell from $12.1M in fiscal year 2023 to $12.0M in fiscal year 2024.
  • Its result from service to patients: $583K (2022), $1.2M (2023), $545K (2024).
  • Its cost reports on file run from fiscal year 2014 to fiscal year 2024.
  • Its net patient revenue of $12.0M ranks 68th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • None of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, reports a gain on service to patients.

THE HEIGHTS OF TOMBALL: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2014 to 2024
Form CMS-2540-102024 · report 14059432023 · report 13751852022 · report 13444842021 · report 13607702020 · report 12830112019 · report 12990342018 · report 12218312017 · report 11900882016 · report 11732272015 · report 11763492014 · report 1118662
Period beganOctober 1, 2023October 1, 2022October 1, 2021October 1, 2020October 1, 2019October 1, 2018October 1, 2017April 1, 2017January 1, 2016January 1, 2015December 18, 2013
Period endedSeptember 30, 2024September 30, 2023September 30, 2022September 30, 2021September 30, 2020September 30, 2019September 30, 2018September 30, 2017December 31, 2016December 31, 2015December 31, 2014
Days, where not a full year———————182———
Processed by CMSMarch 27, 2025March 18, 2024March 16, 2023August 2, 2023April 28, 2021September 16, 2021March 25, 2019May 22, 2018August 15, 2017September 25, 2017February 5, 2016
Total patient revenue$13,567,544$13,123,763$12,176,650$11,709,399$11,792,096$10,288,799$10,434,224$4,715,751$8,232,414$8,598,345$6,621,529
Contractual allowances and discounts$1,532,337$1,040,801$1,729,492$2,187,318$1,611,693$206,737$248,961$233,352−$545,196$354,226$358,955
Net patient revenue$12,035,207$12,082,962$10,447,158$9,522,081$10,180,403$10,082,062$10,185,263$4,482,399$8,777,610$8,244,119$6,262,574
Total operating expenses$11,490,481$10,849,072$9,863,748$9,674,720$9,221,991$9,370,337$9,788,897$4,745,891$8,726,900$8,480,871$7,162,820
Net income from service to patients$544,726$1,233,890$583,410−$152,639$958,412$711,725$396,366−$263,492$50,710−$236,752−$900,246
Total other income$1,132,057$659,094$1,014,038$1,752,237$394,029$13,208$8,008$972$2,349$2,576$308
Net income after other income$1,676,783$1,892,984$1,597,448$1,599,598$1,352,441$724,933$404,374−$262,520$53,059−$234,176−$899,938
Net income$1,676,783$1,892,984$1,597,448$1,599,598$1,352,441$724,933$404,374−$262,520−$41,639−$234,176−$899,938
Total facility beds, all components131131131131131131131131131131131
Bed days available, all components47,946——————————
Medicare (Title XVIII) patient days4,100——————————
Medicaid (Title XIX) patient days23,733——————————
Other-payer patient days14,377——————————
Total patient days, all components42,21040,42336,32734,82635,62236,49835,61116,61232,32928,95922,342
Medicare discharges167——————————
Medicaid discharges116——————————
Other-payer discharges427——————————
Total discharges, all components710771574546760497606168362334253
Average length of stay, Medicare, in days24.5531.0926.1143.963443.4333.6336.0238.3642.9942.93
Average length of stay, Medicaid, in days204.59145.49160.89140.97107.4168.76144.3461.9305.63640.79334.15
Average length of stay, all patients, in days59.4552.4363.2963.7846.8773.4458.7698.8889.3186.788.31

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014. Checked against the form’s own arithmetic: what that check shows.

THE HEIGHTS OF TOMBALL: nurse staffing hours by quarter →

Who owns THE HEIGHTS OF TOMBALL, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100%%, since 04/01/2017
  • 5% OR GREATER MORTGAGE INTEREST: KEYBANK NATIONAL ASSOCIATION (organization), NOT APPLICABLE, since 07/01/2021
  • ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), NOT APPLICABLE, since 04/01/2017; BAIDOO, JOSEPH (individual), NOT APPLICABLE, since 04/01/2025; BOENING, CHRISTOPHER (individual), NOT APPLICABLE, since 01/13/2020; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CARVAJAL PHARMACY LTC (organization), NOT APPLICABLE, since 04/01/2017; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 04/01/2017; FELLBAUM, ERNEST (individual), NOT APPLICABLE, since 04/01/2017; MAIRE, SANIKQA (individual), NOT APPLICABLE, since 05/21/2024; NUTRITIOUS LIFESTYLES, INC. (organization), NOT APPLICABLE, since 04/01/2017; PLANTE & MORAN PLLC (organization), NOT APPLICABLE, since 04/01/2017; SEHLKE, BRYON (individual), NOT APPLICABLE, since 04/01/2017; STUDER, STANLEY (individual), NOT APPLICABLE, since 04/01/2017; THE BRYON AND RENA SEHLKE LIVING TRUST (organization), NOT APPLICABLE, since 01/01/2023; TOUCHSTONE COMMUNITIES INC (organization), NOT APPLICABLE, since 04/01/2017; TOUCHSTONE REALTY - TOMBALL LLC (organization), NOT APPLICABLE, since 04/01/2017; TOUCHSTONE STRATEGIES - TOMBALL LLC (organization), NOT APPLICABLE, since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), NOT APPLICABLE, since 04/01/2017; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017
  • CORPORATE OFFICER: STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
  • OPERATIONAL/MANAGERIAL CONTROL: BAIDOO, JOSEPH (individual), NOT APPLICABLE, since 04/01/2025; BOENING, CHRISTOPHER (individual), NOT APPLICABLE, since 01/13/2020; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 04/01/2017; MAIRE, SANIKQA (individual), NOT APPLICABLE, since 05/21/2024; SEHLKE, BRYON (individual), NOT APPLICABLE, since 04/01/2017; TOUCHSTONE STRATEGIES - TOMBALL LLC (organization), NOT APPLICABLE, since 04/01/2017; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170605000264).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100.00%, since 04/01/2017
  • 5% OR GREATER MORTGAGE INTEREST: KEYBANK NATIONAL ASSOCIATION (organization), since 07/01/2021
  • ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), since 04/01/2017; BRYON SEHLKE (individual), since 04/01/2017; CARVAJAL PHARMACY LTC (organization), since 04/01/2017; CHRISTOPHER BOENING (individual), since 01/13/2020; DARRELL D ZUROVEC (individual), since 08/01/2017; ERNEST C FELLBAUM (individual), since 04/01/2017; JOSEPH BAIDOO (individual), since 04/01/2025; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 04/01/2017; NUTRITIOUS LIFESTYLES, INC. (organization), since 04/01/2017; PLANTE & MORAN PLLC (organization), since 04/01/2017; SANIKQA MAIRE (individual), since 05/21/2024; STANLEY S STUDER (individual), since 04/01/2017; THE BRYON AND RENA SEHLKE LIVING TRUST (organization), since 01/01/2023; TOUCHSTONE COMMUNITIES INC (organization), since 04/01/2017; TOUCHSTONE REALTY - TOMBALL LLC (organization), since 04/01/2017; TOUCHSTONE STRATEGIES - TOMBALL LLC (organization), since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), since 04/01/2017; No owner named in the filing (organization), since 07/12/2025; No owner named in the filing (individual), since 07/01/2025
  • CORPORATE OFFICER: CHARLES BRUCE STRATTON (individual), 0.00%, since 05/01/2005
  • OPERATIONAL/MANAGERIAL CONTROL: BRYON SEHLKE (individual), since 04/01/2017; CHRISTOPHER BOENING (individual), since 01/13/2020; DARRELL D ZUROVEC (individual), since 08/01/2017; JOSEPH BAIDOO (individual), since 04/01/2025; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 04/01/2017; SANIKQA MAIRE (individual), since 05/21/2024; TOUCHSTONE STRATEGIES - TOMBALL LLC (organization), since 04/01/2017

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: LIBERTY COUNTY HOSPITAL DISTRICT NO 1; KEYBANK NATIONAL ASSOCIATION; AEGIS THERAPIES, INC.; CARVAJAL PHARMACY LTC; NUTRITIOUS LIFESTYLES, INC.; PLANTE & MORAN PLLC; THE BRYON AND RENA SEHLKE LIVING TRUST; TOUCHSTONE COMMUNITIES INC; TOUCHSTONE REALTY - TOMBALL LLC; TOUCHSTONE STRATEGIES - TOMBALL LLC; TRIDENT HEALTH SERVICES INC; No owner named in the filing; TOUCHSTONE STRATEGIES - TOMBALL LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: BRYON SEHLKE; CHRISTOPHER BOENING; DARRELL D ZUROVEC; ERNEST C FELLBAUM; JOSEPH BAIDOO; LESLIE D CAMPBELL; LYNNEA CASTILLO; SANIKQA MAIRE; STANLEY S STUDER; No owner named in the filing; CHARLES BRUCE STRATTON; BRYON SEHLKE; CHRISTOPHER BOENING; DARRELL D ZUROVEC; JOSEPH BAIDOO; LESLIE D CAMPBELL; LYNNEA CASTILLO; SANIKQA MAIRE.

Changes in ownership

  • November 1, 2025, enrollment ownership file; no longer listed: LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (OPERATIONAL/MANAGERIAL CONTROL); CHARLES BRUCE STRATTON (CORPORATE DIRECTOR); AMY WILLIAMS (W-2 MANAGING EMPLOYEE); first listed: TOUCHSTONE REALTY - TOMBALL LLC (ADP OF THE SNF), associated since April 1, 2017; STANLEY S STUDER (ADP OF THE SNF), associated since April 1, 2017; TRIDENT HEALTH SERVICES INC (ADP OF THE SNF), associated since April 1, 2017; ERNEST C FELLBAUM (ADP OF THE SNF), associated since April 1, 2017; KEYBANK NATIONAL ASSOCIATION (5% OR GREATER MORTGAGE INTEREST), associated since July 1, 2021; SANIKQA MAIRE (ADP OF THE SNF), associated since May 21, 2024; SANIKQA MAIRE (OPERATIONAL/MANAGERIAL CONTROL), associated since May 21, 2024; LESLIE D CAMPBELL (ADP OF THE SNF), associated since April 1, 2020; LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2020; BRYON SEHLKE (ADP OF THE SNF), associated since April 1, 2017; BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; JOSEPH BAIDOO (ADP OF THE SNF), associated since April 1, 2025; JOSEPH BAIDOO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2025; AEGIS THERAPIES, INC. (ADP OF THE SNF), associated since April 1, 2017; TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF), associated since April 1, 2017; DARRELL D ZUROVEC (ADP OF THE SNF), associated since August 1, 2017; DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2017; CHRISTOPHER BOENING (ADP OF THE SNF), associated since January 13, 2020; CHRISTOPHER BOENING (OPERATIONAL/MANAGERIAL CONTROL), associated since January 13, 2020; TOUCHSTONE STRATEGIES - TOMBALL LLC (ADP OF THE SNF), associated since July 24, 2025; LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2017; CHARLES BRUCE STRATTON (CORPORATE OFFICER), associated since May 1, 2005; NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF), associated since April 1, 2017; PLANTE & MORAN PLLC (ADP OF THE SNF), associated since April 1, 2017; THE BRYON AND RENA SEHLKE LIVING TRUST (ADP OF THE SNF), associated since January 1, 2023; LYNNEA CASTILLO (ADP OF THE SNF), associated since April 1, 2017; LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; CARVAJAL PHARMACY LTC (ADP OF THE SNF), associated since April 1, 2017; a listing under ADP OF THE SNF with no owner named, associated since July 12, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv

Inspections of THE HEIGHTS OF TOMBALL

  • Cycle 1: health March 28, 2024 (2 deficiencies), fire safety March 28, 2024 (1)
  • Cycle 2: health January 20, 2023 (6 deficiencies), fire safety January 20, 2023 (2)
  • Cycle 3: health October 28, 2021 (2 deficiencies), fire safety October 28, 2021 (1)

Deficiencies cited at THE HEIGHTS OF TOMBALL

14 deficiencies on file, by tag, newest citation first

every one from a health inspection; 6 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0686, quality of life and care: May 12, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected June 10, 2025).
  • F 0689, quality of life and care: December 3, 2024 (K, from a complaint, Past Non-Compliance, corrected November 21, 2024).
  • F 0640, resident assessment and care planning: March 28, 2024 (D, Deficient, Provider has date of correction, corrected April 2, 2024).
  • F 0919, environmental: March 28, 2024 (D, Deficient, Provider has date of correction, corrected April 2, 2024).
  • F 0658, resident assessment and care planning: August 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2023).
  • F 0694, quality of life and care: August 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2023).
  • F 0726, nursing and physician services: August 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2023).
  • F 0880, infection control: August 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2023).
  • F 0604, freedom from abuse, neglect, and exploitation: January 20, 2023 (D, Deficient, Provider has date of correction, corrected February 20, 2023).
  • F 0641, resident assessment and care planning: January 20, 2023 (D, Deficient, Provider has date of correction, corrected February 20, 2023).
  • F 0656, resident assessment and care planning: January 20, 2023 (D, Deficient, Provider has date of correction, corrected February 20, 2023).
  • F 0690, quality of life and care: January 20, 2023 (D, Deficient, Provider has date of correction, corrected February 20, 2023).
  • F 0645, resident assessment and care planning: October 28, 2021 (D, Deficient, Provider has date of correction, corrected November 11, 2021).
  • F 0760, pharmacy service: October 28, 2021 (D, Deficient, Provider has date of correction, corrected November 11, 2021).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
May 12, 2025Fine$8,281113877
December 3, 2024Fine$13,627113449

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

THE HEIGHTS OF TOMBALL in Care Compare

  • Ownership Type: For profit - Corporation
  • Legal Business Name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1
  • Date First Approved to Provide Medicare and Medicaid Services: 2013-12-18
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Harris
  • Telephone Number: 8328437700
  • Chain Name: TOUCHSTONE COMMUNITIES
  • Chain ID: 521
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Both
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 117.5
  • Overall Rating: 4
  • Health Inspection Rating: 4
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in TOMBALL and Texas

Report a figure on THE HEIGHTS OF TOMBALL’s record that differs from its CMS file, quoting 676350.