CCN 676476 · Montgomery County, Texas

The Heights on Valley Ranch

23200 Valley Ranch Parkway, Porter, TX 77365

The Heights on Valley Ranch is a 122-bed for-profit nursing home in Porter, Texas, first certified for Medicare or Medicaid in 2020. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 111.1 residents a day, about 91% of its certified beds. It has an active FHA-insured Section 232 loan: $14 million originally, at 5.50%, with $13.9 million outstanding as of September 30, 2026 and maturity in December 2060.

Facility facts

Certified beds
122
Average residents per day
111.1 (91.1% of beds)
Ownership type
For profit - Corporation
Certification
Medicare and Medicaid
Legal business name
West Wharton County Hospital District
Certified since
Jan 23, 2020
Chain or affiliated group
Touchstone Communities (25 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating4 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections4 of 5
Quality measures3 of 5
Staffing3 of 5
Total nurse hours per resident per day3.743.273.68
RN hours per resident per day0.170.380.58
Weekend nurse hours per resident per day3.33
Nursing staff turnover39.3%52.1%44.9%
Occupancy (residents / beds)91.1%68.6%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey8 (May 15, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Heights on Valley Ranch meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Frost BankOrganizationSecurity Interestn/a10/25/2024
Touchstone Strategies - Mc2 LLCOrganizationOperational / Managerial Controln/a03/01/2023
Boening, ChristopherIndividualOperational / Managerial Controln/a03/01/2023
Booker, MarilynIndividualOperational / Managerial Controln/a03/01/2023
Campbell, LeslieIndividualOperational / Managerial Controln/a03/01/2023
Carmouche, FeleciaIndividualOperational / Managerial Controln/a12/04/2023
Castillo, LynneaIndividualOperational / Managerial Controln/a03/01/2023
Sehlke, BryonIndividualOperational / Managerial Controln/a03/01/2023
Zurovec, DarrellIndividualOperational / Managerial Controln/a03/01/2023

Changes of ownership

EffectiveBuyerSeller
Mar 1, 2023West Wharton County Hospital DistrictTouchstone Strategies - Mc2 LLC

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Nov 25, 2025223(f) refinance or purchaseHUD project name: The Heights on Valley Ranch, 122 beds. Lender at endorsement: Keybank National Association$14,043,400Active: 5.50%, $13,942,109 balanceMatures Dec 1, 2060. Servicer: Keybank National Association11422157

Watch this facility

Get one email when the monthly CMS or HUD files show a change at The Heights on Valley Ranch: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.