Lawrence Street Health Care Center
615 Lawrence Street, Tomball, TX 77375 · Harris County · 150 certified beds · avg 70 residents/day · certified since Jul 3, 1997
Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 2, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 19, 2024 (Past Non-Compliance)
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Oct 2, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 2, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 2 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,281.
| Date | Type | Amount / length |
|---|---|---|
| Oct 2, 2025 | Fine | $8,281 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.42 | 3.46 | 3.95 | top 8% in Texas; top 25% in the U.S. |
| Registered Nurse hours | 0.64 | 0.44 | 0.69 | top 13% in Texas; top 43% in the U.S. |
| Weekend total nurse staffing | 3.97 | 3.04 | 3.50 | top 7% in Texas; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.34 | 0.48 | top 39% in Texas; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 63.8 | 55.3 | 45.8 | bottom 26% in Texas; bottom 11% in the U.S. |
| RN turnover (%) | 50.0 | 54.6 | 42.9 | top 41% in Texas; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.65, RN 0.53, weekend 3.28. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baxter, Kevin | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Health Services Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Hsmtx/Lawrence-Tomball, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Hsmtx/Lawrence-Tomball, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/07/2025 |
| Jafri, Adnan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Lawrence-Tomball Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Murrell, Edward | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Rodriguez, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Rodriguez, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| White, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Park Manor of Tomball | 0.4 mi | Tomball, TX | ★★☆☆☆ | 2/5 | |
| The Heights of Tomball | 0.7 mi | Tomball, TX | ★★★★☆ | 4/5 | |
| Tomball Rehab & Nursing | 1.3 mi | Tomball, TX | ★☆☆☆☆ | 2/5 | |
| Willow Creek Lodge | 4.2 mi | Tomball, TX | ★★★☆☆ | 4/5 | |
| The Broadmoor at Creekside Park | 7.9 mi | The Woodlands, TX | ★★★☆☆ | 2/5 | |
| The Woodlands Nursing and Rehabilitation Center | 8.9 mi | The Woodlands, TX | ★★★☆☆ | 2/5 | |
| North Houston Transitional Care | 9.1 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| Ridgewood at the Woodlands | 9.4 mi | The Woodlands, TX | ★☆☆☆☆ | 2/5 | |
| Cypress Creek Rehabilitation and Healthcare Center | 9.4 mi | Cypress, TX | ★★☆☆☆ | 3/5 | |
| Misty Willow Healthcare and Rehabilitation Center | 9.5 mi | Houston, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 675701.