Tomball Rehab & Nursing

Name: Tomball Rehab & Nursing
Address: 815 Peach St., Tomball, TX, 77375, US
Telephone: 2813515443

815 Peach St., Tomball, TX 77375 · Harris County · 126 certified beds · avg 91 residents/day · certified since Jul 9, 1997

Part of chain: ADVANCED HEALTHCARE SOLUTIONS (28 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$110,495

Fines, last 3 years

3.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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 · Feb 9, 2024 · F-0678 · triggered by a complaint

The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.

Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.

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: Feb 10, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, repeated · Sep 12, 2023 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Sep 13, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (26)

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
Apr 10, 2026	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. · from a complaint
Apr 10, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Feb 19, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 19, 2026	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.
Feb 19, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 19, 2026	E · Potential for harm, repeated	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 19, 2026	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 7, 2024	E · Potential for harm, repeated	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.
Nov 7, 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. · from a complaint
Jun 21, 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. · from a complaint
Jun 21, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 9, 2024	▲ J · Immediate jeopardy, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Jan 10, 2024	E · Potential for harm, repeated	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. · from a complaint
Jan 10, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 4, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Nov 20, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 20, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Nov 2, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 12, 2023	▲ K · Immediate jeopardy, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 25, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Aug 25, 2023	E · Potential for harm, repeated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Aug 25, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 25, 2023	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Aug 25, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	1	K ▲
2024	8	1	J ▲
2026	9	0	F

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)

2 fines totaling $110,495.

Date	Type	Amount / length
Jan 4, 2024	Fine	$14,701
Aug 25, 2023	Fine	$95,794

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)	3.21	3.46	3.95	bottom 40% in Texas; bottom 22% in the U.S.
Registered Nurse hours	0.46	0.44	0.69	top 32% in Texas; bottom 31% in the U.S.
Weekend total nurse staffing	2.96	3.04	3.50	top 45% in Texas; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 46% in Texas; bottom 33% in the U.S.
Total nursing staff turnover (%)	68.0	55.3	45.8	bottom 21% in Texas; bottom 7% in the U.S.
RN turnover (%)	78.6	54.6	42.9	bottom 21% in Texas; bottom 6% 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 2.77, RN 0.40, weekend 2.55. Staffing rating: 1/5.

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: 4/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Baylor County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2023
Hardin, Leslie	Individual	Corporate Officer	NOT APPLICABLE	06/01/2023
Moore, Rhonda	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2023
Silberstein, Ari	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2023
Tomball Skilled Nursing, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"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	1.3 mi	Tomball, TX	★★☆☆☆	2/5
Lawrence Street Health Care Center	1.3 mi	Tomball, TX	★★★★☆	4/5
The Heights of Tomball	1.9 mi	Tomball, TX	★★★★☆	4/5
Willow Creek Lodge	5.4 mi	Tomball, TX	★★★☆☆	4/5
The Broadmoor at Creekside Park	6.8 mi	The Woodlands, TX	★★★☆☆	2/5
The Woodlands Nursing and Rehabilitation Center	7.7 mi	The Woodlands, TX	★★★☆☆	2/5
Ridgewood at the Woodlands	8.1 mi	The Woodlands, TX	★☆☆☆☆	2/5
The Heights of Magnolia	8.9 mi	Magnolia, TX		—/5
North Houston Transitional Care	9.9 mi	Houston, TX	★★★☆☆	3/5
Champions Healthcare at Willowbrook	10.2 mi	Houston, TX	★★☆☆☆	2/5	abuse
Misty Willow Healthcare and Rehabilitation Center	10.2 mi	Houston, TX	★☆☆☆☆	1/5	abuseSFF
Cypress Creek Rehabilitation and Healthcare Center	10.5 mi	Cypress, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Tomball →

Facility data as of CMS processing date 2026-08-01. CCN 675714.

The Care File

Visit checklist — Tomball Rehab & Nursing

815 Peach St., Tomball, TX 77375 · 2813515443

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $110,495

Most serious findings on record:

▲ Feb 9, 2024 (F-0678, Immediate jeopardy, one-off): The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
▲ Sep 12, 2023 (F-0686, Immediate jeopardy, repeated): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675714 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)