Starfile

Starfile / Texas

TOMBALL REHAB & NURSING

815 N PEACH ST, TOMBALL, TX 77375 · CCN 675714

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
126
Avg residents/day
88.1
Phone
2813515443

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-11-0729.19.5-7.1 better
22023-08-2579.49.8-2.4 better
32022-06-23138.19.3+4.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.23
RN staffing (reported)0.56
Total nurse staffing (adjusted)3.60

Fines & penalties

Total fines
$110,495
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
ADVANCED HEALTHCARE SOLUTIONS
Facilities in chain
30
Chain avg overall
3.20 / 5

Inspection citations (22)2 immediate jeopardy

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-07 · Health · corrected 2024-11-28

    Potential for more than minimal harm

  2. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-07 · Health · corrected 2024-11-28

    Potential for more than minimal harm

  3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-21 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-21 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  5. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-02-09 · Health · corrected 2024-02-10

    Immediate jeopardy

  6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-10 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  7. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-10 · Health · corrected 2024-02-09

    Potential for more than minimal harm

  8. DF0641Ensure each resident receives an accurate assessment.2024-01-04 · Health · corrected 2024-01-29

    Potential for more than minimal harm

  9. DF0880Provide and implement an infection prevention and control program.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  10. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-20 · Health · corrected 2023-12-19

    Potential for more than minimal harm

  11. EF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-30

    Potential for more than minimal harm

  12. KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-12 · Health · corrected 2023-09-13

    Immediate jeopardy

  13. EF0558Reasonably accommodate the needs and preferences of each resident.2023-08-25 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  14. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-08-25 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  15. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-25 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  16. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-25 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  17. DF0880Provide and implement an infection prevention and control program.2023-08-25 · Health · corrected 2023-09-29

    Potential for more than minimal harm

  18. DF0641Ensure each resident receives an accurate assessment.2022-06-23 · Health · corrected 2022-07-22

    Potential for more than minimal harm

  19. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-06-23 · Health · corrected 2022-07-22

    Potential for more than minimal harm

  20. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-06-23 · Health · corrected 2022-07-22

    Potential for more than minimal harm

  21. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-23 · Health · corrected 2022-07-20

    Potential for more than minimal harm

  22. DF0814Dispose of garbage and refuse properly.2022-06-23 · Health · corrected 2022-07-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
BAYLOR COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-01
TOMBALL SKILLED NURSING, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-06-01
SILBERSTEIN, ARIIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-01
HARDIN, LESLIEIndividualCORPORATE OFFICER2023-06-01
MOORE, RHONDAIndividualW-2 MANAGING EMPLOYEE2023-06-01

Other facilities in TOMBALL

NameOverallBeds
THE HEIGHTS OF TOMBALL★★★☆☆131
PARK MANOR OF TOMBALL★☆☆☆☆125

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.