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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-07 | 2 | 9.1 | 9.5 | -7.1 better |
| 2 | 2023-08-25 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2022-06-23 | 13 | 8.1 | 9.3 | +4.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-01-04 · Health · corrected 2024-01-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-20 · Health · corrected 2023-12-19
Potential for more than minimal harm
- 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
- EF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-30
Potential for more than minimal harm
- KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-12 · Health · corrected 2023-09-13
Immediate jeopardy
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-08-25 · Health · corrected 2023-09-29
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-08-25 · Health · corrected 2023-09-29
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-08-25 · Health · corrected 2023-09-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-06-23 · Health · corrected 2022-07-22
Potential for more than minimal harm
- 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
- 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
- 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
- DF0814Dispose of garbage and refuse properly.2022-06-23 · Health · corrected 2022-07-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BAYLOR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 |
| TOMBALL SKILLED NURSING, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| SILBERSTEIN, ARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| HARDIN, LESLIE | Individual | CORPORATE OFFICER | — | 2023-06-01 |
| MOORE, RHONDA | Individual | W-2 MANAGING EMPLOYEE | — | 2023-06-01 |
Other facilities in TOMBALL
| Name | Overall | Beds |
|---|---|---|
| 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.