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Nursing home report

TOMBALL REHAB & NURSING

TOMBALL, TX · Medicare-certified · 126 beds

Needs attention
Government-runChain member
Data as of July 1, 2026
1 of 5 overall

Tomball Rehab & Nursing in Tomball, TX has a 1-star overall rating, with a 1-star staffing rating and 2.77 reported nurse staffing hours per resident per day versus the 4.1 federal benchmark. It has the lowest overall rating flag, no fines in the last 24 months, a 2-star health inspection rating, and recent inspection issues cited for pressure ulcer care, CPR/basic life support, and infection control.

Facility ratings

Health inspections

Staffing

2.7703 hrs/resident/day

Quality measures

Last inspection: April 10, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7703.

Staffing detail

Registered nurses
0.40
Licensed practical nurses
0.63
Nurse aides
1.74
Weekend nursing
2.55

Hours per resident per day.

Total staff turnover: 68%
Registered nurse turnover: 79%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

13%17.5%Worsening

Residents with a fall causing major injury

1.2%5.7%Worsening

Residents with pressure ulcers (bedsores)

5.2%5.1%No change

Residents with a urinary tract infection

0%1.2%Worsening

Residents who lost too much weight

3.8%8.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.3%2.8%Improving

Residents whose ability to walk got worse

16.3%0%Improving

Long-stay residents on antianxiety or sleep medication

16.5%15.9%Improving

Short-stay residents newly given an antipsychotic

5.3%

Residents with a long-term catheter

2.2%0%Improving

Residents with new or worsening incontinence

12.3%6.3%Improving

Residents with depressive symptoms

4.2%1.2%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

97.2%

Long-stay residents given the pneumonia vaccine

87.2%100%Improving

Short-stay residents given the seasonal flu vaccine

86%

Short-stay residents given the pneumonia vaccine

75.8%100%Improving

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited February 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The nursing home failed to keep medication mistakes below the allowed level. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $110,495 in total fines.

  • Federal fine

    Jan 4, 2024

    $14,701
  • Federal fine

    Aug 25, 2023

    $95,794

Operator & ownership

Recent ownership change · Jun 1, 2023

Now operated by Baylor County Hospital District, previously Chambers County Public Hospital District No. 1.

Ownership
Government - Hospital district
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 29 homes · 2.9 stars avg
Occupancy
90.6 residents on an average day (72% of 126 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.