Tomball Rehab & Nursing in Tomball, TX has a 1-star overall rating, with 1-star staffing and 2-star health inspection results, though its quality measures are 4 stars. It reports 2.88 nursing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and is flagged for the lowest overall rating.
Last inspection: February 19, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8835.
Staffing detail
Registered nurses
0.51
Licensed practical nurses
0.60
Nurse aides
1.77
Weekend nursing
2.70
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 72%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.3%Worsening
Residents with a fall causing major injury
2.3%Worsening
Residents with pressure ulcers (bedsores)
3.9%Improving
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
4.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9%Improving
Residents whose ability to walk got worse
13.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.9%Steady
Short-stay residents newly given an antipsychotic
4.9%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
14.8%Improving
Residents with depressive symptoms
5.8%Improving
Long-stay residents given the seasonal flu vaccine
97.2%Steady
Long-stay residents given the pneumonia vaccine
93.7%Improving
Short-stay residents given the seasonal flu vaccine
86%Steady
Short-stay residents given the pneumonia vaccine
84%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.
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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.
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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.
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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.
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F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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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
Ownership
Government - Hospital district
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
Occupancy
85.5 residents on an average day (68% of 126 beds)
Resident voice
Resident council
Medicare history
Certified for 28 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.