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Nursing home report

TOMBALL REHAB & NURSING

TOMBALL, TX · Medicare-certified · 126 beds

Needs attention
Government-runChain member
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

2.8835 hrs/resident/day

Quality measures

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.

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 7 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. 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

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.