Rosenberg Health & Rehabilitation Center

1419 Mahlman St · Rosenberg, TX · 77471 · 2813420065

124 certified beds For profit - Limited Liability company Chain: Hamilton County Hospital District

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $42,932 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Total nurse staffing below 3.0 hours per resident-day

2.80 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 44
Staffing 20% 53
Federal penalties 15% 9
Trend 10% 92
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.803.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day2.57≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)4 · $97,334

Inspection citations (42 in the current record)

  • Potential for harm · D January 29, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 30, 2026 · Resident Assessment and Care Planning

  • Immediate jeopardy · K November 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Past Non-Compliance · Quality of Life and Care

  • Immediate jeopardy · K March 25, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 9, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · K March 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 9, 2025 · Quality of Life and Care

  • Immediate jeopardy · K March 25, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 5, 2025 · Pharmacy Service

  • Potential for harm · E February 27, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · E February 27, 2025

    Dispose of garbage and refuse properly.

    Corrected March 5, 2025 · Nutrition and Dietary

  • Potential for harm · D September 27, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected October 2, 2024 · Resident Rights

  • Potential for harm · D August 21, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 28, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected August 28, 2024 · Nutrition and Dietary

  • Potential for harm · D August 21, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 28, 2024 · Nutrition and Dietary

  • Potential for harm · D August 16, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 28, 2024 · Quality of Life and Care

  • Potential for harm · D August 16, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 28, 2024 · Infection Control

  • Potential for harm · E June 21, 2024 · found via complaint

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected July 17, 2024 · Resident Assessment and Care Planning

  • Actual harm · G May 7, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 3, 2024 · Quality of Life and Care

  • Potential for harm · D March 19, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 3, 2024 · Quality of Life and Care

  • Immediate jeopardy · K December 31, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 1, 2024 · Infection Control

  • Potential for harm · D December 31, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected January 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 31, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 10, 2024 · Nutrition and Dietary

  • Potential for harm · D December 31, 2023 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected January 10, 2024 · Resident Rights

  • Potential for harm · E December 15, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 31, 2023 · Pharmacy Service

  • Immediate jeopardy · J December 11, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 31, 2023 · Resident Assessment and Care Planning

  • Immediate jeopardy · J December 11, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 31, 2023 · Quality of Life and Care

  • Potential for harm · D December 7, 2023 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected December 31, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 20, 2025Fine$17,345
February 27, 2025Fine$25,587
February 27, 2025Payment Denial13 days
December 7, 2023Fine$14,518
December 7, 2023Fine$39,884

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675046 · certified since February 5, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.