Tomball Rehab & Nursing
815 N Peach St · Tomball, TX · 77375 · 2813515443
126 certified beds Government - Hospital district Chain: Advanced Healthcare Solutions
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.70 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 2 · $110,495 |
Inspection citations (26 in the current record)
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Potential for harm · D April 10, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 13, 2026 · Pharmacy Service
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Potential for harm · D April 10, 2026 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 13, 2026 · Administration
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Potential for harm · D February 19, 2026
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 March 12, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 12, 2026 · Quality of Life and Care
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Potential for harm · E February 19, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 12, 2026 · Pharmacy Service
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Potential for harm · E February 19, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 12, 2026 · Pharmacy Service
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Potential for harm · E February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2026 · Nutrition and Dietary
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Potential for harm · F February 19, 2026
Provide and implement an infection prevention and control program.
Corrected March 12, 2026 · Infection Control
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Potential for harm · E November 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 28, 2024 · Nutrition and Dietary
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Potential for harm · D November 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 28, 2024 · Pharmacy Service
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Potential for harm · D June 21, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 17, 2024 · Pharmacy Service
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Potential for harm · D June 21, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J February 9, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 10, 2024 · Quality of Life and Care
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Potential for harm · E January 10, 2024 · 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 February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2024 · Quality of Life and Care
-
Potential for harm · D January 4, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 19, 2023 · Infection Control
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Potential for harm · D November 20, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 19, 2023 · Environmental
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Potential for harm · E November 2, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 30, 2023 · Infection Control
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Immediate jeopardy · K September 12, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 13, 2023 · Quality of Life and Care
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Potential for harm · E August 25, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · E August 25, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 25, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 29, 2023 · Quality of Life and Care
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Potential for harm · D August 25, 2023
Provide and implement an infection prevention and control program.
Corrected September 29, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 4, 2024 | Fine | $14,701 |
| August 25, 2023 | Fine | $95,794 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675714 · certified since July 9, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.