D67

ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER

Grade D 67/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

130

Ownership

Government - Hospital district

Total Fines

$23,676

Last Survey

N/A

750 ROLLINGBROOK DR, BAYTOWN, TX 77521
8325727575

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.23h
LPN
1.24h
CNA
2.13h
Total
3.60h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2021

100%

ROLLINGBROOK REHAB LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2021

THREADGILL, SHARLYN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

THOMPSON, JOHNNY

IndividualCORPORATE OFFICERSince Jul 2024

BROAD RIVER HEALTHCARE, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

HARRIS LT INVESTMENTS, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

MARTEL HEALTHCARE MANAGEMENT LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

THE SMITHERS MANAGEMENT TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

COMPTON, CHARLES

Individual5% OR GREATER MORTGAGE INTERESTSince May 2021

COMPTON, JAMES

Individual5% OR GREATER MORTGAGE INTERESTSince May 2021

COMPTON, KRIS

Individual5% OR GREATER MORTGAGE INTERESTSince May 2021

MARTEL, MICHAEL

Individual5% OR GREATER MORTGAGE INTERESTSince May 2021

Penalties & Fines (1)

$23,676total fines
DateTypeDescriptionAmount
Nov 17, 2023Fine$23,676

Health Inspection Deficiencies (15)

January 15, 2025Health2 deficiencies
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 31, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Jan 31, 2025
December 12, 2023Health2 deficiencies1 severe
0684JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 5, 2024
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jan 5, 2024
November 17, 2023Health2 deficiencies
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 15, 2023
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Dec 15, 2023
October 6, 2023Health1 deficiency
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Oct 26, 2023
March 8, 2023Health2 deficiencies
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 22, 2023
January 11, 2023Health1 deficiency1 severe
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Jan 12, 2023
August 18, 2022Health5 deficiencies
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Sep 15, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Sep 15, 2022
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Sep 15, 2022
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 15, 2022
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Sep 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER?

ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER in BAYTOWN, Texas has a CareGrader grade of D (Below Average), with a composite score of 67.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER?

ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER have?

ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER has 15 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER been fined?

Yes. ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER has $23,676 in total fines from CMS enforcement actions across 1 penalty.

How many beds does ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER have?

ROLLINGBROOK REHABILITATION AND HEALTHCARE CENTER has 130 certified beds with approximately 92 current residents (71% occupancy). The facility is located at 750 ROLLINGBROOK DR, BAYTOWN, Texas 77521. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.