D63

TOMBALL REHAB & NURSING

Grade D 63/100 composite score

For profit - Limited Liability company

CMS Star Ratings

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

Certified Beds

126

Ownership

For profit - Limited Liability company

Total Fines

$306,920

Last Survey

N/A

815 N PEACH ST, TOMBALL, TX 77375
2813515443

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.62h
LPN
0.70h
CNA
2.28h
Total
3.60h
Facility
State Average

Turnover Rates

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

Ownership

BAYLOR COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2023

100%

TOMBALL SKILLED NURSING, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2023

SILBERSTEIN, ARI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2023

HARDIN, LESLIE

IndividualCORPORATE OFFICERSince Jun 2023

MOORE, RHONDA

IndividualW-2 MANAGING EMPLOYEESince Jun 2023

Penalties & Fines (3)

$306,920total fines
DateTypeDescriptionAmount
Jan 4, 2024Fine$14,701
Aug 25, 2023Fine$95,794
Feb 15, 2023Fine$196,425

Health Inspection Deficiencies (25)

November 7, 2024Health2 deficiencies
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 Nov 28, 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 Nov 28, 2024
June 21, 2024Health2 deficiencies
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 Jul 17, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 17, 2024
February 9, 2024Health1 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 Feb 10, 2024
January 10, 2024Health2 deficiencies
0656EMinimal harm, Pattern

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 Feb 9, 2024
0689EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Feb 9, 2024
January 4, 2024Health1 deficiency
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 29, 2024
November 20, 2023Health2 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 19, 2023
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Dec 19, 2023
November 2, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 30, 2023
September 12, 2023Health1 deficiency1 severe
0686KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

Corrected Sep 13, 2023
August 25, 2023Health5 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Sep 29, 2023
0645EMinimal harm, Pattern

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Sep 29, 2023
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 29, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 29, 2023
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Sep 29, 2023
February 15, 2023Health3 deficiencies1 severe
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2023
0695KImmediate jeopardy, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 17, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 17, 2023
June 23, 2022Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 22, 2022
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Jul 22, 2022
0758EMinimal harm, Pattern

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 Jul 22, 2022
0812DMinimal harm, Isolated

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 Jul 20, 2022
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jul 22, 2022

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Frequently Asked Questions

What is the CareGrader rating for TOMBALL REHAB & NURSING?

TOMBALL REHAB & NURSING in TOMBALL, Texas has a CareGrader grade of D (Below Average), with a composite score of 62.5 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 TOMBALL REHAB & NURSING?

TOMBALL REHAB & NURSING has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does TOMBALL REHAB & NURSING have?

TOMBALL REHAB & NURSING has 25 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 TOMBALL REHAB & NURSING been fined?

Yes. TOMBALL REHAB & NURSING has $306,920 in total fines from CMS enforcement actions across 3 penalties.

How many beds does TOMBALL REHAB & NURSING have?

TOMBALL REHAB & NURSING has 126 certified beds with approximately 88 current residents (70% occupancy). The facility is located at 815 N PEACH ST, TOMBALL, Texas 77375. It is a for profit - limited liability company 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.