F

TOMBALL REHAB & NURSING

815 N PEACH ST, TOMBALL, TX 77375
Score: 39 / 100

Tomball Rehab & Nursing has received an F grade based on CMS data, with a score of 39/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Tomball facility should carefully review its inspection history and quality metrics.

With 3.23 total nurse hours per resident per day, Tomball Rehab & Nursing falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 22 deficiencies at Tomball Rehab & Nursing, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.23 3.8 Below Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 0.63 0.7 Below Average
Certified Nursing Assistants (CNA) 2.04 2.4 Below Average
Weekend Total Nursing 2.90 3.8 Below Average
Weekend RN Hours 0.54 0.7 Below Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Nov 6, 2024
Most Recent Inspection
🟠 20 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 6, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 6, 2024 · Pharmacy Service Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jun 20, 2024 · Pharmacy Service Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jun 20, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0678 Severity J
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Feb 8, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.6% 4.5% Better
Falls with major injury 1.4% 3.0% Better
On antipsychotic medication 11.0% 14.5% Better
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 10.6% 14.0% Better
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 18.3% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $110,495

How This Grade Was Calculated

This facility's grade of F is based on a score of 39 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
126
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 6, 2024
Deficiencies (Cycle 1)
2