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Nursing homeFAID #14230

Tomball Rehab & Nursing

815 Peach St., TOMBALL, TX, 77375

(281) 351-5443

126 licensed beds

CMS rates Tomball Rehab & Nursing 3 out of 5 overall. Federal inspectors issued 31 citations across 14 inspections in the last three years, with $14,701 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Tomball Nursing Center

Address

815 Peach St.

Tomball, TX 77375

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Public record summary

What we can show you for free.

Bed capacity

126

CMS facility ID

675714

Care type

Nursing home

County

Harris

Facility name

Tomball Rehab & Nursing

Street address

815 Peach St.

City / state / ZIP

Tomball, TX 77375

Phone

(281) 351-5443

Website

avirhg.com

About this facility — Tomball Rehab & Nursing

Tomball Rehab & Nursing is a Medicare/Medicaid-certified skilled nursing facility in Tomball, Texas. It is licensed for 126 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 20 senior care facilities in Tomball and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Advanced Healthcare Solutions, a group of 28 facilities on this site.

Federal inspectors have cited Tomball Rehab & Nursing 31 times across 14 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $14,701 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Advanced Healthcare Solutions

Ownership type

Government - Hospital district

Registered owners & officers

Baylor County Hospital District

Direct owner — 100% stake — since 2023

Hardin, Leslie

Officer — since 2023

Moore, Rhonda

Managing employee — since 2023

Silberstein, Ari

Operational control — since 2023

Tomball Skilled Nursing, Llc

Operational control — since 2023

Regulatory standing

Federal court records

5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1997-07-09

CMS overall rating

3 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$14,701 total

Last standard inspection

2026-02-19

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$246 per day (≈ $7,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

78% Medicaid · 2% Medicare · 21% private/other

Occupancy

85% (fiscal year 2024)

Vs. state median

11% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

126

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-04-10Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

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

Corrected 2026-04-13

F-0770

D · No harm foundFrom a complaint

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2026-04-13

2026-02-19Health inspection7 citations

F-0584

D · No harm found

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 2026-03-12

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-03-12

F-0689

D · No harm found

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

Corrected 2026-03-12

F-0755

E · No harm found

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

Corrected 2026-03-12

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-03-12

F-0812

E · No harm foundFood safety

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

Corrected 2026-03-12

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-12

11 earlier / fire-safety inspections (22 citations)

2024-11-07Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-11-28

F-0812

E · No harm foundFood safety

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

Corrected 2024-11-28

2024-06-21Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-07-17

F-0842

D · No harm foundFrom a complaint

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

Corrected 2024-07-17

2024-02-09Health inspectionComplaint-triggered1 citation

F-0678

J · Immediate jeopardyFrom a 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 2024-02-10

2024-01-10Health inspectionComplaint-triggered2 citations

F-0656

E · No harm foundFrom a complaint

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

Corrected 2024-02-09

F-0689

E · No harm foundFrom a complaint

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

Corrected 2024-02-09

2024-01-04Health inspectionComplaint-triggered1 citation

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-01-29

2023-11-20Health inspectionComplaint-triggered2 citations

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-12-19

F-0921

D · No harm foundFrom a complaint

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

Corrected 2023-12-19

2023-11-02Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-11-30

2023-08-25Health inspection5 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-09-29

F-0645

E · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-09-29

F-0677

E · No harm found

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

Corrected 2023-09-29

F-0725

E · No harm found

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

Corrected 2023-09-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-09-29

2026-02-19Fire-safety inspection1 citation

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-02-20

2024-11-07Fire-safety inspection4 citations

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-11-08

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-08

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-08

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-15

2023-08-25Fire-safety inspection1 citation

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-09-23

Federal penalties

2024-01-04Fine$14,701

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675714.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 43% of nursing homes in the state

State median: 33

Federal fines, 3 years

$14,701

More than 48% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 15% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

62%

Higher than 78% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 9 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	8.7%	15.8%	13.5%	Better than state
Lose too much weight	5.9%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.6%	0.8%	1.5%	Better than state
Have depressive symptoms	1.9%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	4.4%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.4%	96.4%	93.7%	Near state average
Ability to walk independently worsened	8.5%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	17.0%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	91.1%	97.0%	95.3%	Near state average
With pressure ulcers	4.0%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	9.1%	12.5%	18.3%	Better than state
Received an antipsychotic medication	16.3%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.6%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	4.9%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	90.7%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	22.6%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	8.4%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0755 4 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
K-0372 3 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

Baylor County Hospital District has an ownership stake on file at 4 nursing homes, averaging 3.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hca Houston Healthcare Tomball, about 1.2 miles. CMS rating 3 of 5.
St Luke's Hospital At the Vintage, about 8.3 miles. CMS rating 4 of 5.
The Woodlands Specialty Hospital, about 10 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Park Manor of Tomball, Tomball, about 1.3 miles. CMS rating 2 of 5.
Lawrence Street Health Care Center, Tomball, about 1.3 miles. CMS rating 4 of 5.
The Heights of Tomball, Tomball, about 1.9 miles. CMS rating 4 of 5.
Willow Creek Lodge, Tomball, about 5.4 miles. CMS rating 3 of 5.
The Broadmoor At Creekside Park, The Woodlands, about 6.8 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.881 ratings on Google

★★Dedicated Consumer · 2026-06-19 · via Google
“To every single family member, do not be fooled by the new name, or the repainting of certain model rooms. Nothing has changed here except aesthetics. If you care about your loved one that resides here, then make sure you are doing your own skin assessments. They were without a treatment nurse for 3 months (December- February). State has been there on a P1 and somehow managed to wiggle out of any …”

★Jackie Nunez · 2026-06-21 · via Google
“This rehabilitation facility is supposed to help people recover, but unfortunately, our experience was the exact opposite. My sister-in-law was admitted after suffering a stroke and never received the physical therapy she desperately needed. Her hygiene was neglected, and she developed bed sores while under their care. The lack of attention and care was extremely disappointing. Whenever our family…”

★★★★★angie tavira · 2026-07-23 · via Google
“New management team is really great. The building and care are moving in a positive direction!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered