Rosenberg Health & Rehabilitation Center
1419 MAHLMANN ST., Rosenberg, TX, 77471
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Hamilton County Hospital District
- Certified beds
- 124 · avg 95 residents/day
- Total nursing staff turnover
- 59.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $142,384 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311508
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 22 Medicare-only · 102 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- August 1, 1978
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Rosenberg Hc Llc
- Administrator
- Herbert Martin
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Ari Silberstein
Operational/managerial Control · since 2023
- Grady Hooper
Corporate Director · since 2023
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Nicholas Ireroa
W-2 Managing Employee · since 2023
- Rosenberg hc Llc
Operational/managerial Control · 100% · since 2023
Recent change of ownership
April 2023 (3 years ago) · acquired from Rosenberg Health & Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0656·Jan 29, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- K0684·Nov 20, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0740·Mar 25, 2025Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- K0689·Mar 25, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0656·Mar 25, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0814·Feb 27, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·Feb 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Feb 27, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20252 fines · $52K · 1 payment denial
- 20233 fines · $90K
Most recent events
- Nov 20, 2025Fine · $27K
- Feb 27, 2025Payment denial · 13 days · starting May 27, 2025
- Feb 27, 2025Fine · $26K
- Dec 7, 2023Fine · $40K
- Dec 7, 2023Fine · $15K
- May 3, 2023Fine · $36K
Largest single fine on record: $40K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Rosenberg Health & Rehabilitation Center is a 124-bed nursing home in Rosenberg, Fort Bend County, accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star health inspections and 2-star staffing. CMS has flagged it as a Special Focus Facility candidate — signaling a pattern of serious deficiencies — and five fines totaling $142,384 have been assessed. Two administrators left in the past year. The license is active through April 2029.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 181 minutes of nursing care per day — roughly 60 minutes less than at a 4-star-staffing facility in Texas, which puts this facility in the bottom third of Texas nursing homes on staffing hours. Residents here also require more hands-on care than at a typical facility — less mobile or medically complex on average — so the available staff hours stretch thinner than the raw minutes suggest.
CMS has flagged this facility as a Special Focus Facility candidate — a step below outright SFF designation, signaling a documented pattern of serious deficiencies across multiple inspection cycles. Facilities at this designation level are under heightened regulatory scrutiny.
Five CMS fines have been assessed totaling $142,384. The state median for fined facilities in Texas is about $20,699; roughly 30% of Texas nursing homes have no fines at all. This facility's total is nearly seven times the state median.
Two administrators have left in the past year — a level of leadership turnover that affects continuity of care and day-to-day operations for residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
SFF candidate designation explained
Ask what specific deficiencies led to the Special Focus Facility candidate designation and what corrective steps have been taken or are underway.
Five fines totaling $142,384
Ask which violations generated the five CMS fines and whether any of the underlying problems have been formally resolved with the state.
Two administrators in one year
Ask who the current administrator is, how long they have been in the role, and what drove the two departures in the past 12 months.
Staffing levels on evenings and weekends
Ask for the actual nurse-to-resident ratio on nights and weekends, given that reported weekend nursing hours already run below the weekday average.
Resident Council access and meetings
Ask how often the Resident Council meets and how its concerns are formally documented and responded to by facility leadership.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.