Tomball Rehab & Nursing
815 PEACH ST., Tomball, TX, 77375
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.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Advanced Healthcare Solutions
- Certified beds
- 126 · avg 88 residents/day
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $110,495 total
State licensing & capacity
- License number
- 311531
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 5 Medicare-only · 121 Medicaid/Medicare
- Current license effective
- June 1, 2023
- Current license expires
- June 1, 2026
- Initial license date
- April 1, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Baylor County Hospital District (Nonprofit Organization)
- Operator / manager
- Tomball Skilled Nursing, Llc
- Administrator
- Rhonda Moore
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (5 on record)
- Ari Silberstein
Operational/managerial Control · since 2023
- Baylor County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2023
- Leslie Hardin
Corporate Officer · since 2023
- Rhonda Moore
W-2 Managing Employee · since 2023
- Tomball Skilled Nursing, Llc
Operational/managerial Control · since 2023
Recent change of ownership
June 2023 (2 years ago) · acquired from Tomball Rehab & Nursing
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 22)
- D0755·Nov 7, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0812·Nov 7, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0842·Jun 21, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0755·Jun 21, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0678·Feb 9, 2024Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E0689·Jan 10, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Jan 10, 2024Complaint
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.
- D0641·Jan 4, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20241 fine · $15K
- 20231 fine · $96K
Most recent events
- Jan 4, 2024Fine · $15K
- Aug 25, 2023Fine · $96K
Largest single fine on record: $96K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Nov 7, 2024. 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
Tomball Rehab & Nursing is a 126-bed Medicare- and Medicaid-certified nursing home in Tomball, Harris County, licensed since 1975 and managed by Tomball Skilled Nursing, LLC under nonprofit licensee Baylor County Hospital District. CMS rates it 3 stars overall, with a 2-star staffing rating and 4-star quality measures. Two CMS fines totaling $110,495 have been issued, and the facility is currently operating at roughly 70% of licensed capacity.
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 — the bottom third of Texas nursing homes on this measure. Each resident receives about 194 minutes of nursing care per day, roughly 47 minutes less than the daily average at a 4-star-staffing facility in Texas. Of those 194 minutes, only 33 come from a registered nurse; the Texas threshold for 4-star RN time is 37 minutes per resident per day.
Two CMS fines have been assessed totaling $110,495. Texas's median fine total across fined facilities is about $20,699, so this figure is more than five times the state median. About 30% of Texas nursing homes have received no fines at all.
The facility holds a 4-star quality-measures rating — covering outcomes such as falls, pressure wounds, and use of antipsychotic medications for long-stay residents. That rating places it in the upper tier of Texas nursing homes on measured resident outcomes.
The facility is running at roughly 70% of its 126 licensed beds, with about 88 residents on an average day. That occupancy level is low relative to peers and sits alongside the 2-star staffing rating and the fine record noted above.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing gaps on nights and weekends
Weekend nursing hours here average about 174 minutes per resident per day — ask how staffing levels are maintained on evenings, nights, and weekends compared to weekdays.
Background on the two CMS fines
Two fines totaling $110,495 have been assessed — ask what deficiencies triggered them and what specific changes were made in response.
Current occupancy and wait times
The facility is operating at about 70% of licensed capacity; ask whether specific wings or care levels are affected and what is driving the lower census.
Relationship between licensee and manager
The licensed owner is Baylor County Hospital District, a nonprofit, while day-to-day operations are run by Tomball Skilled Nursing, LLC — ask how decisions about staffing budgets and care standards are made between the two.
Resident Council access and meeting schedule
A Resident Council is listed but no Family Council — ask how family members raise concerns and how often the Resident Council meets.
Registered nurse coverage hours
Reported RN time is about 33 minutes per resident per day; ask how many hours a licensed RN is physically on the floor each day and whether there is always one on site overnight.
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.