Skilled nursing facility · CMS certification number 675701
Lawrence Street Health Care Center
Tomball, Texas · Medicare and Medicaid · 150 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,281.00 · Payment denials: 0. The most recent penalty on file: October 2, 2025, Fine, $8,281. Every penalty on file ↓
Lawrence Street Health Care Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on February 13, 2026.
- Net patient revenue rose from $1.4M in fiscal year 2024 to $5.9M in fiscal year 2025.
- Its result from service to patients: −$1.5M (2023), −$334K (2024), −$1.5M (2025).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2025.
- Its net patient revenue of $5.9M ranks 297th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Lawrence Street Health Care Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1447775 | 2024 · report 1404596 | 2023 · report 1382286 | 2022 · report 1374530 | 2021 · report 1328416 | 2020 · report 1327648 | 2019 · report 1307925 | 2018 · report 1229170 | 2017 · report 1207412 | 2016 · report 1189627 | 2015 · report 1166705 | 2014 · report 1108188 | 2013 · report 1116047 | 2012 · report 1081457 | 2011 · report 1014226 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | June 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | August 31, 2025 | August 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | 91 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | February 13, 2026 | March 4, 2025 | June 10, 2024 | March 6, 2024 | July 29, 2022 | July 22, 2022 | December 23, 2021 | June 17, 2019 | August 21, 2018 | May 9, 2018 | June 28, 2017 | August 18, 2015 | December 22, 2015 | December 3, 2014 | October 26, 2012 |
| Total patient revenue | $7,723,151 | $1,789,743 | $7,222,247 | $5,933,714 | $5,919,337 | $7,827,791 | $8,358,712 | $7,651,050 | $7,225,182 | $8,022,006 | $10,754,269 | $10,221,577 | $11,734,758 | $10,320,623 | $9,461,517 |
| Contractual allowances and discounts | $1,845,319 | $399,636 | $2,146,288 | $1,170,838 | $1,588,067 | $1,710,134 | $2,565,220 | $2,063,888 | $1,792,486 | $2,699,304 | $4,572,654 | $4,234,032 | $2,974,851 | $2,400,604 | $2,165,813 |
| Net patient revenue | $5,877,832 | $1,390,107 | $5,075,959 | $4,762,876 | $4,331,270 | $6,117,657 | $5,793,492 | $5,587,162 | $5,432,696 | $5,322,702 | $6,181,615 | $5,987,545 | $8,759,907 | $7,920,019 | $7,295,704 |
| Total operating expenses | $7,382,987 | $1,723,773 | $6,609,474 | $5,947,833 | $5,850,984 | $6,535,829 | $6,300,092 | $5,822,136 | $5,908,359 | $6,801,845 | $7,121,868 | $7,724,969 | $7,954,124 | $7,453,780 | $6,638,771 |
| Net income from service to patients | −$1,505,155 | −$333,666 | −$1,533,515 | −$1,184,957 | −$1,519,714 | −$418,172 | −$506,600 | −$234,974 | −$475,663 | −$1,479,143 | −$940,253 | −$1,737,424 | $805,783 | $466,239 | $656,933 |
| Total other income | $568,563 | $25,999 | $255,076 | $426,957 | $404,351 | $687,205 | $21,436 | $665 | $433 | $3,456 | $2,676 | — | — | $694 | $13,419 |
| Net income after other income | −$936,592 | −$307,667 | −$1,278,439 | −$758,000 | −$1,115,363 | $269,033 | −$485,164 | −$234,309 | −$475,230 | −$1,475,687 | −$937,577 | −$1,737,424 | $805,783 | $466,933 | $670,352 |
| Net income | −$936,592 | −$307,667 | −$1,278,439 | −$758,000 | −$1,115,363 | $269,033 | −$485,164 | −$234,309 | −$475,230 | −$1,475,687 | −$937,577 | −$1,737,424 | $805,783 | $466,933 | $670,352 |
| Total facility beds, all components | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 |
| Bed days available, all components | 54,750 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,882 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 15,754 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,571 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 24,207 | 5,976 | 23,691 | 17,355 | 17,267 | 25,227 | 28,184 | 27,504 | 26,196 | 28,911 | 34,397 | 35,417 | 38,091 | 34,586 | 32,486 |
| Medicare discharges | 44 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 69 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 216 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 329 | 86 | 251 | 349 | 168 | 195 | 245 | 223 | 148 | 177 | 326 | 295 | 377 | 242 | 223 |
| Average length of stay, Medicare, in days | 42.77 | 48.71 | 48.33 | 19.48 | 63.5 | 57.8 | 39.63 | 52.73 | 93.42 | 59.11 | 51.46 | 65.59 | 51.18 | 58.76 | 57.24 |
| Average length of stay, Medicaid, in days | 228.32 | 115 | 184.24 | 117.02 | 210.84 | 219.36 | 223.91 | 193.42 | 252.81 | 331.1 | 173.38 | 240.03 | 249.81 | 297.14 | 296.44 |
| Average length of stay, all patients, in days | 73.58 | 69.49 | 94.39 | 49.73 | 102.78 | 129.37 | 115.04 | 123.34 | 177 | 163.34 | 105.51 | 120.06 | 101.04 | 142.92 | 145.68 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 417203 | 2009 · report 381277 | 2008 · report 347096 | 2007 · report 322883 | 2006 · report 291479 | 2005 · report 269425 | 2004 · report 230489 | 2003 · report 192260 | 2002 · report 214050 | 2001 · report 131084 | 2000 · report 127986 | 1999 · report 66290 | 1998 · report 66288 | 1997 · report 66286 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | December 1, 2002 | May 28, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | July 3, 1997 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | November 30, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1998 | December 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | — | — | 186 | — | — | — | — | 181 |
| Processed by CMS | September 8, 2011 | July 14, 2010 | June 24, 2009 | August 5, 2008 | August 8, 2007 | December 21, 2006 | August 10, 2005 | September 1, 2004 | April 18, 2005 | February 13, 2003 | February 13, 2003 | September 27, 2001 | September 5, 2000 | February 1, 1999 |
| Net patient revenue | $7,206,722 | $7,153,635 | $6,220,398 | $6,083,774 | $5,795,576 | $5,434,821 | $5,152,396 | $4,108,208 | $2,498,829 | $4,376,834 | $4,324,115 | $4,245,354 | $4,877,475 | — |
| Total operating expenses | $6,260,405 | $6,279,313 | $5,665,251 | $5,658,542 | $5,268,200 | $4,915,393 | $4,892,754 | $4,659,617 | $2,659,267 | $4,471,531 | $4,361,105 | $4,330,626 | $4,609,292 | — |
| Net income from service to patients | $946,317 | $874,322 | $555,147 | $425,232 | $527,376 | $519,428 | $259,642 | −$551,409 | −$160,438 | −$94,697 | −$36,990 | −$85,272 | $268,183 | — |
| Total other income | $2,120 | $2,865 | $9,341 | $25,707 | $3,756 | $5,327 | $1,820 | $1,177 | $61 | $295 | $2,291 | −$1,310 | $367 | — |
| Net income | $948,437 | $877,187 | $564,488 | $450,939 | $531,132 | $524,755 | $261,462 | −$550,232 | −$160,377 | −$94,402 | −$34,699 | −$86,582 | $268,550 | — |
| Total facility beds, all components | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | — |
| Total patient days, all components | 33,571 | 32,317 | 32,201 | 37,867 | 38,167 | 43,240 | 42,216 | 41,496 | 23,278 | 45,190 | 46,364 | 46,712 | 47,652 | — |
| Total discharges, all components | 229 | 222 | 201 | 229 | 205 | 239 | 202 | 94 | 115 | 184 | 166 | 327 | 185 | — |
| Average length of stay, Medicare, in days | 55.05 | 58.16 | 62.98 | 53.79 | 68.65 | 45.94 | 58.04 | 50.49 | 28.15 | 20.76 | 29.33 | 29.61 | 28.28 | — |
| Average length of stay, Medicaid, in days | 296.31 | 293.55 | 297.19 | 298.23 | 297.91 | 297.37 | 296.74 | 915.59 | 320.26 | 349.46 | 348.38 | 189.24 | 333.54 | — |
| Average length of stay, all patients, in days | 146.6 | 145.57 | 160.2 | 165.36 | 186.18 | 180.92 | 208.99 | 441.45 | 202.42 | 245.6 | 279.3 | 142.85 | 257.58 | — |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal year 1997.
Lawrence Street Health Care Center: nurse staffing hours by quarter →
Who owns Lawrence Street Health Care Center, as filed with CMS
Care Compare
- ADP OF THE SNF: HEALTH SERVICES MANAGEMENT, INC. (organization), since 06/01/2024; HSMTX/LAWRENCE-TOMBALL, LLC (organization), since 03/07/2025; JAFRI, ADNAN (individual), since 06/01/2024; LAWRENCE-TOMBALL REALTY, LLC (organization), since 06/01/2024; RODRIGUEZ, KIMBERLY (individual), since 06/01/2024
- CORPORATE DIRECTOR: MURRELL, EDWARD (individual), since 06/01/2024
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: BAXTER, KEVIN (individual), since 03/07/2025
- OPERATIONAL/MANAGERIAL CONTROL: HSMTX/LAWRENCE-TOMBALL, LLC (organization), since 06/01/2024; RODRIGUEZ, KIMBERLY (individual), since 06/01/2024; WHITE, JOSHUA (individual), since 06/01/2024
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20240705000419).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WINNIE-STOWELL HOSPITAL DISTRICT (organization), 100.00%, since 06/01/2024
- ADP OF THE SNF: ADNAN Z JAFRI (individual), since 06/01/2024; HEALTH SERVICES MANAGEMENT, INC. (organization), since 06/01/2024; HSMTX/LAWRENCE-TOMBALL, LLC (organization), since 03/07/2025; KIMBERLY BROOKE RODRIGUEZ (individual), since 06/01/2024; LAWRENCE-TOMBALL REALTY, LLC (organization), since 06/01/2024; No owner named in the filing (individual), since 06/01/2024
- CORPORATE DIRECTOR: EDWARD R MURRELL (individual), 0.00%, since 06/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: HSMTX/LAWRENCE-TOMBALL, LLC (organization), 0.00%, since 06/01/2024; JOSHUA L WHITE (individual), 0.00%, since 06/01/2024; KIMBERLY BROOKE RODRIGUEZ (individual), since 06/01/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WINNIE-STOWELL HOSPITAL DISTRICT; HEALTH SERVICES MANAGEMENT, INC.; HSMTX/LAWRENCE-TOMBALL, LLC; LAWRENCE-TOMBALL REALTY, LLC; HSMTX/LAWRENCE-TOMBALL, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: ADNAN Z JAFRI; KIMBERLY BROOKE RODRIGUEZ; No owner named in the filing; EDWARD R MURRELL; JOSHUA L WHITE; KIMBERLY BROOKE RODRIGUEZ.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: HEALTH SERVICES MANAGEMENT, INC. (5% OR GREATER MORTGAGE INTEREST); LAWRENCE-TOMBALL REALTY, LLC (5% OR GREATER MORTGAGE INTEREST). Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- June 1, 2025, enrollment ownership file; no longer listed: KIMBERLY BROOKE RODRIGUEZ (W-2 MANAGING EMPLOYEE); KEVIN BAXTER (OPERATIONAL/MANAGERIAL CONTROL); first listed: HEALTH SERVICES MANAGEMENT, INC. (ADP OF THE SNF), associated since June 1, 2024; HEALTH SERVICES MANAGEMENT, INC. (5% OR GREATER MORTGAGE INTEREST), associated since June 1, 2024; KIMBERLY BROOKE RODRIGUEZ (ADP OF THE SNF), associated since June 1, 2024; KIMBERLY BROOKE RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2024; ADNAN Z JAFRI (ADP OF THE SNF), associated since June 1, 2024; a listing under ADP OF THE SNF with no owner named, associated since June 1, 2024; LAWRENCE-TOMBALL REALTY, LLC (ADP OF THE SNF), associated since June 1, 2024; LAWRENCE-TOMBALL REALTY, LLC (5% OR GREATER MORTGAGE INTEREST), associated since June 1, 2024; HSMTX/LAWRENCE-TOMBALL, LLC (ADP OF THE SNF), associated since March 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- October 1, 2024, enrollment ownership file; no longer listed: HEALTH SERVICES MANAGEMENT, INC. (OPERATIONAL/MANAGERIAL CONTROL); SCOTT FISHER (DIRECTOR); KIMBERLY BROOKE RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL); KIMBERLY BROOKE RODRIGUEZ (DIRECTOR); KEVIN BAXTER (OPERATIONAL/MANAGERIAL CONTROL); KEVIN BAXTER (DIRECTOR); BRIAN JACKSON (DIRECTOR); JOSHUA L WHITE (OPERATIONAL/MANAGERIAL CONTROL); JOSHUA L WHITE (DIRECTOR); JOSHUA L WHITE (OFFICER); JIM SHATZ (DIRECTOR); first listed: KIMBERLY BROOKE RODRIGUEZ (W-2 MANAGING EMPLOYEE), associated since June 1, 2024; KEVIN BAXTER (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2024; JOSHUA L WHITE (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2024; WINNIE-STOWELL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since June 1, 2024; EDWARD R MURRELL (DIRECTOR), associated since June 1, 2024; HSMTX/LAWRENCE-TOMBALL, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
- March 1, 2024, enrollment ownership file; no longer listed: WILLIAM H NEELY (DIRECTOR); CHRYSTAL STALDER (W-2 MANAGING EMPLOYEE); CHRYSTAL STALDER (DIRECTOR); first listed: SCOTT FISHER (DIRECTOR), associated since March 22, 2023; KIMBERLY BROOKE RODRIGUEZ (OPERATIONAL/MANAGERIAL CONTROL), associated since May 23, 2023; KIMBERLY BROOKE RODRIGUEZ (DIRECTOR), associated since May 23, 2023; BRIAN JACKSON (DIRECTOR), associated since March 22, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
- November 30, 2022, enrollment ownership file; no longer listed: JAMES E BELL (DIRECTOR); JAMES E BELL (OFFICER); CHRISTIAN MCCARN (W-2 MANAGING EMPLOYEE); CHRISTIAN MCCARN (DIRECTOR); ERIC SWEENEY (DIRECTOR); ERIC SWEENEY (OFFICER); CHARLES DAVIS (W-2 MANAGING EMPLOYEE); CHARLES DAVIS (DIRECTOR); PATRICIA EDGELL (W-2 MANAGING EMPLOYEE); PATRICIA EDGELL (DIRECTOR); BRIAN PERINE (DIRECTOR); MARSHALL PRESTON SWEENEY (DIRECTOR); first listed: KEVIN BAXTER (OPERATIONAL/MANAGERIAL CONTROL), associated since July 6, 2021; KEVIN BAXTER (DIRECTOR), associated since July 6, 2021; JOSHUA L WHITE (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2017; JOSHUA L WHITE (DIRECTOR), associated since October 1, 2017; JOSHUA L WHITE (OFFICER), associated since April 27, 2021; JAMES SHATZ (DIRECTOR), associated since April 1, 2021; CHRYSTAL STALDER (W-2 MANAGING EMPLOYEE), associated since October 1, 2018; CHRYSTAL STALDER (DIRECTOR), associated since October 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
Inspections of Lawrence Street Health Care Center
- Cycle 1: health October 2, 2025 (3 deficiencies), fire safety October 2, 2025 (7)
- Cycle 2: health August 22, 2024 (4 deficiencies), fire safety August 22, 2024 (2)
- Cycle 3: health July 13, 2023 (6 deficiencies), fire safety July 13, 2023 (4)
Deficiencies cited at Lawrence Street Health Care Center
13 deficiencies on file, by tag, newest citation first
every one from a health inspection; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0694, quality of life and care: June 16, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 30, 2026).
- F 0689, quality of life and care: October 2, 2025 (J, Past Non-Compliance, corrected November 19, 2024).
- F 0761, pharmacy service: October 2, 2025 (D, Deficient, Provider has date of correction, corrected October 31, 2025); August 22, 2024 (E, Deficient, Provider has date of correction, corrected August 27, 2024); July 13, 2023 (E, Deficient, Provider has date of correction, corrected August 4, 2023).
- F 0755, pharmacy service: August 22, 2024 (D, Deficient, Provider has date of correction, corrected August 27, 2024); July 13, 2023 (E, Deficient, Provider has date of correction, corrected August 4, 2023).
- F 0812, nutrition and dietary: August 22, 2024 (D, Deficient, Provider has date of correction, corrected August 27, 2024).
- F 0814, nutrition and dietary: August 22, 2024 (E, Deficient, Provider has date of correction, corrected August 27, 2024).
- F 0580, resident rights: June 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 19, 2024).
- F 0684, quality of life and care: June 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected July 19, 2024).
- F 0656, resident assessment and care planning: July 13, 2023 (D, Deficient, Provider has date of correction, corrected August 4, 2023).
- F 0657, resident assessment and care planning: July 13, 2023 (D, Deficient, Provider has date of correction, corrected August 4, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 2, 2025 | Fine | $8,281 | 135675 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Lawrence Street Health Care Center in Care Compare
- Ownership Type: Non profit - Other
- Legal Business Name: WINNIE-STOWELL HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1997-07-03
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2813574516
- Chain Name: HEALTH SERVICES MANAGEMENT
- Chain ID: 257
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 72.7
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
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Report a figure on Lawrence Street Health Care Center’s record that differs from its CMS file, quoting 675701.