Skilled nursing facility · CMS certification number 675714
Tomball Rehab & Nursing
TOMBALL, Texas · Medicare and Medicaid · 126 certified beds in Care Compare
Download Tomball Rehab & Nursing’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $14,701.00 · Payment denials: 0. The most recent penalty on file: January 4, 2024, Fine, $14,701. Every penalty on file ↓
Tomball Rehab & Nursing: 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 March 10, 2026.
- Net patient revenue fell from $10.1M in fiscal year 2024 to $7.1M in fiscal year 2025.
- Its result from service to patients: $233K (2023), −$671K (2024), −$1.3M (2025).
- Its cost reports on file run from fiscal year 1998 to fiscal year 2025.
- Its net patient revenue of $7.1M ranks 223rd 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.
Tomball Rehab & Nursing: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1448426 | 2024 · report 1403906 | 2023 · report 1371899 | 2022 · report 1343796 | 2021 · report 1313703 | 2020 · report 1281718 | 2019 · report 1251256 | 2018 · report 1219911 | 2017 · report 1208958 | 2016 · report 1215219 | 2015 · report 1139717 | 2014 · report 1148892 | 2013 · report 1074828 | 2012 · report 1045334 | 2011 · report 1014717 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | June 1, 2023 | September 1, 2022 | September 1, 2021 | September 1, 2020 | September 1, 2019 | September 1, 2018 | April 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 | May 31, 2023 | August 31, 2022 | August 31, 2021 | August 31, 2020 | August 31, 2019 | August 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 | — | — | 272 | — | — | — | — | 152 | — | — | — | — | — | — | — |
| Processed by CMS | March 10, 2026 | February 19, 2025 | January 16, 2024 | March 3, 2023 | April 21, 2022 | March 25, 2021 | February 19, 2020 | February 18, 2019 | August 21, 2018 | December 7, 2018 | August 4, 2016 | December 15, 2016 | August 4, 2014 | August 1, 2013 | October 26, 2012 |
| Total patient revenue | $9,042,538 | $12,052,590 | $4,883,344 | $6,756,245 | $6,239,800 | $7,573,197 | $9,508,714 | $3,372,639 | $7,642,230 | $7,909,361 | $8,816,472 | $8,319,551 | $7,970,172 | $9,289,527 | $9,541,766 |
| Contractual allowances and discounts | $1,927,009 | $1,988,625 | $489,322 | $630,013 | $508,325 | $1,096,605 | $2,545,454 | $447,471 | $1,143,306 | $1,468,113 | $1,543,480 | $1,226,468 | $620,816 | $1,745,976 | $1,846,483 |
| Net patient revenue | $7,115,529 | $10,063,965 | $4,394,022 | $6,126,232 | $5,731,475 | $6,476,592 | $6,963,260 | $2,925,168 | $6,498,924 | $6,441,248 | $7,272,992 | $7,093,083 | $7,349,356 | $7,543,551 | $7,695,283 |
| Total operating expenses | $8,387,161 | $10,735,271 | $4,160,976 | $6,273,236 | $6,192,035 | $6,833,517 | $7,010,736 | $2,984,353 | $7,197,493 | $7,173,027 | $7,389,625 | $7,275,990 | $7,173,597 | $6,521,654 | $6,675,472 |
| Net income from service to patients | −$1,271,632 | −$671,306 | $233,046 | −$147,004 | −$460,560 | −$356,925 | −$47,476 | −$59,185 | −$698,569 | −$731,779 | −$116,633 | −$182,907 | $175,759 | $1,021,897 | $1,019,811 |
| Total other income | $728,242 | $709,737 | −$95,493 | $170,453 | $430,720 | $389,831 | $9,495 | — | $4,444 | −$25,207 | −$24,595 | −$65,231 | −$42,448 | $15,439 | −$13,255 |
| Net income after other income | −$543,390 | $38,431 | $137,553 | $23,449 | −$29,840 | $32,906 | −$37,981 | −$59,185 | −$694,125 | −$756,986 | −$141,228 | −$248,138 | $133,311 | $1,037,336 | $1,006,556 |
| Net income | −$543,390 | $38,431 | $137,553 | $23,449 | −$29,840 | $32,906 | −$37,981 | −$59,185 | −$694,125 | −$756,986 | −$141,228 | −$248,138 | $133,311 | $1,037,336 | $1,006,234 |
| Total facility beds, all components | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 | 126 |
| Bed days available, all components | 45,990 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 536 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 22,129 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,485 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 24,150 | 48,988 | 22,349 | 30,855 | 25,469 | 30,854 | 33,814 | 14,691 | 34,190 | 34,362 | 37,846 | 38,827 | 41,240 | 41,241 | 41,032 |
| Medicare discharges | 3 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 106 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 34 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 143 | 467 | 192 | 221 | 218 | 219 | 214 | 110 | 238 | 227 | 240 | 206 | 220 | 227 | 96 |
| Average length of stay, Medicare, in days | 178.67 | 41.11 | 38.44 | 57.59 | 40.91 | 44.23 | 74.27 | 55.17 | 67.76 | 59.3 | 69.15 | 82.04 | 79.04 | 78.93 | 75.98 |
| Average length of stay, Medicaid, in days | 208.76 | 153.61 | 170.9 | 181.67 | 178.84 | 216.14 | 215.1 | 208.38 | 18.54 | 14.57 | 219.02 | 229.42 | 219.57 | 220.9 | 1,741.83 |
| Average length of stay, all patients, in days | 168.88 | 104.9 | 116.4 | 139.62 | 116.83 | 140.89 | 158.01 | 133.55 | 143.66 | 151.37 | 157.69 | 188.48 | 187.45 | 181.68 | 427.42 |
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 | 2010 · report 414014 | 2009 · report 384786 | 2008 · report 346564 | 2007 · report 321080 | 2006 · report 298614 | 2005 · report 265600 | 2004 · report 234733 | 2003 · report 213406 | 2002 · report 169306 | 2001 · report 159406 | 2000 · report 136441 | 1999 · report 101492 | 1998 · report 138018 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | August 1, 2004 | January 26, 2004 | August 1, 2002 | August 1, 2001 | August 1, 2000 | August 1, 1999 | August 1, 1998 | July 9, 1997 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | January 31, 2005 | July 31, 2004 | July 31, 2003 | July 31, 2002 | July 31, 2001 | July 31, 2000 | July 31, 1999 | July 31, 1998 |
| Days, where not a full year | — | — | — | — | — | 183 | 187 | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | reopened |
| Processed by CMS | August 1, 2011 | August 4, 2010 | June 22, 2009 | July 24, 2008 | December 14, 2007 | November 2, 2006 | October 17, 2005 | April 18, 2005 | February 19, 2004 | September 11, 2003 | April 7, 2003 | October 31, 2001 | April 7, 2003 |
| Net patient revenue | $7,288,712 | $7,225,661 | $6,773,718 | $6,479,582 | $5,904,475 | $2,509,715 | $2,529,968 | $4,718,104 | $4,279,810 | $3,784,938 | $4,070,862 | $4,120,060 | $4,089,728 |
| Total operating expenses | $6,452,166 | $6,363,905 | $6,138,292 | $5,791,373 | $5,337,671 | $2,420,776 | $2,467,466 | $4,434,344 | $4,190,003 | $3,933,356 | $3,785,860 | $3,847,993 | $3,464,434 |
| Net income from service to patients | $836,546 | $861,756 | $635,426 | $688,209 | $566,804 | $88,939 | $62,502 | $283,760 | $89,807 | −$148,418 | $285,002 | $272,067 | $625,294 |
| Total other income | $879 | $892 | $1,549 | $1,770 | $1,177 | $503 | — | — | — | −$593 | — | $148 | — |
| Total other expenses | — | $22,682 | $518,478 | $11,491 | $31,623 | — | — | — | — | — | — | — | — |
| Net income | $837,425 | $839,966 | $118,497 | $678,488 | $536,358 | $89,442 | $62,502 | $283,760 | $89,807 | −$149,011 | $285,002 | $272,215 | $625,294 |
| Total facility beds, all components | 126 | 126 | 126 | 126 | 126 | 122 | 122 | 122 | 130 | 130 | 130 | 130 | 130 |
| Total patient days, all components | 40,339 | 41,586 | 41,553 | 41,777 | 43,767 | 21,698 | 21,574 | 40,907 | 40,298 | 41,179 | 38,582 | 42,087 | 45,864 |
| Total discharges, all components | 126 | 282 | 315 | 271 | 149 | 83 | 83 | 113 | 113 | 89 | 152 | 103 | 69 |
| Average length of stay, Medicare, in days | 69.45 | 66.31 | 41.65 | 34.42 | 59.05 | 31.66 | 32.7 | 74.88 | 37.53 | 35.83 | 31.5 | 43.23 | 50.64 |
| Average length of stay, Medicaid, in days | 1,093.96 | 184.89 | 215.38 | 663.34 | 878.48 | 3,094.4 | 3,033.6 | 660.6 | 693.16 | 883.22 | 597.05 | 710.41 | 823.03 |
| Average length of stay, all patients, in days | 320.15 | 147.47 | 131.91 | 154.16 | 293.74 | 261.42 | 259.93 | 362.01 | 356.62 | 462.69 | 253.83 | 408.61 | 664.7 |
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.
Tomball Rehab & Nursing: nurse staffing hours by quarter →
Who owns Tomball Rehab & Nursing, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BAYLOR COUNTY HOSPITAL DISTRICT (organization), 100%%, since 06/01/2023
- CORPORATE OFFICER: HARDIN, LESLIE (individual), NOT APPLICABLE, since 06/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: SILBERSTEIN, ARI (individual), NOT APPLICABLE, since 06/01/2023; TOMBALL SKILLED NURSING, LLC (organization), NOT APPLICABLE, since 06/01/2023
- W-2 MANAGING EMPLOYEE: MOORE, RHONDA (individual), NOT APPLICABLE, since 06/01/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of BAYLOR COUNTY HOSPITAL DISTRICT (enrollment ID O20230801000996).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BAYLOR COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 06/01/2023
- CORPORATE OFFICER: LESLIE HARDIN (individual), 0.00%, since 06/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: ARI SILBERSTEIN (individual), 0.00%, since 06/01/2023; TOMBALL SKILLED NURSING, LLC (organization), 0.00%, since 06/01/2023
- W-2 MANAGING EMPLOYEE: RHONDA MOORE (individual), 0.00%, since 06/01/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: BAYLOR COUNTY HOSPITAL DISTRICT; TOMBALL SKILLED NURSING, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: LESLIE HARDIN; ARI SILBERSTEIN; RHONDA MOORE.
Changes in ownership
- November 1, 2023, enrollment ownership file; no longer listed: CLAUDE P HACKER (DIRECTOR); CLAUDE P HACKER (OFFICER); MICHAEL MEISNER (OPERATIONAL/MANAGERIAL CONTROL); TEDDY LICHTSCHEIN (OPERATIONAL/MANAGERIAL CONTROL); ELIEZER SCHEINER (OPERATIONAL/MANAGERIAL CONTROL); ADVANCED HCS LLC (OPERATIONAL/MANAGERIAL CONTROL); ROBERT A PASCASIO (DIRECTOR); ROBERT A PASCASIO (OFFICER); MARILYN BOOKER (W-2 MANAGING EMPLOYEE); CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: RHONDA MOORE (W-2 MANAGING EMPLOYEE), associated since June 1, 2023; ARI SILBERSTEIN (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2023; BAYLOR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since June 1, 2023; LESLIE HARDIN (OFFICER), associated since June 1, 2023; TOMBALL SKILLED NURSING, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- January 1, 2023, enrollment ownership file; no longer listed: PAUL ASLIN (DIRECTOR); first listed: CLAUDE P HACKER (DIRECTOR), associated since November 21, 2022; CLAUDE P HACKER (OFFICER), associated since November 21, 2022; ROBERT A PASCASIO (DIRECTOR), associated since November 21, 2022; ROBERT A PASCASIO (OFFICER), associated since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Inspections of Tomball Rehab & Nursing
- Cycle 1: health February 19, 2026 (9 deficiencies), fire safety February 19, 2026 (1)
- Cycle 2: health November 7, 2024 (2 deficiencies), fire safety November 7, 2024 (4)
- Cycle 3: health August 25, 2023 (14 deficiencies), fire safety August 25, 2023 (1)
Deficiencies cited at Tomball Rehab & Nursing
26 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 13 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0755, pharmacy service: April 10, 2026 (D, from a complaint, corrected April 13, 2026); February 19, 2026 (E, corrected March 12, 2026); November 7, 2024 (D, from a complaint, corrected November 28, 2024); June 21, 2024 (D, from a complaint, corrected July 17, 2024).
- F 0770, administration: April 10, 2026 (D, from a complaint, corrected April 13, 2026).
- F 0584, resident rights: February 19, 2026 (D, corrected March 12, 2026).
- F 0657, resident assessment and care planning: February 19, 2026 (D, corrected March 12, 2026).
- F 0689, quality of life and care: February 19, 2026 (D, corrected March 12, 2026); January 10, 2024 (E, from a complaint, corrected February 9, 2024).
- F 0759, pharmacy service: February 19, 2026 (E, corrected March 12, 2026).
- F 0812, nutrition and dietary: February 19, 2026 (E, corrected March 12, 2026); November 7, 2024 (E, corrected November 28, 2024).
- F 0880, infection control: February 19, 2026 (F, corrected March 12, 2026); November 20, 2023 (D, from a complaint, corrected December 19, 2023); November 2, 2023 (E, from a complaint, corrected November 30, 2023); August 25, 2023 (D, corrected September 29, 2023).
- F 0842, resident assessment and care planning: June 21, 2024 (D, from a complaint, corrected July 17, 2024).
- F 0678, quality of life and care: February 9, 2024 (J, from a complaint, corrected February 10, 2024).
- F 0656, resident assessment and care planning: January 10, 2024 (E, from a complaint, corrected February 9, 2024).
- F 0641, resident assessment and care planning: January 4, 2024 (D, from a complaint, corrected January 29, 2024).
- F 0921, environmental: November 20, 2023 (D, from a complaint, corrected December 19, 2023).
- F 0686, quality of life and care: September 12, 2023 (K, from a complaint, corrected September 13, 2023).
- F 0558, resident rights: August 25, 2023 (E, corrected September 29, 2023).
- F 0645, resident assessment and care planning: August 25, 2023 (E, corrected September 29, 2023).
- F 0677, quality of life and care: August 25, 2023 (E, corrected September 29, 2023).
- F 0725, nursing and physician services: August 25, 2023 (E, corrected September 29, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 4, 2024 | Fine | $14,701 | 112341 | ||
| August 25, 2023 | Fine | $95,794 | 111353 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Tomball Rehab & Nursing in Care Compare
- Ownership Type: Government - Hospital district
- Legal Business Name: BAYLOR COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 1997-07-09
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2813515443
- Chain Name: ADVANCED HEALTHCARE SOLUTIONS
- Chain ID: 13
- 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: 86.6
- Overall Rating: 3
- Health Inspection Rating: 3
- QM Rating: 4
- Long-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.
Other nursing facilities in TOMBALL and Texas
Report a figure on Tomball Rehab & Nursing’s record that differs from its CMS file, quoting 675714.