Rosenberg Health & Rehabilitation Center
CCN: 675046 · Rosenberg, TX 77471 · Fort Bend County
Overview
- Address
- 1419 Mahlman St, Rosenberg, TX 77471
- Phone
- 2813420065
- Certified beds
- 124
- Avg daily residents
- 95 (76% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-02-05
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.01 | 3.48 | 3.34 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.60 | 0.61 | 0.67 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.74 | 0.77 | 0.83 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.67 | 2.10 | 1.85 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.35 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.07 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-02-27 | 8 | 3 | 5 | 369 | 1 | 369 |
| Cycle 2/3 (prior) | 2023-12-31 | 22 | 4 | 20 | 550 | 1 | 550 |
Deficiencies (45)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-01-29 | 2026-01-30 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2025-11-20 | — |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | 2025-03-25 | 2025-06-09 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-03-25 | 2025-06-09 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | 2025-03-25 | 2025-06-09 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-27 | 2025-03-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-27 | 2025-03-05 |
| 0814 | Dispose of garbage and refuse properly. | E | 2025-02-27 | 2025-03-05 |
| 0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-09-27 | 2024-10-02 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-21 | 2024-08-28 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-08-21 | 2024-08-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-08-21 | 2024-08-28 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-08-16 | 2024-08-28 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-08-16 | 2024-08-28 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-06-21 | 2024-07-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-05-07 | 2024-06-03 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-03-19 | 2024-04-03 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-12-31 | 2024-01-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-31 | 2024-01-10 |
| 0584 | 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. | D | 2023-12-31 | 2024-01-10 |
| 0880 | Provide and implement an infection prevention and control program. | K | 2023-12-31 | 2024-01-01 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-12-15 | 2023-12-31 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | 2023-12-11 | 2023-12-31 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-12-11 | 2023-12-31 |
| 0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-12-07 | 2023-12-31 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2023-12-07 | 2023-12-31 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-10-06 | 2023-10-27 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-05-29 | 2023-06-09 |
| 0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | K | 2023-05-29 | 2023-06-09 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-05-03 | 2023-06-02 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2022-09-30 | 2022-11-11 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-09-30 | 2022-11-11 |
| 0610 | Respond appropriately to all alleged violations. | D | 2022-09-30 | 2022-11-11 |
| 0637 | Assess the resident when there is a significant change in condition | D | 2022-09-30 | 2022-11-11 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2022-09-30 | 2022-11-11 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-09-30 | 2022-11-11 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-09-30 | 2022-11-11 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-09-30 | 2022-11-11 |
| 0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2022-09-30 | 2022-11-11 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2022-09-30 | 2022-11-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-09-30 | 2022-11-11 |
| 0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2022-09-30 | 2022-11-11 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-09-30 | 2022-11-11 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2022-09-30 | 2022-11-11 |
| 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2022-09-30 | 2022-11-11 |
Penalties (6)
| Date | Type | Fine amount |
|---|---|---|
| 2023-12-07 | Fine | $14,518 |
| 2025-02-27 | Fine | $25,587 |
| 2025-11-20 | Fine | $26,685 |
| 2023-05-03 | Fine | $35,710 |
| 2023-12-07 | Fine | $39,884 |
| 2025-02-27 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: HAMILTON COUNTY HOSPITAL DISTRICT
- Chain ID
589- Facilities in chain
- 10
- Legal business name
- HAMILTON COUNTY HOSPITAL DISTRICT
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| HAMILTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 04/01/2023 |
| ROSENBERG HC LLC | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2023 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| SILBERSTEIN, ARI | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2023 |
| HOOPER, GRADY | CORPORATE DIRECTOR | since 04/01/2023 |
| IREROA, NICHOLAS | W-2 MANAGING EMPLOYEE | since 04/01/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Special focus status
- SFF Candidate
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $30 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.42 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 83.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 4.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $594,484 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,648,528 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 76.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 0.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,389,938 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,172,494 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $875,660 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,514,278 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 6.5% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.82623 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.84988 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.66724 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.34336 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.98611 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 94.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.77195 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.09799 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.60847 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.47841 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.06585 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.7 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 589 | Chain ID |
| Provider Information | Chain Name | HAMILTON COUNTY HOSPITAL DISTRICT | Chain Name |
| Provider Information | City/Town | Rosenberg | City/Town |
| Provider Information | CMS Certification Number (CCN) | 675046 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Fort Bend | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1992-02-05 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 29.5522 | Latitude |
| Provider Information | Legal Business Name | HAMILTON COUNTY HOSPITAL DISTRICT | Legal Business Name |
| Provider Information | Location | 1419 Mahlman St,Rosenberg,TX,77471 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -95.788 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 124 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 5 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.23225 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.89446 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1419 Mahlman St | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Rosenberg Health & Rehabilitation Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 530 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 369 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 5 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-02-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 369 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-31 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 550 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 20 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 550 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 22 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.60148 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 55.6 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.34551 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.74437 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.66661 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07089 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.60114 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.01212 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | SFF Candidate | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 2813420065 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 142384.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.69027 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 6 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 59.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 414.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 77471 | ZIP Code |