Park Manor of Tomball
A nursing home in Tomball, Texas 77375
250 School Street, Tomball, Texas 77375. (281) 516-7929.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Texas average: 9.6
- 3.25 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Mar 26, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 9, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
18 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 28 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 26, 2026: standard inspection7 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nov 24, 2025: complaint inspection5 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Post nurse staffing information every day.
Jun 9, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 12, 2024: standard inspection2 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure medication error rates are not 5 percent or greater.
Dec 12, 2024: standard and complaint inspection1 citation
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PASARR screening for Mental disorders or Intellectual Disabilities
Nov 16, 2023: standard inspection4 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nov 16, 2023: standard and complaint inspection6 citations
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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.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 24, 2008.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 125 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $14,069 in all.
- No Medicare payment denials in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 9, 2025 | Fine | $14,069 |
Who does the caring?
3.25 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.25 | 3.42 |
| Of which registered nurses | 0.20 | 0.44 |
| At weekends | 2.98 | 2.99 |
| Nursing staff turnover | 50.5% | 50.8% |
| Registered nurse turnover | 57.1% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Hmg Services LLC owns 100% directly since Apr 1, 2018; Forvis Mazars LLP owns 100% directly since Apr 1, 2018; Cibc Bank USA owns 100% directly since Apr 1, 2018; Zions Bancorporation owns 100% directly since Apr 1, 2018; Winnie-Stowell Hospital District owns 0% directly since Apr 1, 2018.
- 36 owners or officers are people: Edward R Murrell (corporate officer, 100%); Anthony Stramecki (corporate director, 100%); Jeffery Rollo (corporate officer, 100%); Ana I Pico (owns 5% or more through other companies, 33%); Roland Wayne Culp (owns 5% or more through other companies, 33%); Laurence C Daspit (owns 5% or more through other companies, 33%); Derek L Prince (owns 5% or more through other companies, 33%); Ana I Pico (runs it (operational or managerial control)); Ana I Pico (additional disclosable party (controls, leases property to, or provides services to the home)); Bernadette Boamah (runs it (operational or managerial control)); Bernadette Boamah (additional disclosable party (controls, leases property to, or provides services to the home)); Roland Wayne Culp (runs it (operational or managerial control)); Roland Wayne Culp (additional disclosable party (controls, leases property to, or provides services to the home)); Peter Quinn (runs it (operational or managerial control)); Peter Quinn (additional disclosable party (controls, leases property to, or provides services to the home)); Edward R Murrell (runs it (operational or managerial control)); Krystal Balsamo (runs it (operational or managerial control)); Krystal Balsamo (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Norma Stanbridge (additional disclosable party (controls, leases property to, or provides services to the home)); Anthony Stramecki (runs it (operational or managerial control)); George Way (runs it (operational or managerial control)); Laurence C Daspit (runs it (operational or managerial control)); Laurence C Daspit (additional disclosable party (controls, leases property to, or provides services to the home)); William W Dohn (runs it (operational or managerial control)); William W Dohn (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffery Rollo (runs it (operational or managerial control)); Kacey Vratis (runs it (operational or managerial control)); Christian Reinarz (runs it (operational or managerial control)); Christian Reinarz (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Derek L Prince (runs it (operational or managerial control)); Derek L Prince (additional disclosable party (controls, leases property to, or provides services to the home)); Jessica Guggenheim (runs it (operational or managerial control)); Jessica Guggenheim (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Hmg Healthcare (31 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Hmg Services LLC | Owns 5% or more directly | 100% | Apr 1, 2018 |
| Forvis Mazars LLP | Owns 5% or more directly | 100% | Apr 1, 2018 |
| Cibc Bank USA | Owns 5% or more directly | 100% | Apr 1, 2018 |
| Zions Bancorporation | Owns 5% or more directly | 100% | Apr 1, 2018 |
| Hmg Park Manor of Tomball, L.L.C. | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 11, 2025 | |
| Healthmark Group Ltd | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 11, 2025 | |
| Winnie-Stowell Hospital District | Owns a share directly | 0% | Apr 1, 2018 |
| Hmg Healthcare LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 11, 2025 | |
| HM Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 11, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.3 miles, this one had the 2nd most health citations at the latest inspection cycle (12; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Park Manor of Tomball This nursing home | 12 | |
| Lawrence Street Health Care Center | 0.4 | 3 |
| The Heights of Tomball | 0.7 | 2 |
| Tomball Rehab & Nursing | 1.3 | 9 |
| Willow Creek Lodge | 4.1 | 11 |
| The Broadmoor at Creekside Park | 7.6 | 9 |
| The Woodlands Nursing and Rehabilitation Center | 8.7 | 15 |
| North Houston Transitional Care | 8.8 | 3 |
| Ridgewood at the Woodlands | 9.1 | 12 |
| Misty Willow Healthcare and Rehabilitation Center | 9.2 | 9 |
| Champions Healthcare at Willowbrook | 9.2 | 12 |
| Cypress Creek Rehabilitation and Healthcare Center | 9.3 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.