Federal inspection record · CMS data as of October 1, 2026

Rollingbrook Rehabilitation and Health Care Center

750 Rollingbrook Dr., Baytown, TX · (832) 572-7575

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
130
Residents per day
92
Ownership
Government
Chain
Momentum Skilled Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 22, 2018

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Rollingbrook Rehabilitation and Health Care Center carries 32.75 inspection points. That is fewer than 84% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 32.75 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 12, 2023 · Complaint inspection · Quality of Life and Care · F684 · Corrected January 5, 2024

Everything else, by area of care

Resident Assessment and Care Planning4D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    March 26, 2026 · Standard · F644 · Corrected April 10, 2026

  2. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    January 15, 2025 · Standard · F636 · Corrected January 31, 2025

  3. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    November 17, 2023 · Standard · F644 · Corrected December 15, 2023

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 6, 2023 · Complaint · F656 · Corrected October 26, 2023

Pharmacy Service3E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 26, 2026 · Standard · F755 · Corrected April 10, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 12, 2023 · Complaint · F755 · Corrected January 5, 2024

  3. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 17, 2023 · Standard · F755 · Corrected December 15, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 26, 2026 · Standard · F880 · Corrected April 10, 2026

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 15, 2025 · Standard · F812 · Corrected January 31, 2025

Inspection history

  1. 2026-03-26

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-01-15

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2023-11-17

    5 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 19 min of nursing staff time a day, 8 min of it from a registered nurse.

This home

3 h 19 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 67% of nursing staff and 88% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$23,676 in federal fines on record over the past three years.

DatePenaltyAmount
2023-11-17Fine$23,676

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.92.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse3.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better99.7%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse4.2%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts better0.8%2.3%13.5%
Percentage of long-stay residents who lose too much weight2 pts better0.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts better7.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.8 pts better0.0%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.9 pts better5.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5 pts better10.8%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts better5.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better3.6%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better99.5%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts worse17.3%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better98.6%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.1 pts worse35.6%25.5%23.4%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Broad River Healthcare, LLC5% Or Greater Mortgage Interest · Organization0%3 facilities
Broad River Healthcare, LLCAdp Of The SNF · Organization0%3 facilities
Compton, Charles5% Or Greater Mortgage Interest · Individual0%5 facilities
Compton, CharlesAdp Of The SNF · Individual0%5 facilities
Compton, James5% Or Greater Mortgage Interest · Individual0%5 facilities
Compton, JamesAdp Of The SNF · Individual0%5 facilities
Compton, Kris5% Or Greater Mortgage Interest · Individual0%5 facilities
Compton, KrisAdp Of The SNF · Individual0%5 facilities
Harris Lt Investments, LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Harris Lt Investments, LLCAdp Of The SNF · Organization0%1 facilities
Martel Healthcare Management LLC5% Or Greater Mortgage Interest · Organization0%4 facilities
Martel Healthcare Management LLCAdp Of The SNF · Organization0%4 facilities
Martel, Michael5% Or Greater Mortgage Interest · Individual0%7 facilities
Martel, MichaelAdp Of The SNF · Individual0%7 facilities
Rajan, KavithaAdp Of The SNF · Individual0%2 facilities
Robertson, NatalieAdp Of The SNF · Individual0%1 facilities
Rollingbrook Rehab LLCOperational/Managerial Control · Organization0%1 facilities
The Smithers Management Trust5% Or Greater Mortgage Interest · Organization0%5 facilities
The Smithers Management TrustAdp Of The SNF · Organization0%5 facilities
Thompson, JohnnyCorporate Officer · Individual0%79 facilities
Threadgill, ForrestIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%9 facilities
Threadgill, MorganIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%9 facilities
Threadgill, SharlynOperational/Managerial Control · Individual0%10 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 26, 2026 · K345 · Corrected April 10, 2026

  2. D

    Install corridor and hallway doors that block smoke.

    January 15, 2025 · K363 · Corrected January 15, 2025

  3. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 17, 2023 · K372 · Corrected November 20, 2023

·

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