Above average — CMS composite of the measures below.
A standard survey is most likely before around January 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lawrence Street Health Care Center during CMS and state inspections, most recent first.
PICC line orders and dressing care not documented: A resident receiving IV cefazolin through a PICC line had no physician orders for line flushes or dressing changes, and the dressing had no date on it when observed. Staff stated PICC lines should be flushed each shift and dressings changed weekly and as needed, but the orders were missing from the chart.
A resident with dementia, moderate cognitive impairment, and a wander guard eloped after staff let a group of residents out to smoke without supervision. The SLP unlocked the door and returned to work, did not know the resident had a wander guard, and said the alarm did not sound and the perimeter gate was not checked. The resident left his wheelchair behind, went off the property, and was found about 30 minutes later near a gas station after saying he went to get cigarettes and beer.
Unattended Medications Left on Resident Nightstand: A resident with multiple chronic conditions, including dementia, had several morning meds, a nasal spray, and an eye drop left on his nightstand instead of being kept under direct observation or secured in a locked medication area. The resident said the CMA left the meds for him to take after he returned to his room, and the CMA acknowledged she placed them there while housekeeping was cleaning the room. The DON stated the resident was not eligible for self-administration and that meds should remain with the nurse or med aide until taken.
A facility failed to securely store and properly label medications in a nurse cart, including insulin pens and CBD oil without resident identifiers, and a narcotic blister pill card with a punctured seal. The DON acknowledged the responsibility of nurses to ensure correct labeling and emphasized the importance of checking medication carts during shift changes.
The facility failed to ensure the dumpster door was closed when not in use, as observed in the dumpster area behind the dietary department. The Food Service Manager confirmed that the door should be closed to prevent pests from accessing the dumpster. Staff from dietary, nursing, and housekeeping were responsible for keeping the dumpster doors closed. Facility policies require dumpsters to have tightly fitting lids or covers and to be kept covered when not being loaded.
A resident with severe cognitive impairment and vitamin D deficiency was prescribed Vitamin D3 125mcg daily. However, an LVN administered two tablets of Vitamin D3 25mcg instead, failing to confirm the correct dose. The medication cart lacked the prescribed dosage, and the error was attributed to not verifying the dose. The facility's policy emphasizes the importance of following the six rights of medication administration.
The facility failed to comply with food safety standards, as observed in the kitchen. Foods were not properly dated or discarded after 96 hours, with items like chicken sandwiches and potato salad found past their use-by dates. Additionally, several cases of food were stored on the floor, contrary to facility policy. The Dietary Food Service Manager acknowledged these issues, which could risk foodborne illness.
A resident with Alzheimer's and other conditions fell from her wheelchair, developing a head bump. The facility failed to notify the physician, risking delayed treatment. Staff interviews revealed communication and documentation lapses.
A resident with Alzheimer's and Dementia fell from her wheelchair during a church service, sustaining a head injury. The facility failed to send her to the hospital for evaluation, despite the presence of a bump on her head. Inadequate assessment and documentation were noted, with inconsistencies in staff actions and communication. The nurse practitioner was not informed of the head injury, and standard procedures for head injuries were not followed.
PICC Line Orders and Dressing Care Not Documented
Penalty
Summary
The facility failed to ensure safe, appropriate administration of IV fluids for a resident with a PICC line. Resident #1 was admitted with diagnoses including staphylococcal arthritis of the right knee, MRSA, right knee pain, muscle weakness, and lack of coordination. Her admission assessment showed moderately impaired cognition, and records noted she was receiving IV antibiotics for septic arthritis. The care plan identified that she had a central line in the left upper arm and included interventions for changing the IV site dressing per physician order and as needed if the dressing was wet, loose, or soiled. Record review and staff interviews showed there were no physician orders for the PICC line, including no orders for flushing the line or changing the dressing. The only documented medication order was for Cefazolin 2 gm IV every 8 hours for septic arthritis of the right knee. On observation, the resident had a PICC line in the left upper arm with no date on the dressing. An LPN stated that a resident with a PICC line should have orders to flush the line and change the dressing every 7 days and as needed, and that without an order it would not be done. The DON stated the dressing should be changed every 7 days and the line flushed once a shift, and noted there was no date on the dressing that morning.
Elopement During Unsupervised Smoking Break
Penalty
Summary
The facility failed to ensure adequate supervision and elopement protection for a resident with dementia, moderate cognitive impairment, and a documented wander/elopement alarm. The resident’s record showed diagnoses including dementia, peripheral vascular disease, muscle weakness, and lack of coordination. His assessments in the months before the incident showed BIMS scores of 12, 10, and 9, indicating moderate cognitive impairment, and his care plan identified him as an elopement risk with a wander guard in place and supervision required for smoking. On the day of the incident, staff let several residents out to the patio area to smoke, and the resident was among them. The SLP stated she unlocked the door for the group and then returned to work, and she said no one stayed outside to supervise the residents. She also stated she was not familiar with the resident and did not know he had a wander guard. She reported that the alarm did not sound when the residents went outside, and she did not check the perimeter gates before letting them out. She further stated the gate lock was broken. The resident’s behavior note documented that he eloped from the smoking area, left his wheelchair behind, and was found about 30 minutes later behind a nearby gas station by the previous SW. When asked why he left, he said he went to get cigarettes and beer because he could not find staff to go for him. Interviews with facility staff showed conflicting understanding about supervision expectations, with some stating residents with wander guards should always be supervised while smoking and others stating residents had previously been allowed to smoke unsupervised. The report also noted that the resident had been assessed as cognitively intact immediately after the incident, while other records around that time continued to describe cognitive impairment and exit-seeking behavior.
Unattended Medications Left on Resident Nightstand
Penalty
Summary
Drugs and biologicals were not stored in locked compartments under proper control when Resident #4’s medications were left unattended on the resident’s nightstand. Resident #4 was a [AGE]-year-old male admitted to the facility with a recent re-admission on 02/01/2025 and diagnoses including dry eye syndrome, restlessness and agitation, sleep disorder, muscle weakness, asthma, chronic congestive heart failure, type 2 diabetes, and dementia. His quarterly MDS dated 09/10/2025 showed a BIMS score of 14 of 15, indicating no impairment. His 09/2025 MAR listed multiple morning medications, including Tylenol, amlodipine, apixaban, aspirin, bumetanide, cyanocobalamin, duloxetine, empagliflozin, ferrous sulfate, folic acid, isosorbide mononitrate, losartan, potassium chloride ER, Toprol XL, azelastine nasal spray, and cyclosporine ophthalmic solution. During observation on 09/30/2025 at 10:58 AM, Resident #4’s nightstand contained a plastic cup with approximately 10 pills, one nasal spray, and one eye drop that were unattended. The resident stated the medications belonged to him and that the medication tech, CMA M, had left them on the nightstand for him to take after he returned to his room; he said they may have been unattended for 10-15 minutes. CMA M stated she placed the medications on the nightstand because housekeeping was cleaning the room and the resident was going into his room, and she acknowledged she knew better than to leave medications unattended. The DON stated medications should be kept with the resident under direct observation during administration and that Resident #4 was not eligible for self-administered medication. The facility policy stated drugs and biologicals must be stored in locked compartments and, during a medication pass, must be under direct observation or locked in the medication storage area/cart.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored securely, as observed in the Nurse Cart for B Hall/D Hall. The cart contained medications without resident identifiers, including a bottle of Refresh Tears, a bottle of CBD oil, and two insulin pens. The lack of proper labeling could lead to incorrect medication administration and cross-contamination. LVN B, who was the charge nurse during the shift, acknowledged the issue and stated that the medications should have been in their original boxes with pharmacy labels and resident names. Additionally, the Nurse Cart for B Hall/D Hall contained a narcotic medication blister pill card with a punctured protective seal. RN C confirmed the presence of pinholes on the blister pill card, which could allow contaminants to enter and potentially harm residents if ingested. RN C was unsure of the correct procedure for handling such a situation but mentioned that she would waste the pill with another nurse to ensure safety. The Director of Nursing (DON) stated that it was the responsibility of the nurse in charge of the medication cart to ensure all medications were labeled correctly. The DON acknowledged that the insulin pens should have had resident names and pharmacy labels, and the CBD oil should have been in its original box or labeled with the resident's name. The facility's policy required all medications to have resident identifiers, and the DON emphasized the importance of checking medication carts at the beginning and end of each shift to prevent errors.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to properly dispose of garbage and refuse, specifically by not ensuring that the dumpster door was closed when not in use. This issue was observed in the dumpster area located behind the dietary department, where a commercial-size dumpster was found to be three-quarters full of garbage with its door open. During an interview, the Food Service Manager acknowledged that the dumpster door should be closed when not in use to prevent vermin, pests, and insects from accessing the dumpster and potentially entering the facility. It was noted that staff from dietary, nursing, and housekeeping were responsible for ensuring the dumpster doors remained closed. A review of the facility's Policies and Procedures on garbage disposal confirmed that refuse containers and dumpsters should have tightly fitting lids, doors, or covers and should be kept covered when not being loaded, with the surrounding area kept clean to minimize debris and insect/rodent attractions.
Medication Administration Error: Incorrect Vitamin D3 Dosage
Penalty
Summary
The facility failed to provide accurate pharmaceutical services for a resident, specifically in administering the correct dose of Vitamin D3 as prescribed by the physician. The resident, a male with severe cognitive impairment and multiple diagnoses including vitamin D deficiency, was prescribed Vitamin D3 125mcg daily. However, during medication administration, LVN A mistakenly gave the resident two tablets of Vitamin D3 25mcg instead of the prescribed dose. This error occurred because LVN A did not confirm the correct dose on the medication bottle and assumed the order was for two tablets. Further investigation revealed that the medication cart did not contain the prescribed 125mcg Vitamin D3, and LVN A admitted to not reading the correct dose on the bottle. The Director of Nursing (DON) stated that the nurse should have confirmed the dose and that the order might have been entered incorrectly into the system. The facility's policy on medication administration emphasizes the importance of following the six rights of medication administration, which includes verifying the right dose. The failure to administer the correct dose could potentially impact the resident's vitamin D levels, although this was not explicitly stated in the report.
Food Safety Deficiencies in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey of the kitchen. Specifically, the facility did not ensure that foods were dated as opened or discarded after 96 hours, as per their policy. Observations revealed that five chicken sandwiches in the walk-in cooler had a use-by date of 8/19/24, a plastic container of deli sliced ham had no label or date, shredded lettuce was dated 8/12/24 with no use-by date, and a quart of potato salad was dated 8/9/24 with a use-by date of 8/15/24. These findings indicate a failure to properly label and manage food items, which could lead to the use of expired or potentially hazardous foods. Additionally, the facility did not maintain proper storage practices, as several cases of food were found stored on the floor in the walk-in cooler and freezer. This included a case of produce, a case of chicken, a case of French fries, and two cases of breakfast sausage. The Dietary Food Service Manager acknowledged these issues, stating that food should be stored off the floor to prevent cross-contamination. The facility's policies and procedures for food safety, dated 2004, require that foods and beverages be stored in a clean, dry area off the floor. The failure to comply with these standards could place residents at risk of foodborne illness and disease.
Failure to Notify Physician of Resident's Head Injury
Penalty
Summary
The facility failed to immediately consult with a resident's physician when there was a significant need to alter treatment following a change in the resident's condition. Specifically, the facility did not notify the physician when a resident developed a small bump on the back of her head after falling out of her wheelchair. This incident placed the resident at risk of delayed medical treatment and potential worsening of her condition. The resident involved had a medical history that included Alzheimer's Disease, Dementia, Type 2 Diabetes with Diabetic Chronic Kidney Disease, Restless Leg Syndrome, and Hypertension. The resident required assistance with daily activities and had impaired cognitive function and communication abilities. Despite these vulnerabilities, the facility's records did not show that the resident's physician or hospice provider was notified of the fall and subsequent head injury. Interviews with facility staff revealed inconsistencies in communication and documentation regarding the incident. The Nurse Practitioner stated she was not informed of the head injury, which would have prompted her to order a CT scan. The Licensed Vocational Nurse (LVN) responsible for the resident's care admitted to notifying the NP about the fall but not about the head bump. The Director of Nursing and other staff members acknowledged that proper notification and documentation procedures were not followed, which could have compromised the resident's care.
Failure to Provide Appropriate Care After Resident Fall
Penalty
Summary
The facility failed to ensure that a resident received appropriate treatment and care following a fall from her wheelchair, which resulted in a head injury. The resident, who had Alzheimer's Disease, Dementia, and other medical conditions, fell backward in her wheelchair during a church service in the dining room. Despite sustaining a small bump on the back of her head, the facility did not send the resident to the hospital for further evaluation, as would be expected for a head injury. The report highlights that the facility did not complete an appropriate assessment immediately after the fall. Although neuro checks were initiated, there was a lack of documentation regarding the resident's vital signs at the time of the incident, and no notification was made to the hospice provider. Interviews with staff revealed inconsistencies in the assessment process, with some staff members stating that the resident was moved back into her wheelchair without a thorough assessment being conducted on the floor. Furthermore, the facility's documentation was incomplete, with missing details about the mode of communication used for notifications, the information provided, and the directives given. The nurse practitioner was not informed about the head injury, and there was no evidence of a comprehensive assessment or incident report being completed. The Director of Nursing and other staff members expressed that the standard procedure for a head injury would involve sending the resident to the hospital, which was not followed in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Tomball
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Manor Of Tomball | 0.4 mi | ★★★★★ | 13 | 0 |
| The Heights Of Tomball | 0.7 mi | ★★★★★ | 0 | 0 |
| Tomball Rehab & Nursing | 1.3 mi | ★★★★★ | 10 | 0 |
| Willow Creek Lodge | 4.2 mi | ★★★★★ | 1 | 0 |
| The Broadmoor At Creekside Park | 7.9 mi | ★★★★★ | 11 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.