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Nursing HomeMedicaid

Lawrence Street Health Care Center

Strong Medicare quality ratings; families often praise compassionate and skilled physical therapy team. Still worth an in-person visit.

615 Lawrence St, Tomball, TX 77375150 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 65 Google reviews

5
4
3
2
1
Lawrence Street Health Care Center Nursing Home in Tomball, TX — Street View
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What this means for your family

This facility offers exceptional physical and occupational therapy that can significantly aid in rehabilitation. However, families must be extremely vigilant regarding medication administration and nighttime supervision, as multiple recent reviews highlight dangerous lapses in care and staffing shortages.

Google Reviews

Google Reviews

65 reviews on Google
Families often praise the facility for its exceptionally kind, attentive, and professional physical therapy and nursing staff. However, there are serious reports of inadequate supervision leading to falls, medication errors, and concerns regarding staffing shortages. While many find the environment clean and welcoming, some reviewers have noted significant issues with administrative accountability and facility maintenance.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean9.0Activities5.0Meds2.0MemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and skilled physical therapy team
  • Attentive and friendly nursing staff
  • Clean and well-maintained environment
  • Welcoming and professional administration

Concerns

  • Staffing shortages leading to inadequate supervision and falls (mentioned by 2 reviewers)
  • Medication management errors and missed doses (mentioned by 2 reviewers)
  • Lack of accountability in administration regarding facility issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(5)'22(6)'24(22)'26(5)

Distribution · 102 analyzed

5
62
4
10
3
2
2
3
1
25

How They Respond to Reviews

90%response rate
Good

The owner provides highly personalized responses to positive reviews, often mentioning specific staff members or family members by name. For negative reviews, the tone shifts to a mix of defensive justification using CMS ratings and professional, empathetic acknowledgment of serious concerns.

Questions for Your Tour

  • 1I noticed the administration is very responsive when responding to feedback; how does the leadership team involve families in addressing facility concerns?
  • 2We've heard great things about the physical therapy team here; could you tell us more about how they work with residents to maintain mobility?
  • 3What specific protocols are in place to ensure medication is administered accurately and on schedule every day?
  • 4With the recent focus on staffing, what steps is the facility taking to ensure residents have consistent supervision to prevent falls?
  • 5How does the nursing staff manage medical emergencies or changes in a resident's condition during the overnight hours?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy staff did an excellent job with evaluating and motivating their patients.

Rehab patient · 2025★★★★

My dad ( Pablo Santiago ) got discharged on 8/22/25 . He was well taken care of . The staff was very friendly , knowledgeable, respectful and helpful . He loved working with the memory therapist ; also the pt therapists .

Long-term resident's family · 2025★★★★★

He has fallen every other day because no one supervises him. Staff says they don’t have enough help. Why is that the vulnerable patients’ fault?

Long-term resident's family · 2025☆☆☆☆
Source: 65 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.91hrs
95%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

6

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
19.4%
TX
14.2%
Harris
12.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.4%
TX
9.4%
Harris
8.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.3%
TX
14.9%
Harris
12.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.1%
Mixed vs Avgs
Here
3.1%
US
12.1%
TX
2.5%
Harris
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
14.4%
TX
16.1%
Harris
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.7%
Worse than Avg
Here
91.7%
US
93.4%
TX
96.9%
Harris
95.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.2%
Mixed vs Avgs
Here
80.2%
US
79.7%
TX
88.0%
Harris
86.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Mixed vs Avgs
Here
84.4%
US
81.8%
TX
89.2%
Harris
86.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
2 complaint-triggered
$12,740 in fines

This facility has recurring issues with medication management, fire safety systems, and food service across multiple surveys from 2022-2024, though all deficiencies show correction dates. Families filed complaints in 2024 regarding communication about resident changes and treatment quality, indicating ongoing care concerns. While the facility addresses identified problems, the pattern of repeated violations in critical areas like pharmacy services and safety systems suggests inconsistent oversight that families should consider when evaluating care options.

Aug 22, 2024Routine
6
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Jun 21, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 13, 2023Routine
8
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Jun 3, 2022Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Federal Penalties

Fine

Oct 2, 2025

$12,740

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

HSMTXLAWRENCETOMBALL LLC

Administrator

CORY D THOMPSON

Chain Affiliation

Chain Name

Health Services Management

Chain Size

16 facilities nationwide

Chain avg rating: 3.2/5 · Rank 3 of 10

Ownership & Management

Owners

Baxter, Kevin

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Health Services Management, INC.5% or Greater Mortgage InterestLawrence-Tomball Realty, LLC5% or Greater Mortgage InterestMurrell, EdwardOfficer / DirectorHsmtx/lawrence-Tomball, LLCManagerRodriguez, KimberlyManager
Source: Medicare provider data

Contact

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References & Resources

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