Harmony Care At Brookshire has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Brookshire facility should carefully review its inspection history and quality metrics.
With 3.12 total nurse hours per resident per day, Harmony Care At Brookshire falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 38 deficiencies at Harmony Care At Brookshire, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: administer the facility in a manner that enables it to use its resources effectively and efficiently..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.12 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.43 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.06 | 2.4 | Below Average |
| Weekend Total Nursing | 2.94 | 3.8 | Below Average |
| Weekend RN Hours | 0.47 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0835 Severity FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.Sep 12, 2025 · Administration Deficiencies
- Tag 0943 Severity EGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Sep 12, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJul 17, 2025 · Resident Rights Deficiencies
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Jul 17, 2025 · Environmental Deficiencies
- Tag 0755 Severity JProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Feb 13, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.3% | 4.5% | Average |
| Falls with major injury | 4.8% | 3.0% | Worse |
| On antipsychotic medication | 11.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.3% | 14.0% | Better |
| Excessive weight loss | 5.9% | 7.5% | Better |
| New/worsened incontinence | 23.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $25,797
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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