Brenham Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 46th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.75 total nurse hours per resident per day, Brenham Nursing And Rehabilitation Center 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 14 deficiencies at Brenham Nursing And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.75 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.32 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.66 | 2.4 | Below Average |
| Weekend Total Nursing | 2.53 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Dec 17, 2025 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Jan 22, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jan 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 20, 2024 · Resident Rights Deficiencies
- Tag 0583 Severity EKeep residents' personal and medical records private and confidential.Nov 20, 2024 · Resident Rights 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 | 4.0% | 4.5% | Better |
| Falls with major injury | 2.7% | 3.0% | Better |
| On antipsychotic medication | 4.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.6% | 14.0% | Better |
| Excessive weight loss | 4.0% | 7.5% | Better |
| New/worsened incontinence | 12.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,021
How This Grade Was Calculated
This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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