Brenham Nursing and Rehabilitation Center
400 E Sayles St · Brenham, TX · 77833 · 9798369770
128 certified beds Non profit - Corporation Chain: Wellsential Health Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.67 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.40 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $29,353 |
Inspection citations (26 in the current record)
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Immediate jeopardy · K February 21, 2026 · found via complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected February 22, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 20, 2026 · Resident Rights
-
Potential for harm · E February 19, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · E February 19, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Provide appropriate foot care.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · E February 19, 2026
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.
Corrected February 20, 2026 · Pharmacy Service
-
Potential for harm · E February 19, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 19, 2026
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · F February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · E December 18, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 22, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 27, 2025 · Resident Rights
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Potential for harm · D January 23, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 29, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Keep residents' personal and medical records private and confidential.
Corrected November 29, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected November 29, 2024 · Resident Rights
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Potential for harm · E November 21, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 29, 2024 · Nutrition and Dietary
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Potential for harm · E November 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2024 · Nutrition and Dietary
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Potential for harm · D November 21, 2024
Provide and implement an infection prevention and control program.
Corrected November 29, 2024 · Infection Control
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Potential for harm · D November 21, 2024
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected November 29, 2024 · Environmental
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Potential for harm · E November 21, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 29, 2024 · Quality of Life and Care
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No harm found · B November 21, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected November 29, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K June 6, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 24, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 19, 2026 | Fine | $21,332 |
| June 6, 2024 | Fine | $8,021 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675799 · certified since July 22, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.