Brush Country Nursing and Rehabilitation

6500 Brush Country Rd · Austin, TX · 78749 · 5128925774

118 certified beds For profit - Corporation

Why this verdict

  • 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).
  • Federal penalties on record: $121,651 in fines in the last 24 months.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

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.

$121,651 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 58
Staffing 20% 48
Federal penalties 15% 16
Trend 10% 53
Context 5% 100

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: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.033.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day2.71≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)3 · $130,475

Inspection citations (44 in the current record)

  • Potential for harm · E April 9, 2026 · found via complaint

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

    Corrected May 1, 2026 · Nutrition and Dietary

  • Potential for harm · D January 7, 2026 · found via complaint

    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 January 28, 2026 · Pharmacy Service

  • Potential for harm · D November 11, 2025 · found via complaint

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

    Corrected November 17, 2025 · Pharmacy Service

  • Potential for harm · D November 11, 2025 · found via complaint

    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 November 17, 2025 · Pharmacy Service

  • Immediate jeopardy · K October 4, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected November 14, 2025 · Quality of Life and Care

  • Potential for harm · D October 4, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected November 14, 2025 · Resident Rights

  • Potential for harm · E August 21, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 25, 2025 · Resident Rights

  • Potential for harm · D August 21, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected August 22, 2025 · Resident Rights

  • Potential for harm · E August 21, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 21, 2025

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

    Corrected September 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

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

    Corrected September 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

    Provide activities to meet all resident's needs.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 22, 2025 · Nursing and Physician Services

  • Potential for harm · D August 21, 2025

    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 August 22, 2025 · Pharmacy Service

  • Potential for harm · E August 21, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected August 29, 2025 · Nutrition and Dietary

  • Potential for harm · F August 21, 2025

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

    Corrected August 29, 2025 · Nutrition and Dietary

  • Potential for harm · E August 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · E August 21, 2025

    Keep all essential equipment working safely.

    Corrected August 22, 2025 · Environmental

  • Potential for harm · E August 21, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected August 22, 2025 · Administration

  • Potential for harm · D August 5, 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 August 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 2, 2025 · found via complaint

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

    Corrected June 3, 2025 · Pharmacy Service

  • Immediate jeopardy · K May 7, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 8, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 4, 2025Fine$23,553
May 7, 2025Fine$98,098
February 26, 2024Fine$8,824
February 26, 2024Payment Denial10 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675118 · certified since March 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.