Cross Country Healthcare Center
1514 Indian Creek Rd · Brownwood, TX · 76801 · 3256466529
94 certified beds For profit - Corporation Chain: Hamilton County Hospital District
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $13,260 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 3.23 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $22,084 |
Inspection citations (27 in the current record)
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Potential for harm · E February 9, 2026 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected March 9, 2026 · Nursing and Physician Services
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Immediate jeopardy · J April 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected April 5, 2025 · Administration
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Potential for harm · F April 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 5, 2025 · Nutrition and Dietary
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No harm found · C April 4, 2025
Ensure the activities program is directed by a qualified professional.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D January 24, 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 January 25, 2025 · Pharmacy Service
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Potential for harm · D January 24, 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 January 25, 2025 · Pharmacy Service
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Potential for harm · D January 24, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 25, 2025 · Resident Assessment and Care Planning
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Actual harm · G January 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2024 · Quality of Life and Care
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Potential for harm · E January 25, 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 January 26, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 26, 2024 · Pharmacy Service
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Potential for harm · E January 25, 2024
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 26, 2024 · Pharmacy Service
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Potential for harm · F January 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 26, 2024 · Nutrition and Dietary
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Potential for harm · D January 25, 2024
Provide and implement an infection prevention and control program.
Corrected January 26, 2024 · Infection Control
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Potential for harm · E July 19, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 20, 2023 · Nutrition and Dietary
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Potential for harm · E November 22, 2022
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 December 14, 2022 · Resident Rights
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Potential for harm · E November 22, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · E November 22, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 14, 2022 · Pharmacy Service
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Potential for harm · F November 22, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 14, 2022 · Nutrition and Dietary
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Potential for harm · D November 22, 2022
Provide and implement an infection prevention and control program.
Corrected December 14, 2022 · Infection Control
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Potential for harm · F November 22, 2022
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 14, 2022 · Environmental
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Potential for harm · E November 22, 2022
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected December 14, 2022 · Administration
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Potential for harm · E November 22, 2022
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected December 14, 2022 · Resident Rights
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Potential for harm · E November 22, 2022
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected December 14, 2022 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 4, 2025 | Fine | $13,260 |
| January 25, 2024 | Fine | $8,824 |
| January 25, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675017 · certified since October 23, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.