Harmony Care at Brookshire
710 Hwy 359 S · Brookshire, TX · 77423 · 2813755272
130 certified beds Government - Hospital district Chain: Harmony Care Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $25,797 |
Inspection citations (39 in the current record)
-
Potential for harm · E March 4, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 29, 2026 · Resident Rights
-
Potential for harm · F September 13, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 30, 2025 · Administration
-
Potential for harm · E September 13, 2025 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 18, 2025 · found via complaint
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 July 19, 2025 · Resident Rights
-
Potential for harm · D July 18, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 1, 2025 · Environmental
-
Immediate jeopardy · J February 14, 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 February 15, 2025 · Pharmacy Service
-
Actual harm · G December 6, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 6, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 2024
Ensure each resident receives an accurate assessment.
Corrected January 6, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 6, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 6, 2025 · Quality of Life and Care
-
Potential for harm · D December 6, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 6, 2025 · Quality of Life and Care
-
Potential for harm · E December 6, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 6, 2025 · Pharmacy Service
-
Potential for harm · D December 6, 2024
Ensure that residents are free from significant medication errors.
Corrected January 6, 2025 · Pharmacy Service
-
Potential for harm · F December 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 6, 2025 · Nutrition and Dietary
-
Potential for harm · F December 6, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 6, 2025 · Administration
-
Potential for harm · D December 6, 2024
Provide and implement an infection prevention and control program.
Corrected January 6, 2025 · Infection Control
-
Potential for harm · D December 6, 2024
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected January 6, 2025 · Environmental
-
Potential for harm · D December 6, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected January 6, 2025 · Resident Rights
-
Potential for harm · F December 6, 2024 · found via complaint
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 13, 2025 · Resident Rights
-
Potential for harm · E December 6, 2024 · 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 6, 2025 · Pharmacy Service
-
Potential for harm · E July 10, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 5, 2024 · Environmental
-
Potential for harm · D May 30, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 21, 2024 · Resident Rights
-
Potential for harm · D May 30, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 21, 2024 · Quality of Life and Care
-
Potential for harm · D May 30, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 21, 2024 · Nutrition and Dietary
-
Potential for harm · D January 18, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 8, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 14, 2025 | Fine | $15,570 |
| December 6, 2024 | Fine | $10,227 |
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 675700 · certified since April 10, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.