Elder Care Record

Texas › Mc Culloch County › Brady

Brady West Rehab & Nursing

2201 Menard Hwy, Brady, TX 76825

CCN 676034 · For-profit, corporation · 106 certified beds · chain Ruby Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Brady West Rehab & Nursing is a For-profit, corporation nursing home in Brady, Texas, certified for 106 beds and caring for about 38 residents a day.

CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 3 and quality measures 5.

Inspectors recorded 23 health deficiencies across the three most recent survey cycles (3, 7, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 21.7 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $11K.

Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 45.7%.

23health deficiencies, 3 survey cycles1 at actual harm or worse
$11Kfines listed by CMS1 penalty in period
3.3nurse hours per resident per daystate median 3.3
35%occupancy (residents ÷ beds)38 residents a day

Compared with county, state and nation

MeasureThis facilityMc Culloch Co. medianTexas medianUS average
Overall star rating5533.0
Health citations, 3 cycles23232528.7
Citations per 100 beds21.721.722.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover45.7%45.7%52.1%45.8%
Fines listed$10,527$10,527$16,801—

County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 27
Cycle 313

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 22 Aug 2024.

Severity mix: G ×1 D ×6 E ×15 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Sep 2025F0761Ensure 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.EStandard survey12 Sep 2025
4 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation12 Sep 2025
4 Sep 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation26 Sep 2025
22 Aug 2024F0790Provide routine and 24-hour emergency dental care for each resident.GStandard survey16 Sep 2024
22 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Sep 2024
22 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey16 Sep 2024
22 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey16 Sep 2024
22 Aug 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey16 Sep 2024
22 Aug 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey16 Sep 2024
22 Aug 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey16 Sep 2024
12 Apr 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation6 May 2024
12 Apr 2024F0908Keep all essential equipment working safely.EComplaint investigation6 May 2024
12 Apr 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 May 2024
21 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation11 Apr 2024
14 Mar 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Apr 2024
29 Feb 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EComplaint investigation18 Mar 2024
7 Dec 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint investigation5 Jan 2024
7 Dec 2023F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint investigation5 Jan 2024
7 Dec 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation15 Jan 2024
13 Jul 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey15 Aug 2023
13 Jul 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey15 Aug 2023
13 Jul 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey15 Aug 2023
13 Jul 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey15 Aug 2023

Penalties

DateTypeAmountDetail
22 Aug 2024Fine$10,527

Staffing

Total nursing3.33 h
Nurse aides1.77 h
LPN1.06 h
RN0.49 h
Weekend total2.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.7%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.3%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Baylor County Hospital District. Chain: Ruby Healthcare (7 facilities).

OrganisationRole in the CMS recordInterestSince
Brady SNF, LLCOperational/managerial controlNOT APPLICABLE06/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Brady West Rehab & Nursing been cited for?

23 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Brady West Rehab & Nursing been fined?

Yes. CMS lists fines totalling $11K in the period covered.

How does staffing at Brady West Rehab & Nursing compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Brady West Rehab & Nursing?

It is part of the Ruby Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Brady SNF, LLC. Individual owners and managers are not listed on this site.

When was Brady West Rehab & Nursing last inspected?

The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.