Texas › Washington County › Brenham
Brenham Nursing and Rehabilitation Center
400 E Sayles St, Brenham, TX 77833
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.
Brenham Nursing and Rehabilitation Center, in Brenham, Texas, is certified for 128 beds under non-profit, corporation ownership and belongs to the Wellsential Health chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 5.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (17, 11, 2 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.4 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $29K.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 44.3%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 21 | 25 | 28.7 |
| Citations per 100 beds | 23.4 | 23.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 44.3% | 55.2% | 52.1% | 45.8% |
| Fines listed | $29,353 | $20,699 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Feb 2026, 21 Nov 2024.
Severity mix: K ×2 D ×13 E ×13 F ×1 B ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 22 Jun 2026 |
| 20 Jun 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 22 Jun 2026 |
| 27 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 May 2026 |
| 27 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 May 2026 |
| 21 Feb 2026 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | K | Complaint investigation | 22 Feb 2026 |
| 19 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0761 | 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. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0803 | 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. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0809 | 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. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0687 | Provide appropriate foot care. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Feb 2026 |
| 18 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 22 Dec 2025 |
| 23 Jan 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Jan 2025 |
| 23 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 27 Jan 2025 |
| 21 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0584 | 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. | E | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 29 Nov 2024 |
| 21 Nov 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0917 | 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. | D | Standard survey | 29 Nov 2024 |
| 21 Nov 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 29 Nov 2024 |
| 6 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint investigation | 24 May 2024 |
| 12 Oct 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 16 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Feb 2026 | Fine | $21,332 | |
| 6 Jun 2024 | Fine | $8,021 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 44.3%, RNs 25.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.6% | 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: non-profit, corporation. Legal business name: Oakbend Medical Center. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | 100% | 02/28/2015 |
| Oakbend Medical Center | Operational/managerial control | NOT APPLICABLE | 02/28/2015 |
| Regency Ihs of Brenham, LLC | Operational/managerial control | NOT APPLICABLE | 02/28/2015 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 02/28/2015 |
| 400 East Sayles Street LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Csv Rhea Management Holdco, LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Dwd Tx Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Oakbend Medical Center | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Reg Leased Opco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Reg Operator Holdco LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Regency Ihs of Brenham, LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Regency Texas Holdings LLC | Adp of the snf | NOT APPLICABLE | 02/28/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Kruse Village Senior Living Community | Brenham | 65 | 4 | 4 | 3 | 21 | 32.3 | — | 7 May 2026 |
| High Hope Care Center of Brenham | Brenham | 96 | 3 | 3 | 2 | 18 | 18.8 | $21K | 26 Mar 2026 |
All 3 facilities in Washington County
Questions and answers
How many deficiencies has Brenham Nursing and Rehabilitation Center been cited for?
30 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Brenham Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $29K in the period covered.
How does staffing at Brenham Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Brenham Nursing and Rehabilitation Center?
It is part of the Wellsential Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Oakbend Medical Center, Oakbend Medical Center and Regency Ihs of Brenham, LLC. Individual owners and managers are not listed on this site.
When was Brenham Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Jun 2026; the most recent standard health survey was 19 Feb 2026.
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.