Elder Care Record

Texas › Brown County › Brownwood

Care Nursing & Rehabilitation

200 County Road 616, Brownwood, TX 76802

CCN 676046 · For-profit, corporation · 97 certified beds · chain Creative Solutions In 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.

Care Nursing & Rehabilitation, in Brownwood, Texas, is certified for 97 beds under for-profit, corporation ownership and belongs to the Creative Solutions In Healthcare chain.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (7, 6, 3 by cycle, most recent first), none at the actual-harm level. That is 16.5 per 100 beds, fewer than the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3.

16health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.3
59%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityBrown Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles16152528.7
Citations per 100 beds16.513.222.526.8
Total nurse hours per resident day3.03.33.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover—96.4%52.1%45.8%
Fines listed$0$10,210$16,801—

County and state figures are medians across facilities (7 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)7
Cycle 26
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Mar 2025, 18 Jan 2024.

Severity mix: D ×9 E ×7

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
28 May 2026F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.EComplaint investigation29 May 2026
28 May 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 May 2026
8 Jan 2026F0728Ensure 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.EComplaint investigation8 Jan 2026
15 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey16 Mar 2025
15 Mar 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.DStandard survey16 Mar 2025
15 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey16 Mar 2025
15 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey16 Mar 2025
8 Jan 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation9 Jan 2025
18 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation23 Jan 2024
18 Jan 2024F0761Ensure 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.EComplaint investigation23 Jan 2024
18 Jan 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation18 Feb 2024
18 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation23 Jan 2024
18 Jan 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigation23 Jan 2024
30 Nov 2022F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey1 Dec 2022
30 Nov 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 Dec 2022
30 Nov 2022F0758Implement 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 survey1 Dec 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.98 h
Nurse aides1.51 h
LPN0.92 h
RN0.55 h
Weekend total2.58 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, 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 Stay21.6%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 Stay0.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.0%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%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: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
West Wharton County Hospital DistrictDirect ownership interestNOT APPLICABLE09/01/2020

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 Brown County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bangs Nursing and RehabilitationBangs48554612.5—7 Aug 2025
Pecan Bayou Nursing and RehabilitationBrownwood90543910.0$48K27 Aug 2025
Brownwood Nursing & RehabilitationBrownwood1283411410.9—15 Apr 2026
Lake Hills Healthcare CenterBrownwood943332627.7$22K9 Feb 2026
Oak Ridge ManorBrownwood1143411513.2$130K30 Dec 2025
Songbird LodgeBrownwood1212311814.9$10K11 Dec 2025

All 7 facilities in Brown County

Questions and answers

How many deficiencies has Care Nursing & Rehabilitation been cited for?

16 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Care Nursing & Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Care Nursing & Rehabilitation compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Care Nursing & Rehabilitation?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include West Wharton County Hospital District. Individual owners and managers are not listed on this site.

When was Care Nursing & Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 15 Mar 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.