Texas › Waller County › Brookshire
Harmony Care At Brookshire
710 Hwy 359 S, Brookshire, TX 77423
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.
Certified for 130 beds, Harmony Care At Brookshire serves Brookshire in Waller County, Texas and has taken Medicare and Medicaid residents since 1997.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (15, 17, 14 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 35.4 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $26K.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 70.9%.
Compared with county, state and nation
| Measure | This facility | Waller Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 46 | 46 | 25 | 28.7 |
| Citations per 100 beds | 35.4 | 35.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 70.9% | 70.9% | 52.1% | 45.8% |
| Fines listed | $25,797 | $25,797 | $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
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 6 Dec 2024.
Severity mix: J ×1 G ×1 D ×28 E ×10 F ×6
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 |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 23 Jun 2026 |
| 18 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Jun 2026 |
| 4 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 29 Mar 2026 |
| 12 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 | 29 Mar 2026 |
| 12 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0693 | Ensure 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. | D | Standard survey | 29 Mar 2026 |
| 12 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 29 Mar 2026 |
| 12 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. | D | Standard survey | 29 Mar 2026 |
| 13 Sep 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 30 Sep 2025 |
| 13 Sep 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 30 Sep 2025 |
| 18 Jul 2025 | 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. | D | Complaint investigation | 19 Jul 2025 |
| 18 Jul 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 1 Aug 2025 |
| 14 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 15 Feb 2025 |
| 6 Dec 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 6 Jan 2025 |
| 6 Dec 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. | F | Complaint investigation | 13 Jan 2025 |
| 6 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | 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 | Complaint investigation | 6 Jan 2025 |
| 6 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 6 Jan 2025 |
| 6 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jan 2025 |
| 6 Dec 2024 | F0909 | 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. | D | Standard survey | 6 Jan 2025 |
| 10 Jul 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 5 Aug 2024 |
| 30 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 Jun 2024 |
| 30 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 Jun 2024 |
| 30 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 21 Jun 2024 |
| 18 Jan 2024 | 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 | 8 Feb 2024 |
| 18 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Feb 2024 |
| 30 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Jan 2024 |
| 30 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Jan 2024 |
| 3 Nov 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 30 Nov 2023 |
| 3 Nov 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 30 Nov 2023 |
| 3 Nov 2023 | 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 | 30 Nov 2023 |
| 3 Nov 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 30 Nov 2023 |
| 3 Nov 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 30 Nov 2023 |
| 3 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Feb 2025 | Fine | $15,570 | |
| 6 Dec 2024 | Fine | $10,227 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 70.9%, RNs 45.5%; 3 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 | 18.3% | 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 | 2.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.3% | 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: Frio Hospital District. Chain: Harmony Care Group (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frio Hospital District | 5% or greater direct ownership interest | 100% | 12/25/2024 |
| Brookshire Holdings Bh, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 12/25/2024 |
| Elite Hc Investors LLC | 5% or greater mortgage interest | NOT APPLICABLE | 12/25/2024 |
| Brookshire Operating Bh, LLC | Operational/managerial control | NOT APPLICABLE | 01/06/2025 |
| Elite Hc Holdings LLC | Operational/managerial control | NOT APPLICABLE | 01/07/2025 |
| Brookshire Holdings Bh, LLC | Adp of the snf | NOT APPLICABLE | 01/06/2025 |
| Brookshire Operating Bh, LLC | Adp of the snf | NOT APPLICABLE | 01/07/2025 |
| Elite Hc Investors LLC | Adp of the snf | NOT APPLICABLE | 01/07/2025 |
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 Harmony Care At Brookshire been cited for?
46 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 Harmony Care At Brookshire been fined?
Yes. CMS lists fines totalling $26K in the period covered.
How does staffing at Harmony Care At Brookshire compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Harmony Care At Brookshire?
It is part of the Harmony Care Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Frio Hospital District, Brookshire Operating Bh, LLC and Elite Hc Holdings LLC. Individual owners and managers are not listed on this site.
When was Harmony Care At Brookshire last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 12 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.