Elder Care Record

Texas › Washington County › Brenham

High Hope Care Center of Brenham

401 East Blue Bell Road, Brenham, TX 77833

CCN 676316 · Government, hospital district · 96 certified beds · chain Charleston Healthcare Group

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.

High Hope Care Center of Brenham is a Government, hospital district nursing home in Brenham, Texas, certified for 96 beds and caring for about 51 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 2.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (5, 10, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.8 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $21K.

Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 62.2%.

18health deficiencies, 3 survey cycles1 at actual harm or worse
$21Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.3
53%occupancy (residents ÷ beds)51 residents a day

Compared with county, state and nation

MeasureThis facilityWashington Co. medianTexas medianUS average
Overall star rating3333.0
Health citations, 3 cycles18212528.7
Citations per 100 beds18.823.422.526.8
Total nurse hours per resident day3.53.53.33.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover62.2%55.2%52.1%45.8%
Fines listed$20,699$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

Cycle 1 (latest)5
Cycle 210
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 10 Jan 2025.

Severity mix: J ×1 D ×9 E ×6 F ×2

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
26 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey17 Apr 2026
26 Mar 2026F0679Provide activities to meet all resident's needs.EStandard survey17 Apr 2026
26 Mar 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey17 Apr 2026
26 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Apr 2026
26 Mar 2026F0881Implement a program that monitors antibiotic use.DStandard survey17 Apr 2026
10 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard survey6 Feb 2025
10 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey6 Feb 2025
10 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Feb 2025
10 Jan 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey6 Feb 2025
10 Jan 2025F0584Honor 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.EStandard survey6 Feb 2025
10 Jan 2025F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.EStandard survey6 Feb 2025
10 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey6 Feb 2025
10 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Feb 2025
10 Jan 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey6 Feb 2025
10 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey6 Feb 2025
30 Nov 2023F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.EStandard survey11 Jan 2024
30 Nov 2023F0688Provide 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.DStandard survey11 Jan 2024
30 Nov 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Jan 2024

Penalties

DateTypeAmountDetail
10 Jan 2025Fine$20,699

Staffing

Total nursing3.51 h
Nurse aides2.16 h
LPN1.05 h
RN0.3 h
Weekend total3.08 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 62.2%, RNs 57.1%; 0 administrators 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 Stay29.6%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%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 Stay4.5%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 Stay18.4%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.3%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.5%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: government, hospital district. Legal business name: South Limestone Hospital District. Chain: Charleston Healthcare Group (4 facilities).

OrganisationRole in the CMS recordInterestSince
Brenham Hc HoldingsOperational/managerial controlNOT APPLICABLE02/23/2015
Brenham Hc HoldingsAdp of the snfNOT APPLICABLE08/05/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Kruse Village Senior Living CommunityBrenham654432132.3—7 May 2026
Brenham Nursing and Rehabilitation Centerabuse iconBrenham1282123023.4$29K20 Jun 2026

All 3 facilities in Washington County

Questions and answers

How many deficiencies has High Hope Care Center of Brenham been cited for?

18 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 High Hope Care Center of Brenham been fined?

Yes. CMS lists fines totalling $21K in the period covered.

How does staffing at High Hope Care Center of Brenham compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates High Hope Care Center of Brenham?

It is part of the Charleston Healthcare Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Brenham Hc Holdings. Individual owners and managers are not listed on this site.

When was High Hope Care Center of Brenham last inspected?

The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 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.