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Nursing homeFAID #14223

Brookshire Nursing and Rehabilitation

710 HWY 359 S, BROOKSHIRE, TX, 77423

(281) 375-5272

harmonycaregroup.com/harmony-care-at-brookshire

130 licensed beds

CMS rates Brookshire Nursing and Rehabilitation 2 out of 5 overall. Federal inspectors issued 62 citations across 18 inspections in the last three years, with $25,797 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of Brookshire Nursing and Rehabilitation

Photo via Google · Harmony care at Brookshire

Address

710 Hwy 359 S

Brookshire, TX 77423

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Public record summary

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Bed capacity

130

CMS facility ID

675700

Care type

Nursing home

County

Waller

Facility name

Brookshire Nursing and Rehabilitation

Street address

710 HWY 359 S

City / state / ZIP

Brookshire, TX 77423

Phone

(281) 375-5272

Website

harmonycaregroup.com/harmony-care-at-brookshire

About this facility — Brookshire Nursing and Rehabilitation

Brookshire Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Brookshire, Texas. It is licensed for 130 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Brookshire and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Brookshire Nursing and Rehabilitation 62 times across 18 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $25,797 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Harmony Care Group

Ownership type

For profit - Corporation

Registered owners & officers

Frio Hospital District

Direct owner — 100% stake — since 2024

Bechthold, Sam

Operational control — since 2026

Brookshire Opco, Llc

Operational control — since 2026

Lloyd, Matthew

Operational control · Additional disclosable party — since 2026

Nguyen, Charles

Operational control · Additional disclosable party — since 2026

Ruff, Michael

Officer — since 2024

Regulatory standing

Licensed / certified since

1997-04-10

CMS overall rating

2 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$25,797 total

Last standard inspection

2026-02-12

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$253 per day (≈ $7,690/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 9% Medicare · 32% private/other

Occupancy

48% (fiscal year 2024)

Vs. state median

9% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

130

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-18Health inspectionComplaint-triggered2 citations

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-06-23

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-06-23

2026-03-04Health inspectionComplaint-triggered1 citation

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-03-29

14 earlier / fire-safety inspections (59 citations)

2026-02-12Health inspection10 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-03-29

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-03-29

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-03-29

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-03-29

F-0693

D · No harm found

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.

Corrected 2026-03-29

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-03-29

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-03-29

F-0761

D · No harm found

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.

Corrected 2026-03-29

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-29

2025-09-13Health inspectionComplaint-triggered2 citations

F-0835

F · No harm foundFrom a complaint

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-09-30

F-0943

E · No harm foundFrom a complaint

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2025-09-30

2025-07-18Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2025-07-19

F-0925

D · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-01

2025-07-10Health inspectionComplaint-triggered1 citation

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-07-11

2025-02-14Health inspectionComplaint-triggered1 citation

F-0755

J · Immediate jeopardyFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-15

2024-12-06Health inspectionComplaint-triggered14 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2025-01-06

F-0584

F · No harm foundFrom a complaint

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.

Corrected 2025-01-13

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-01-06

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-01-06

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-01-06

F-0697

G · Actual harmFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-01-06

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-06

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-01-06

F-0761

E · No harm foundFrom a complaint

Corrected 2025-01-06

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-06

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-01-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-01-06

F-0909

D · No harm found

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.

Corrected 2025-01-06

2024-07-10Health inspectionComplaint-triggered1 citation

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-08-05

2024-05-30Health inspectionComplaint-triggered3 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-06-21

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-21

F-0804

D · No harm foundFood safetyFrom a complaint

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-21

2024-01-18Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-08

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-08

2023-11-30Health inspectionComplaint-triggered2 citations

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-03

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-01-03

2023-11-03Health inspectionComplaint-triggered6 citations

F-0557

D · No harm found

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-11-30

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-30

F-0688

D · No harm foundFrom a complaint

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.

Corrected 2023-11-30

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-11-30

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2023-11-30

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-11-30

2026-02-12Fire-safety inspection6 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-02-17

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-03-15

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-03-15

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-03-15

K-0912

E · No harm found

Have power receptacles that are properly grounded.

Corrected 2026-03-15

K-0929

E · No harm found

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2026-03-15

2024-12-06Fire-safety inspection6 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-12-04

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-10

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-10

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-12-30

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-05

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-12-04

2023-11-03Fire-safety inspection3 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-11-30

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-11-30

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-30

Federal penalties

2025-02-14Fine$15,570

2024-12-06Fine$10,227

Total fines$25,797

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675700.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 91% of nursing homes in the state

State median: 33

Federal fines, 3 years

$25,797

More than 62% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.5

Higher than 70% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

70%

Higher than 92% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	17.3%	15.8%	13.5%	Near state average
Lose too much weight	15.1%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.2%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.6%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	65.8%	96.4%	93.7%	Worse than state
Ability to walk independently worsened	9.2%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	11.5%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	86.4%	97.0%	95.3%	Worse than state
With pressure ulcers	5.5%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	13.4%	12.5%	18.3%	Near state average
Received an antipsychotic medication	9.4%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.80	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.19	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	41.1%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	42.9%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	28.2%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	5.1%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 5 inspections. Provide and implement an infection prevention and control program.
F-0690 4 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0677 3 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0583 2 inspections. Keep residents' personal and medical records private and confidential.

What its owners also hold

Frio Hospital District has an ownership stake on file at 22 nursing homes, averaging 1.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Houston Methodist West Hospital, about 15 miles. CMS rating 5 of 5.
Oakbend Medical Center, about 17 miles. CMS rating 3 of 5.
Memorial Hermann Sugar Land Hospital, about 21 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Paradigm At Katy, Katy, about 7.2 miles. CMS rating 1 of 5.
Heritage Park of Katy Nursing and Rehabilitation, Katy, about 7.5 miles. CMS rating 4 of 5.
Sterling Oaks Rehabilitation, Katy, about 9.2 miles. CMS rating 5 of 5.
Ignite Medical Resort Katy, Katy, about 9.5 miles. CMS rating 4 of 5.
Falcon Point Post Acute, Katy, about 10 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.117 ratings on Google

★Leah Hernandez · 2026-03-14 · via Google
“My mother in law is in here, and every single staff member except for one lovely woman nurse seems CLUELESS about everything. Just standing around aimlessly acting like deer in headlights when they’re asked a question about the health and status of a patient. Every male nurse we interacted with there seemed like they were there just to collect a check. Short tempered and cut us off when trying to …”

★AnnMarie George · 2025-10-10 · via Google
“I am writing to formally express my deep concern and disappointment regarding the care my father received during his four-month stay at your facility. While a few of the aides were kind and attentive, the overall standard of care was unacceptable and, at times, neglectful. Throughout his stay, I was informed of multiple incidents by one of the aides, who cared enough to make sure I knew what was …”

★★★★★Russell Smith · 2026-01-20 · via Google
“I’m a post acute liaison in Houston and have been impressed with the care given by the staff at Harmony Care. The team has been exceptional in caring for my patients.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 62 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered