F51

Brenham Healthcare Center

Grade F 51/100 composite score

For profit - IndividualSFF CandidateAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

62

Ownership

For profit - Individual

Total Fines

$138,350

Last Survey

N/A

1303 Hwy 290 E, Brenham, TX 77833
9798307100

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.45h
LPN
0.71h
CNA
1.49h
Total
2.65h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MCKENZIE, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2019

FORREST, WILLIAM

IndividualCORPORATE DIRECTORSince May 1992

MCGREGOR, DENA

IndividualCORPORATE DIRECTORSince Dec 2016

MUXWORTHY, NEIL

IndividualCORPORATE DIRECTORSince May 1996

WITZSCHE, ROBERT

IndividualCORPORATE DIRECTORSince Dec 1998

HOOPER, GRADY

IndividualCORPORATE OFFICERSince Dec 2015

MUXWORTHY, NEIL

IndividualCORPORATE OFFICERSince May 1996

HAYDEN, LILLIAN

IndividualW-2 MANAGING EMPLOYEESince Apr 2020

Penalties & Fines (7)

$138,350total fines
DateTypeDescriptionAmount
Aug 19, 2025Fine$26,010
Jan 27, 2025Fine$41,015
Jan 27, 2025Payment Denial
Mar 1, 2024Fine$36,240
Jan 22, 2024Fine$3,418
Dec 15, 2023Fine$11,057
Feb 28, 2023Fine$20,610

Health Inspection Deficiencies (44)

December 5, 2025Health4 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Dec 6, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 6, 2025
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 6, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Dec 6, 2025
November 17, 2025Health1 deficiency1 severe
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Nov 18, 2025
August 19, 2025Health2 deficiencies2 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 20, 2025
0610JImmediate jeopardy, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 20, 2025
June 10, 2025Health1 deficiency
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jun 11, 2025
May 14, 2025Health1 deficiency
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 15, 2025
April 29, 2025Health3 deficiencies
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 30, 2025
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 30, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 30, 2025
April 25, 2025Health2 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 26, 2025
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 26, 2025
March 10, 2025Health4 deficiencies
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Mar 11, 2025
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Mar 11, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Mar 11, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 11, 2025
February 19, 2025Health3 deficiencies
0568EMinimal harm, Pattern

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Resident Rights Deficiencies

Corrected Feb 20, 2025
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Feb 20, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 20, 2025
February 1, 2025Health3 deficiencies2 severe
0684KImmediate jeopardy, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 7, 2025
0770KImmediate jeopardy, Pattern

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies

Corrected Mar 7, 2025
0773DMinimal harm, Isolated

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Administration Deficiencies

Corrected Mar 7, 2025
January 27, 2025Health2 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Feb 3, 2025
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 3, 2025
August 29, 2024Health4 deficiencies
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 30, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Sep 30, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Sep 30, 2024
0914EMinimal harm, Pattern

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Environmental Deficiencies

Corrected Sep 30, 2024
August 18, 2024Health1 deficiency
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Aug 28, 2024
July 1, 2024Health1 deficiency
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jul 26, 2024
December 15, 2023Health4 deficiencies4 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 12, 2024
0607JImmediate jeopardy, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 12, 2024
0609JImmediate jeopardy, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 12, 2024
0610JImmediate jeopardy, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 12, 2024
June 29, 2023Health4 deficiencies
0636EMinimal harm, Pattern

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 6, 2023
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 6, 2023
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Jul 6, 2023
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jul 6, 2023
June 9, 2023Health2 deficiencies
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 9, 2023
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Jun 9, 2023
February 28, 2023Health2 deficiencies2 severe
0578JImmediate jeopardy, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Feb 22, 2023
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 22, 2023

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Frequently Asked Questions

What is the CareGrader rating for Brenham Healthcare Center?

Brenham Healthcare Center in Brenham, Texas has a CareGrader grade of F (Poor), with a composite score of 50.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Brenham Healthcare Center?

Brenham Healthcare Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Brenham Healthcare Center have?

Brenham Healthcare Center has 44 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Brenham Healthcare Center been fined?

Yes. Brenham Healthcare Center has $138,350 in total fines from CMS enforcement actions across 7 penalties.

How many beds does Brenham Healthcare Center have?

Brenham Healthcare Center has 62 certified beds with approximately 46 current residents (74% occupancy). The facility is located at 1303 Hwy 290 E, Brenham, Texas 77833. It is a for profit - individual facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.