Non profit - Corporation · 128 certified beds · CMS number 675799
Brenham Nursing and Rehabilitation Center, Brenham, TX
CMS records 30 health deficiencies at Brenham Nursing and Rehabilitation Center in Brenham, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 19, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $21,887 in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 17in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $21,887fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Brenham Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Brenham Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (17 deficiencies)
Standard inspection Feb 19, 2026. CMS counts 17 health deficiencies and 14 fire safety deficiencies in this cycle.
Jun 20, 2026 · Complaint inspection
2 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 22, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 22, 2026
May 27, 2026 · Complaint inspection
2 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 29, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 29, 2026
Feb 21, 2026 · Complaint inspection
1 deficiency, highest K
F603 · Freedom from involuntary seclusion
Requirement cited (CMS): Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 22, 2026
Feb 19, 2026 · Standard inspection
11 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 20, 2026
F809 · Meal times and snacks
Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
Dec 18, 2025 · Complaint inspection
1 deficiency, highest E
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 22, 2025
Previous cycle: 11 deficiencies (standard inspection Nov 21, 2024)
Standard inspection Nov 21, 2024. CMS counts 11 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 23, 2025 · Complaint inspection
2 deficiencies, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2025
Nov 21, 2024 · Standard + complaint inspection
9 deficiencies, highest E
F917 · Bed, bedding, furniture, and closet space
Requirement cited (CMS): Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 29, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 29, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F802 · Enough kitchen and dining support staff
Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 29, 2024
Earlier cycle: 2 deficiencies (standard inspection Oct 12, 2023)
Standard inspection Oct 12, 2023. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.
Jun 6, 2024 · Complaint inspection
1 deficiency, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), May 24, 2024
Oct 12, 2023 · Standard + complaint inspection
1 deficiency, highest D
F676 · Maintaining daily living abilities
Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 16, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Brenham Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F558 Accommodating individual needs and preferences | 3 | Feb 19, 2026; Dec 18, 2025; Jan 23, 2025 |
| F812 Food safety and sanitation | 3 | Jun 20, 2026; Feb 19, 2026; Nov 21, 2024 |
| F583 Personal privacy and confidential records | 2 | Jun 20, 2026; Nov 21, 2024 |
| F677 Help with daily care | 2 | Feb 19, 2026; Nov 21, 2024 |
| F689 Accident prevention and supervision | 2 | May 27, 2026; Feb 19, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 19, 2026 | Fine | $13,866 |
| Jun 6, 2024 | Fine | $8,021 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.71 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.43 h
- Nursing staff turnover
- 44.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Brenham Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 400 E Sayles St, Brenham, TX 77833
- Phone
- (979) 836-9770
- County
- Washington
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Wellsential Health
- Certified beds
- 128
- Average residents per day
- 114.5
- In Medicare/Medicaid since
- Jul 22, 1999
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
Other nursing homes in Brenham and the same chain
- Kruse Village Senior Living Community
Brenham · 21 deficiencies - High Hope Care Center of Brenham
Brenham · 18 deficiencies - Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.