Government - Hospital district · 96 certified beds · CMS number 676316
High Hope Care Center of Brenham, Brenham, TX
CMS records 18 health deficiencies at High Hope Care Center of Brenham in Brenham, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 26, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $20,699 in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $20,699fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for High Hope Care Center of Brenham as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and High Hope Care Center of Brenham may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Mar 26, 2026. CMS counts 5 health deficiencies and 4 fire safety deficiencies in this cycle.
Mar 26, 2026 · Standard inspection
5 deficiencies, highest E
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 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 Apr 17, 2026
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 17, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 17, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
Previous cycle: 10 deficiencies (standard inspection Jan 10, 2025)
Standard inspection Jan 10, 2025. CMS counts 10 health deficiencies and 5 fire safety deficiencies in this cycle.
Jan 10, 2025 · Standard inspection
10 deficiencies, highest J
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2025
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 Feb 6, 2025
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 6, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 6, 2025
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Feb 6, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2025
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 6, 2025
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 Feb 6, 2025
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 Feb 6, 2025
Earlier cycle: 3 deficiencies (standard inspection Nov 30, 2023)
Standard inspection Nov 30, 2023. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Nov 30, 2023 · Standard inspection
3 deficiencies, highest E
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 11, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 11, 2024
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 11, 2024
Tags cited in more than one inspection
3 tags cited on more than one inspection date at High Hope Care Center of Brenham; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F550 Dignity and the right to exercise rights | 2 | Mar 26, 2026; Jan 10, 2025 |
| F677 Help with daily care | 2 | Mar 26, 2026; Jan 10, 2025 |
| F914 Visual privacy in bedrooms | 2 | Jan 10, 2025; Nov 30, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 10, 2025 | Fine | $20,699 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.51 h (above 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
- 3.08 h
- Nursing staff turnover
- 62.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 2 of 5
CMS figures for High Hope Care Center of Brenham, copied as published; Texas medians are ours.
Facility details
- Address
- 401 East Blue Bell Road, Brenham, TX 77833
- Phone
- (979) 836-6611
- County
- Washington
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Charleston Healthcare Group
- Certified beds
- 96
- Average residents per day
- 51.3
- In Medicare/Medicaid since
- Aug 10, 2012
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How is privacy provided in shared rooms during care and dressing? (F914, cited 2 times)
- How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
Other nursing homes in Brenham and the same chain
- Brenham Nursing and Rehabilitation Center
Brenham · 30 deficiencies - Kruse Village Senior Living Community
Brenham · 21 deficiencies - Carechoice of Boerne
Boerne · 30 deficiencies - Woodland Springs Nursing Center
Waco · 29 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.