For profit - Corporation · 97 certified beds · CMS number 676046

Care Nursing & Rehabilitation, Brownwood, TX

CMS records 16 health deficiencies at Care Nursing & Rehabilitation in Brownwood, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 15, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Care Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Care Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (7 deficiencies)

Standard inspection Mar 15, 2025. CMS counts 7 health deficiencies and 10 fire safety deficiencies in this cycle.

May 28, 2026 · Complaint inspection

2 deficiencies, highest E

F849 · Hospice services

Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 29, 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 May 29, 2026

Jan 8, 2026 · Complaint inspection

1 deficiency, highest E

F728 · Nurse aide training and competency

Requirement cited (CMS): Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 8, 2026

Mar 15, 2025 · Standard inspection

4 deficiencies, highest E

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 Mar 16, 2025

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 16, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 16, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 16, 2025
Previous cycle: 6 deficiencies (standard inspection Jan 18, 2024)

Standard inspection Jan 18, 2024. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 8, 2025 · Complaint inspection

1 deficiency, highest D

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 9, 2025

Jan 18, 2024 · Standard + complaint inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 18, 2024

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 Jan 23, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 23, 2024

F693 · Feeding tube use and care

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 23, 2024

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 Jan 23, 2024
Earlier cycle: 3 deficiencies (standard inspection Nov 30, 2022)

Standard inspection Nov 30, 2022. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.

Nov 30, 2022 · Standard inspection

3 deficiencies, highest E

F758 · Psychotropic drug safeguards

Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 1, 2022

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 1, 2022

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 Dec 1, 2022

Tags cited in more than one inspection

3 tags cited on more than one inspection date at Care Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision3Mar 15, 2025; Jan 18, 2024; Nov 30, 2022
F761 Drug labeling and secure storage2Mar 15, 2025; Jan 18, 2024
F880 Infection prevention and control program2Mar 15, 2025; Jan 18, 2024

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.98 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.55 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.58 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5

CMS figures for Care Nursing & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
200 County Road 616, Brownwood, TX 76802
Phone
(325) 646-5521
County
Brown
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
97
Average residents per day
57.4
In Medicare/Medicaid since
Feb 28, 2005
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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)

Other nursing homes in Brownwood and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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