Brush Country Nursing and Rehabilitation

Nursing home in Austin, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (512) 892-5774 Send a message Map ↗

Public-record details

Address: 6500 Brush Country Rd., Austin, TX 78749
Phone: (512) 892-5774
Listed under: For-profit
Medicare CCN: 675118
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 118
Average residents per day: 65
Ownership: For-profit, corporation
Legal business name: West Wharton County Hospital District
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Mar 1, 1993
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675118. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 21, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2023 to May 15, 2026): 19 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

Inspection	Citation	Severity
May 15, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	E Potential for more than minimal harm, pattern
Apr 9, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Jan 7, 2026	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Nov 11, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Nov 11, 2025	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Oct 4, 2025	Keep residents' personal and medical records private and confidential. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Oct 4, 2025	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	K Immediate jeopardy, pattern
Aug 21, 2025	Keep residents' personal and medical records private and confidential. Resident Rights	D Potential for more than minimal harm, isolated
Aug 21, 2025	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Aug 21, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Aug 21, 2025	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Aug 21, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $130,834 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 4, 2025	Fine: $23,912
May 7, 2025	Fine: $98,098
Feb 26, 2024	Fine: $8,824
Feb 26, 2024	Payment denial for 10 days from Mar 26, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.05 hours
Registered nurse (RN) time per resident per day: 0.33 hours
Nurse aide time per resident per day: 1.95 hours
Total nurse staffing on weekends: 2.61 hours
Nursing staff turnover (yearly): 78%
RN turnover (yearly): 100%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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