Nursing HomeInspections

Harmony Care at Brookshire

Nursing home in Brookshire, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (281) 375-5272Send a messageMap ↗

Public-record details

Address
710 Hwy 359 S, Brookshire, TX 77423
Phone
(281) 375-5272
Listed under
For-profit
Medicare CCN
675700
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
130
Average residents per day
84
Ownership
For-profit, corporation
Legal business name
Frio Hospital District
Chain
Harmony Care Group (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 10, 1997
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 675700. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 3, 2023 to Jun 18, 2026): 24 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 18, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 4, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 12, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure 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		D
Potential for more than minimal harm, isolated
Feb 12, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 12, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 12, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Feb 12, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 12, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. 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 2 fines totalling $25,797 in the last three years.

Feb 14, 2025Fine: $15,570
Dec 6, 2024Fine: $10,227

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
3.44 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
2.37 hours
Total nurse staffing on weekends
3.04 hours
Nursing staff turnover (yearly)
71%
RN turnover (yearly)
46%
Administrators who left in the past year
3

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.