Harmony Care At Brookshire
710 Hwy 359 S, Brookshire, TX 77423 · Waller County
Government · 130 certified beds · 64% occupancy · (281) 375-5272
The U.S. government (CMS) rates Harmony Care At Brookshire 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.44 nurse hours per resident per day. 5% above the Texas median of 3.27.
Nursing staff turnover: 70.9% · RN turnover: 45.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Actual harmTag F0697 · Dec 6, 2024ComplaintCorrected Jan 6, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
- Potential for harmTag F0835 · Sep 13, 2025ComplaintCorrected Sep 30, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
- Potential for harmTag F0584 · Dec 6, 2024ComplaintCorrected Jan 13, 2025
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.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Dec 6, 2024Corrected Jan 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0851 · Dec 6, 2024Corrected Jan 6, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
- Potential for harmTag F0550 · Mar 4, 2026ComplaintCorrected Mar 29, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0943 · Sep 13, 2025ComplaintCorrected Sep 30, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0755 · Dec 6, 2024Corrected Jan 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Dec 6, 2024ComplaintCorrected Jan 6, 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 locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
- Potential for harmTag F0584 · Jul 18, 2025ComplaintCorrected Jul 19, 2025
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.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Harmony Care Group chain, which operates 6 facilities, with a chain-average CMS rating of 2 stars.