Harmony Care At Brookshire
710 Hwy 359 S, Brookshire, TX 77423 · Waller County
For-profit · 130 certified beds · 64% occupancy · (281) 375-5272
Harmony Care At Brookshire reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.44 hrs/resident/day (+5% vs TX median)
- Antipsychotic drug use
- 10.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $25,797
- Inspection findings
- 46 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 3.44 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Harmony Care At Brookshire
Is Harmony Care At Brookshire a good nursing home?
Harmony Care At Brookshire in Brookshire, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Harmony Care At Brookshire staffed?
Harmony Care At Brookshire reports 3.44 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Harmony Care At Brookshire been fined or flagged for abuse?
Harmony Care At Brookshire has paid approximately $25,797 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.
- Potential for harmTag F0812 · Feb 12, 2026Corrected Mar 29, 2026
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 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 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 F0550 · Feb 12, 2026Corrected 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 F0583 · Feb 12, 2026Corrected Mar 29, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0679 · Feb 12, 2026Corrected Mar 29, 2026
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0759 · Feb 12, 2026Corrected Mar 29, 2026
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Feb 12, 2026Corrected Mar 29, 2026
Provide and implement an infection prevention and control program.
Infection Control 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 F0690 · Jun 18, 2026ComplaintCorrected Jun 23, 2026
Provide 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 Deficiencies
Showing the 10 most recent and serious of 46 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Harmony Care Group chain, which operates 6 facilities, with a chain-average CMS rating of 1.6 stars.