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Nursing home report

Benbrook Nursing & Rehabilitation Center

Benbrook, TX · Medicare-certified · 115 beds

Needs attention
Abuse citationFor-profit
1 of 5 overall

Benbrook Nursing & Rehabilitation Center has a 1 out of 5 star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 2.71 hours per resident per day versus the 4.1-hour federal benchmark, and the facility has had $27,724 in fines in the last 24 months plus a recent abuse citation.

Facility ratings

Health inspections

Staffing

2.7115 hrs/resident/day

Quality measures

Last inspection: March 31, 2026Penalties, last 24 months: $27,724recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7115.

Staffing detail

Registered nurses
0.09
Licensed practical nurses
1.02
Nurse aides
1.60
Weekend nursing
2.47

Hours per resident per day.

Total staff turnover: 66%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

37.7%Improving

Residents with a fall causing major injury

0.6%Worsening

Residents with pressure ulcers (bedsores)

2.9%Worsening

Residents with a urinary tract infection

0.3%Steady

Residents who lost too much weight

3.6%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

14.6%Improving

Residents whose ability to walk got worse

7.9%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

24.2%Worsening

Short-stay residents newly given an antipsychotic

10.3%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

18.8%Worsening

Residents with depressive symptoms

0%Steady

Long-stay residents given the seasonal flu vaccine

95.7%Steady

Long-stay residents given the pneumonia vaccine

89.4%Worsening

Short-stay residents given the seasonal flu vaccine

90%Steady

Short-stay residents given the pneumonia vaccine

82.9%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: E

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $27,724 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $41,143 in total fines.

  • Federal fine

    Aug 9, 2025

    $27,724
  • Federal fine

    Nov 16, 2023

    $13,419

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
90.6 residents on an average day (79% of 115 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.