The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
Nursing home report
Brush Country Nursing and Rehabilitation
Austin, TX · Medicare-certified · 118 beds
Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall
1-star facility overall, with 1-star health inspection and staffing ratings and 3-star quality measures. It reported 3.05 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $122,010 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0528 hrs/resident/day
Quality measures
Last inspection: May 15, 2026Penalties, last 24 months: $122,010recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0528.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.95
- Weekend nursing
- 2.61
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.7%11.4%Worsening
Residents with a fall causing major injury
1.4%0%Improving
Residents with pressure ulcers (bedsores)
1.7%3.3%Worsening
Residents with a urinary tract infection
1.5%0%Improving
Residents who lost too much weight
6.7%2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%22.4%Improving
Residents whose ability to walk got worse
24.2%26%Worsening
Long-stay residents on antianxiety or sleep medication
23%26.4%Worsening
Short-stay residents newly given an antipsychotic
5.9%5%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33%6.5%Improving
Residents with depressive symptoms
6.3%1.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
98.6%98.4%No change
Short-stay residents given the seasonal flu vaccine
—95.1%—
Short-stay residents given the pneumonia vaccine
84.1%89.1%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $23,912 was recorded.
- PENALTY
A federal fine of $23,553 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $98,098 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $130,834 in total fines · 1 payment denial.
- $23,912
Federal fine
Oct 4, 2025
- $98,098
Federal fine
May 7, 2025
- 10 days
Medicare/Medicaid payment denial
Feb 26, 2024
- $8,824
Federal fine
Feb 26, 2024
Operator & ownership
Recent ownership change · May 1, 2021
Now operated by West Wharton County Hospital District, previously Dhc Opco-austin, LLC.
- Ownership
- For profit - Corporation
- Occupancy
- 65.4 residents on an average day (55% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.