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Nursing home report

Harmony Care at Brookshire

Brookshire, TX · Medicare-certified · 130 beds

Needs attention
Government-runChain member
2 of 5 overall

2 of 5 stars overall. Harmony Care at Brookshire has low health inspection and staffing ratings (both 2 of 5), nurse staffing below the federal benchmark (3.39 vs 4.1 hours per resident per day), and $25,797 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3923 hrs/resident/day

Quality measures

Last inspection: March 4, 2026Penalties, last 24 months: $25,797recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3923.

Staffing detail

Registered nurses
0.49
Licensed practical nurses
0.76
Nurse aides
2.14
Weekend nursing
2.90

Hours per resident per day.

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

11.1%10.3%Improving

Residents with a fall causing major injury

4.9%2.5%Improving

Residents with pressure ulcers (bedsores)

6.8%3.9%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%14.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.3%32.9%Worsening

Residents whose ability to walk got worse

10.3%18.4%Worsening

Long-stay residents on antianxiety or sleep medication

15.4%10.8%Improving

Short-stay residents newly given an antipsychotic

3.6%4.8%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

27%10.3%Improving

Residents with depressive symptoms

0%0%No change

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

100%

Long-stay residents given the pneumonia vaccine

98.4%58.8%Worsening

Short-stay residents given the seasonal flu vaccine

75.9%

Short-stay residents given the pneumonia vaccine

90.7%28.1%Worsening

What the inspectors found

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to run its operations effectively and efficiently using its available resources. Cited September 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: F

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.

View the original federal record

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

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 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $15,570 was recorded.

  6. PENALTY

    A federal fine of $10,227 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $25,797 in total fines.

  • Federal fine

    Feb 14, 2025

    $15,570
  • Federal fine

    Dec 6, 2024

    $10,227

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of HARMONY CARE GROUP · 6 homes · 2 stars avg
Occupancy
82.8 residents on an average day (64% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 29 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.