Nursing home report
Brookshire, TX · Medicare-certified · 130 beds
Harmony Care at Brookshire is rated 2 out of 5 stars overall, with a 2-star health inspection rating and 3-star staffing. Reported nurse staffing is 3.44 hours per resident per day, below the federal benchmark of 4.1, and the facility had $25,797 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.438 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.438.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $15,570 was recorded.
A federal fine of $10,227 was recorded.
On record with Medicare: 2 fines · $25,797 in total fines.
Federal fine
Feb 14, 2025
Federal fine
Dec 6, 2024
Now operated by Frio Hospital District, previously Dewitt Medical District.
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.
