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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
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
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $15,570 was recorded.
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.