HIGH HOPE CARE CENTER OF BRENHAM has an overall rating of 3 out of 5 stars. Its staffing is low at 2 out of 5 stars and reported nurse staffing is 3.51 hours per resident per day, below the 4.1 federal benchmark; it also has $20,699 in fines in the last 24 months and a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $20,699recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5096.
Staffing detail
Registered nurses
0.30
Licensed practical nurses
1.05
Nurse aides
2.16
Weekend nursing
3.08
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 57%
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
8.3%21.6%Worsening
Residents with a fall causing major injury
4.9%1.9%Improving
Residents with pressure ulcers (bedsores)
4.5%1.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.7%9.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.9%37.5%Worsening
Residents whose ability to walk got worse
—18.4%—
Long-stay residents on antianxiety or sleep medication
16%13.3%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.3%13.8%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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 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 January 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 needed care and help with daily activities for residents who could not do them on their own. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — 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 5 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $20,699 was recorded.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $20,699 in total fines.
Federal fine
Jan 10, 2025
$20,699
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of CHARLESTON HEALTHCARE GROUP · 5 homes · 2.2 stars avg
Occupancy
51.3 residents on an average day (53% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 14 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.