The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
Nursing home report
OAK RIDGE MANOR
BROWNWOOD, TX · Medicare-certified · 114 beds
Needs attention
For-profitChain member
4 of 5 overall
OAK RIDGE MANOR in Brownwood, TX has a 4 out of 5 overall rating, with strong health inspection and quality scores but a very low 1 out of 5 staffing rating. Reported nurse staffing is 3.20 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $129,761 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2018 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $129,761recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2018.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.71
- Nurse aides
- 1.79
- Weekend nursing
- 2.65
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.7%Improving
Residents with a fall causing major injury
3.5%Improving
Residents with pressure ulcers (bedsores)
2.2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.3%Steady
Residents whose ability to walk got worse
0%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Worsening
Short-stay residents newly given an antipsychotic
1.1%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
0%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — 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 and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — 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 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $129,761 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $129,761 in total fines.
- $129,761
Federal fine
Nov 21, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 56.8 residents on an average day (50% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 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.