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Medicare-certifiedSkilled Nursing

Harmony Care at Brookshire

(281) 375-5272

About Harmony Care at Brookshire

Harmony Care at Brookshire provides skilled nursing and rehabilitation services designed for patients transitioning through recovery and complex medical needs. Our Brookshire, Texas facility combines clinical expertise with compassionate support, helping residents regain independence during critical healing periods.

Community at a glance

Capacity

130 residents

Location

Brookshire, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

710 Hwy 359 S, Brookshire, Texas 77423

(281) 375-5272

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on February 12, 2026, state inspectors cited 15 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 26 minutes with each resident a day, about the same as the Texas average.

Medicare fined Harmony Care at Brookshire 2 times in the last three years, $25,797 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 26 minutes
Registered nurse time per resident, per day32 minutesAbove the Texas average
Nursing staff who left in the past year71%Above the Texas average

3 administrators have left the home in the past year.

Inspections

46 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 18, 2026 · Complaint investigation · 2 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 23, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 23, 2026

March 4, 2026 · Complaint investigation · 1 citation

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 29, 2026
February 12, 2026 · Standard inspection · 10 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Mar 29, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 29, 2026
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 29, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 29, 2026
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Mar 29, 2026
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 29, 2026
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 29, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 29, 2026
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 29, 2026
  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 29, 2026
September 13, 2025 · Complaint investigation · 2 citations+
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Sep 30, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 30, 2025
July 18, 2025 · Complaint investigation · 2 citations+
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Aug 1, 2025
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 19, 2025
February 14, 2025 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 15, 2025
December 6, 2024 · Standard inspection · 14 citations+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jan 6, 2025
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Jan 13, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jan 6, 2025
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jan 6, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jan 6, 2025
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jan 6, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 6, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 6, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 6, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 6, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 6, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 6, 2025
  • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jan 6, 2025
July 10, 2024 · Complaint investigation · 1 citation+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Aug 5, 2024
May 30, 2024 · Complaint investigation · 3 citations+
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 21, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jun 21, 2024
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 21, 2024
January 18, 2024 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 8, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 8, 2024
November 30, 2023 · Complaint investigation · 2 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 3, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 3, 2024
November 3, 2023 · Standard inspection · 6 citations+
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Nov 30, 2023
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 30, 2023
  • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 30, 2023
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Nov 30, 2023
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 30, 2023
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 30, 2023

Fines and payment denials

2 fines totaling $25,797 in the last three years.

  • February 14, 2025Fine: $15,570
  • December 6, 2024Fine: $10,227

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Frio Hospital District
Medicare-certified beds
130
Average residents per day
84
Accepts
Medicare and Medicaid
First certified
April 10, 1997
Part of a chain
Harmony Care Group, 6 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
675700

Location

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710 Hwy 359 SBrookshire, TX 77423

12 other communities within 10 miles

Senior living near Brookshire

Questions about Harmony Care at Brookshire

How did Harmony Care at Brookshire do on its last inspection?+

State inspectors visited on February 12, 2026 and cited 15 health deficiencies, 5 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Harmony Care at Brookshire?+

Nurses and aides spend 3 hours 26 minutes with each resident per day, including 32 minutes from registered nurses. 71% of nursing staff left over the past year.

Has Harmony Care at Brookshire been fined by Medicare?+

Yes. Medicare fined Harmony Care at Brookshire 2 times in the last three years, totaling $25,797.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Brookshire Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026