Benbrook Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 89 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (25 vs median 8.0)
- High staff turnover (72%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · $40,752 in fines
What this means for your family
While some management staff are noted for being helpful, the facility has a deeply concerning pattern of serious medical neglect, hygiene issues, and theft. If you choose this facility, you must implement frequent, unannounced visits and closely monitor your loved one's hydration, nutrition, and skin integrity.
Google Reviews
Google Reviews
89 reviews on Google“Families considering Benbrook Nursing and Rehabilitation Center should be aware of severe and recurring allegations regarding patient neglect, including dehydration, malnutrition, and improper wound care. While some reviewers praise specific members of the management and nursing teams for being kind and professional, many others report critical issues with hygiene, theft, and unresponsive communication.”
Quality Themes
Tap a score for detailsStrengths
- Kind and professional management team
- Friendly and hardworking nursing staff
- Effective rehabilitation therapy services
- Welcoming atmosphere for new admissions
Concerns
- Severe patient neglect including dehydration and malnutrition (mentioned by 2 reviewers)
- Unsanitary conditions and strong odors of urine (mentioned by 5 reviewers)
- Theft of resident and family belongings (mentioned by 3 reviewers)
- Poor communication and failure to return phone calls (mentioned by 6 reviewers)
- Inadequate wound care and pressure injuries (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 90 analyzed
How They Respond to Reviews
The owner responds to both positive and negative reviews with professional, polite language. Negative reviews are met with an attempt to move the conversation offline by providing a direct contact name and phone number.
Questions for Your Tour
- 1I noticed some positive feedback regarding the management team's professionalism; how do you ensure that families are kept updated on a resident's care and that phone calls are returned promptly?
- 2What specific protocols are in place to ensure the dining area is clean and that residents are getting adequate nutrition and hydration throughout the day?
- 3With the rehabilitation services being a noted strength, how does the therapy team coordinate with the nursing staff to manage wound care and prevent pressure injuries?
- 4How does the facility manage cleanliness and sanitation in the resident rooms to ensure a comfortable and odor-free environment?
- 5Can you tell me about the daily activities and social engagement opportunities available to help residents stay active and connected?
- 6In the event of a medical emergency or a change in a resident's condition during the night, what is the process for notifying the family and providing immediate care?
Personalized based on this facility's data
Key Review Excerpts
“He went in weighing 150 pounds now his in ICU weighing 107.8 dehydrated and malnutrition from not being feed or given water.”
“Great nursing management staff! Emily & Misty are great help when I am in need! All of the staff are nice and don’t mind helping out!”
“They stole all of my son's medicine out of his drawer. They stole all his clothes. They created stage four pressure injuries from binding him, improper wound care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant ongoing safety and care concerns, with families filing 30 complaints that triggered federal inspections. The most recurring problems involve accident hazards and inadequate supervision, resident protection from abuse and neglect, and maintaining safe and clean living environments. Many serious issues persist across multiple surveys, including recent 2025 deficiencies for accident prevention, abuse reporting failures, and pest control problems, suggesting systemic challenges in maintaining basic safety standards despite required corrections.
Mar 31, 2026Complaint4
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 18, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 22, 2026Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Sep 11, 2025Routine18
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
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.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 11, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 9, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal Penalties
Fine
Aug 9, 2025
$27,724
Fine
Nov 16, 2023
$13,419
Ownership & Operations
Who Operates This Facility
Palo Pinto County Hospital District
for profit
TDT BILAL OPCO 1 LLC
SHANE MILLER
Ownership & Management
Owners
Palo Pinto County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
89 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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