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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 76 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 45% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 24 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families often praise the facility for its compassionate nursing staff and the dignity shown to residents during end-of-life care or rehabilitation. However, there are significant concerns regarding communication breakdowns between administration and families, as well as reports of inconsistent responsiveness to medical needs and hygiene issues.
Quality Themes
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Concerns
Rating Trends
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Distribution · 82 analyzed
Personalized based on this facility's data
Key Review Excerpts
“I sat in my own urine for two hours before my wife had to drive in and get someone to help me.”
“The Brush Country team’s dedication, is the exact reason she is as independent as she is today.”
“My dad's there for hospice care due to lung cancer and I've called and left messages to see how he is three days in a row, and not once has anyone bothered getting back to me.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
5
measures
5
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have filed multiple complaints against this facility, with recurring issues in medication management, resident rights violations, and care planning problems. The facility shows persistent deficiencies across multiple surveys, particularly with pharmacy services appearing in violations from 2023 through 2026. While all deficiencies show correction dates, the pattern of repeated issues in critical care areas suggests ongoing quality concerns that families should investigate thoroughly before placement.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 activities to meet all resident's needs.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Federal Penalties
Fine
Oct 4, 2025
$23,912
Fine
May 7, 2025
$98,098
Fine
Feb 26, 2024
$8,824
Payment Denial
Feb 26, 2024
10-day denial
West Wharton County Hospital District
for profit
DHC OPCOAUSTIN, LLC
DANIEL BROADWAY
Owners
Bauder, Kelly
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Bauder, Madison
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Bauder, Parker
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Boulware, Steven
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Boulware, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Walker, Katie
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
76 reviews from families & visitors
Official Website
Visit brushcountrynursingandrehab.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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