Brush Country Nursing and Rehabilitation
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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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)
- Above-median deficiencies (24 vs median 8.0)
- High staff turnover (70%)
- High RN turnover (86%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in DYNASTY HEALTHCARE GROUP chain · $143,157 in fines
What this means for your family
This facility offers exceptional nursing care and a highly skilled therapy team that can significantly aid in rehabilitation. However, families must be proactive in communicating with the administration, as multiple reviewers have experienced significant delays in receiving updates or medical information.
Google Reviews
Google Reviews
76 reviews on Google“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
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective and professional rehabilitation/therapy team
- Clean and welcoming environment
- Kind and helpful admissions and administrative staff
Concerns
- Poor communication from administration and nursing regarding resident status (mentioned by 4 reviewers)
- Inconsistent responsiveness to medical or hygiene needs (mentioned by 2 reviewers)
- Disorganization in medical management and medication oversight (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 81 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of attentive care is maintained during shift changes?
- 2What specific protocols are in place to ensure medication management is organized and error-free for every resident?
- 3How does the administration keep families updated on a resident's health status and any changes in their daily care?
- 4In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
- 5Could you tell us more about the daily activities and social engagement opportunities available to residents to keep them active?
- 6What steps are being taken to address recent inspection findings and improve the overall health and safety environment for the residents?
Personalized based on this facility's data
Key Review Excerpts
“The dignity and tenderness you showed him in his final days was a good gift to us all. You guided us through a difficult time with such grace and kindness.”
“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.”
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 needing more daily help over time
Residents whose walking got worse
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 the flu
Residents whose bladder or bowel control got worse
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Jan 7, 2026Complaint1
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.
Nov 11, 2025Complaint2
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.
Oct 4, 2025Complaint2
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.
Aug 21, 2025Routine16
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.
Aug 5, 2025Complaint1
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.
Jun 2, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Oct 4, 2025
$23,553
Fine
May 7, 2025
$98,098
Fine
Feb 26, 2024
$8,824
Payment Denial
Feb 26, 2024
10-day denial
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
DHC OPCOAUSTIN, LLC
DANIEL BROADWAY
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
76 reviews from families & visitors
Official Website
Visit brushcountrynursingandrehab.com
Medicare data downloads
Original nursing home datasets
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