Harmony Care at Brookshire
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 14 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 (18 vs median 8.0)
Bottom 25% in Texas · Below recommended RN staffing · Worst in HARMONY CARE GROUP chain · $25,797 in fines
What this means for your family
While the therapy team and certain nursing staff receive high praise for their compassion, the facility has documented serious allegations of medical neglect and failure to communicate patient incidents. Families should perform rigorous on-site checks of cleanliness and specifically ask for protocols regarding incident notification and wound care management.
Google Reviews
Google Reviews
14 reviews analyzed“Reviewers are deeply divided, with some praising the exceptional compassion of the therapy and nursing teams while others report severe incidents of neglect, including unnotified falls and the development of stage 4 ulcers. While some visitors note a fresh-smelling, clean environment, others describe the common areas as filthy and poorly maintained.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate therapy team
- Friendly and helpful staff members
- Cleanliness in certain areas
- Recent building updates
Concerns
- Serious medical neglect and lack of incident notification (mentioned by 2 reviewers)
- Unprofessional or untrained staff behavior (mentioned by 2 reviewers)
- Poor cleanliness in common areas (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed some recent building updates; could you show me which areas have been refreshed and how you maintain cleanliness in the common spaces?
- 2How does the nursing team ensure that family members are notified immediately if there is a change in a resident's medical condition or an unexpected incident?
- 3We've heard wonderful things about your therapy team; how often do residents get to interact with them for rehabilitation or mobility support?
- 4What specific steps is the facility taking to improve communication between the staff and the families regarding daily care updates?
- 5Can you tell me more about the training programs in place for your caregiving staff to ensure consistent, professional service for all residents?
- 6What kind of daily activities or social events are planned to keep residents engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“The level of care and compassion shown by the staff is exceptional. The nurses and aides are highly skilled, patient and attentive. The therapy team is truly outstanding.”
“The whole month my family member was here just for recovery they were neglected and in distress to where they had to go to the hospital with stage 4 ulcers that just got worse.”
“I was informed of multiple incidents by one of the aides, who cared enough to make sure I knew what was truly happening. One such incident was when my father fell, and I was never notified.”
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
7
measures
8
measures
2
measures
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Residents vaccinated for the flu
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
Harmony Care at Brookshire shows a concerning pattern with families filing 21 complaint-triggered deficiencies across recent surveys, indicating ongoing resident or family dissatisfaction. The facility has recurring issues with medication management, infection control, and care planning that appear multiple times across different inspection periods. While all deficiencies show correction dates, the persistence of similar problems suggests systemic challenges in maintaining consistent quality standards.
Mar 4, 2026Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Sep 13, 2025Complaint2
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Jul 18, 2025Complaint2
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.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Feb 14, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 6, 2024Complaint4
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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.
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 Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Dec 6, 2024Routine16
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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 care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Feb 14, 2025
$15,570
Fine
Dec 6, 2024
$10,227
Ownership & Operations
Who Operates This Facility
Frio Hospital District
for profit
BROOKSHIRE OPERATING BH LLC
MATTHEW L LLOYD
Chain Affiliation
Harmony Care Group
6 facilities nationwide
Chain avg rating: 1.8/5 · Rank 5 of 5 (Worst)
Ownership & Management
Owners
Frio 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
14 reviews from families & visitors
Official Website
Visit harmonycaregroup.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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