See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Harmony Care at Brookshire

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

710 Hwy 359 S, Brookshire, TX 77423130 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 14 Google reviews

5
4
3
2
1
Harmony Care at Brookshire Nursing Home in Brookshire, TX — Street View
Street View

Watch Harmony Care at Brookshire

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

4/ 10
moderate Risk

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

Source: Medicare data

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 details
FoodN/AStaff3.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • 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

2343.32024(7)3.72025(7)2.32026(3)

Distribution

5
7
4
1
3
0
2
0
1
6

How They Respond to Reviews

71%response rate

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.

Long-term resident's family · 2024★★★★★

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.

Rehab patient's family · 2025☆☆☆☆

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.

Long-term resident's family · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined

Both 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

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
TX
2.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility88.1%
Worse than Avg
Here
88.1%
US
93.4%
TX
96.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
19.5%
TX
18.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
19.4%
TX
14.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility8.6%
Worse than Avg
Here
8.6%
US
5.3%
TX
3.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.9%
Worse than Avg
Here
75.9%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.8%
Worse than Avg
Here
80.8%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
2penalties
Well above state avg (9.1)
22 complaint-triggered
$25,797 in fines

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, 2026Complaint
1
0550ModerateCorrected

Resident Rights Deficiencies

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

Sep 13, 2025Complaint
2
0835ModerateCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0943ModerateCorrected

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, 2025Complaint
2
0584MinorCorrected

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.

0925MinorCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Feb 14, 2025Complaint
1
0755SevereCorrected

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, 2024Complaint
4
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0584ModerateCorrected

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.

0761ModerateCorrected

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.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Dec 6, 2024Routine
16
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0851ModerateCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690MinorCorrected

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.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909MinorCorrected

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.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923MinorCorrected

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

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

BROOKSHIRE OPERATING BH LLC

Administrator

MATTHEW L LLOYD

Chain Affiliation

Chain Name

Harmony Care Group

Chain Size

6 facilities nationwide

Chain avg rating: 1.8/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Key personnel

Brookshire Holdings Bh, LLC5% or Greater Mortgage InterestElite Hc Investors LLC5% or Greater Mortgage InterestBodansky, Hershel5% or Greater Mortgage InterestWeiss, Chaim5% or Greater Mortgage InterestRuff, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

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.

Call