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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 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 72% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 15 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.
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
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Concerns
Rating Trends
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Distribution · 18 analyzed
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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.”
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
8
measures
7
measures
2
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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.
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 that residents are free from significant medication errors.
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.
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.
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.
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
Feb 14, 2025
$15,570
Fine
Dec 6, 2024
$10,227
Frio Hospital District
for profit
BROOKSHIRE OPERATING BH LLC
MATTHEW L LLOYD
Harmony Care Group
6 facilities nationwide
Chain avg rating: 1.8/5 · Rank 5 of 5 (Lowest rating)
Owners
Frio Hospital District
Owner · Organization
Key personnel
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These are the 6 closest facilities in our data within 10 miles. Proximity does not mean they provide the same care type or have stronger quality signals, so compare each profile and verify services directly.
The Brookwood Community INC,
< 1 miAssisted Living · Brookshire, TX
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Meadows Home
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The Brookwood Community, INC
< 1 miAssisted Living · Brookshire, TX
The Brookwood Community, INC
< 1 miAssisted Living · Brookshire, TX
The Brookwood Community, INC
1.2 miAssisted Living · Brookshire, TX