Brookshire Nursing and Rehabilitation

710 Hwy 359 S, Brookshire, TX 77423

Phone: 2813755272

CMS ratings and facility information

Brookshire Nursing and Rehabilitation is a Medicare-certified nursing facility in Brookshire, Waller County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating3 of 5
Quality measures rating4 of 5
Certified beds130
OwnershipFor profit - Corporation
CMS certification number675700

Staffing

Total nurse hours per resident day3.5
RN hours per resident day0.65
Nurse aide hours per resident day2.36
Total nursing staff turnover percent70.3
RN turnover percent50

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.8events_per_1000_resident_days20250401-20260331
Emergency-department visits1.19events_per_1000_resident_days20250401-20260331
Falls with major injury1.6percent2025Q3-2026Q2
Pressure ulcers5.47percent2025Q3-2026Q2
Urinary tract infections0percent2025Q3-2026Q2
Antipsychotic medication use9.43percent2025Q3-2026Q2

Health inspection citations

Survey dateTagCitationSeverity
2026-02-120812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-120550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2026-02-120583Keep residents' personal and medical records private and confidential.E
2026-02-120679Provide activities to meet all resident's needs.E
2026-02-120759Ensure medication error rates are not 5 percent or greater.E
2026-02-120880Provide and implement an infection prevention and control program.E
2026-02-120690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-02-120693Ensure 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.D
2026-02-120760Ensure that residents are free from significant medication errors.D
2026-02-120761Ensure 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.D
2024-12-060697Provide safe, appropriate pain management for a resident who requires such services.G
2024-12-060584Honor 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.F
2024-12-060812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-12-060851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2024-12-060755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-12-060761Ensure 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.E
2024-12-060583Keep residents' personal and medical records private and confidential.D
2024-12-060641Ensure each resident receives an accurate assessment.D
2024-12-060656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-12-060677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-12-060690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-12-060760Ensure that residents are free from significant medication errors.D
2024-12-060880Provide and implement an infection prevention and control program.D
2024-12-060909Regularly 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.D
2023-11-030814Dispose of garbage and refuse properly.F
2023-11-030557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D
2023-11-030656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-11-030688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D
2023-11-030690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-11-030880Provide and implement an infection prevention and control program.D

Penalties

DateTypeAmount
2025-02-14Fine,570
2024-12-06Fine,227

Ownership records

NameTypeRole
FRIO HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
RUFF, MICHAELIndividualCORPORATE OFFICER
BROOKSHIRE OPCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
BECHTHOLD, SAMIndividualOPERATIONAL/MANAGERIAL CONTROL
LLOYD, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL
NGUYEN, CHARLESIndividualOPERATIONAL/MANAGERIAL CONTROL
LLOYD, MATTHEWIndividualADP OF THE SNF
NGUYEN, CHARLESIndividualADP OF THE SNF

Compare nursing homes in Waller County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.