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Complaint Investigation

Brenham Healthcare Center

February 1, 2025 · Brenham, TX · 1303 Hwy 290 E
Citations 2
CMS Rating 1/5
Beds 62
Provider ID 676355
Healthcare Facility
Brenham Healthcare Center
Brenham, TX  ·  View full profile →
Inspection Summary

Brenham Healthcare Center in Brenham, TX — inspection on February 1, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF684
Immediate use of mechanical lift with signature response for comprehension. [DATE]. Some affected

The facility failed to obtain ordered labs.

Action:

676355

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676355 B.

Wing 02/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Brenham Healthcare Center 1303 Hwy 290 E Brenham, TX 77833

Review of Resident #1's Annual MDS dated [DATE] reflected she was assessed to have a BIMS score of 10 indicating moderate cognitive impairment. Resident #1 was assessed to have anemia, and diabetes Mellitus.

Review of Resident #1's comprehensive care plan reflected a focus area dated 03/13/2021: she was on an antiplatelet medication.

Interventions included bleeding precautions and to monitor for signs of bleeding.

Further review reflected a focus area for anemia.

Interventions included to obtain, document, and notify MD of lab and diagnostic work as ordered.

Further review of Resident #1's comprehensive care plan reflected she had Diabetes Mellitus and was to be free of signs and symptoms of hypo or hyperglycemia (low or high blood sugar.)

Review of Resident #1's nursing progress notes reflected an entry dated 02/18/2025: MD in the facility new orders given for CMP (is a blood test that measures proteins, enzymes, electrolytes, minerals and other substances in your body.), CBC (is a blood test that measures amounts and sizes of your red blood cells, hemoglobin, white blood cells and platelets), HgA1C (measuring the glycated form of hemoglobin to obtain the three-month average of blood sugar.), lipid panel (A complete cholesterol test is a blood test. It can measure the amount of cholesterol and fats called triglycerides in blood.) and phenytoin level (seizure medication blood level).

Review of Resident #1's lab results drawn on 02/20/2025 reflected she had abnormal results for her hematocrit, glucose, and albumin levels within the parameters set by the reference range with the lab.

The lab was signed as received by the ADON on 2/20/2025.

676355

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676355 B.

Wing 02/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Brenham Healthcare Center 1303 Hwy 290 E Brenham, TX 77833

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Brenham, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Brenham Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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