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Complaint Investigation

Brenham Healthcare Center

November 17, 2025 · Brenham, TX · 1303 Hwy 290 E
Citations 1
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 November 17, 2025.

Found 1 citation. 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

FF0678
Quality of Life and Care Deficiencies
Immediate Jeopardy

Observation on [DATE] at 10:26 a.m., revealed all residents who were in the facility had a red or green star that matched their code status.

Record review on [DATE] revealed that 8 of 15 regular nursing staff signed the in-service training there were also 12 agency staff that had signed the in-service training that covered the training for the red and green dots on the residents' doors.

Record review on [DATE] of Implementation of Performance Improvement Plan: Code Status Documentation and Compliance, dated [DATE], revealed the facility designed a plan of action for the code status documentation and compliance in long term care.

The Administrator was informed the Immediate Jeopardy was removed on [DATE] at 3:10 p.m.

The facility remained out of compliance at a severity level of no actual harm with the potential for more than minimal harm and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems that were put into place.

Facility ID:

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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