Brenham Healthcare Center
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.
Inspection Findings
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.