Brenham Healthcare Center
Brenham Healthcare Center in Brenham, TX — inspection on April 30, 2026.
Found 4 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.
Inspection Findings
lead to incomplete assessments for residents.Record Review of facility's Director of Nursing Job
with current federal, state, and local standards.
The Director of Nursing will work collaboratively with
excellent quality of care, staff empowerment, and educational development.
Qualifications Current and valid Registered Nurse (RN) license in the State of Texas Bachelor's Degree preferred Prior nurse management experience in long-term care/skilled nursing preferred Strong knowledge of state and federal nursing home regulations Strong leadership, communication, and organizational skills Essential Functions Develop and oversee staffing schedules for the nursing department Plan, conduct, and schedule in-service training and staff education programs as needed Review, approve, and validate payroll for the clinical department prior to submission Develop and implement resident care plans in coordination with physicians, the Medical Director, nursing staff, and outside consultants Assess and monitor the quality of care provided to residents Assist in developing policies and procedures that govern nursing services Oversee staff performance, recruitment, retention, and professional development to achieve positive resident outcomes Collaborate with other departments and outside agencies to coordinate resources and services for improved resident care Plan, develop, and implement staffing processes and budget management for clinical services Evaluate the quality and cost-effectiveness of staffing and nursing services Serve as the facility representative for nursing matters with professional organizations and regulatory agencies Participate in facility meetings, committees, and quality assurance activities Promote positive public relations with residents, family members, guests, and staff Communicate professionally and effectively in sensitive or emotional situations Ensure compliance with all regulatory requirements and facility standards.
676355 04/30/2026
Brenham Healthcare Center 1303 Hwy 290 E Brenham, TX 77833
Certificate within the timeframe required by Texas law and facility policy.
Food Handler Certificates
Certification if applicable.Review of facility's Dietary Manager description, undated reflected: Current
designated timeframe upon hire)Communicate recommendations to the Dietitian, Administrator, and leadership team regarding departmental operations. On 04/30/2026 at 3:30 PM, policy for Dietitian coverage requested from the Administrator, no policy received upon exit.
676355 04/30/2026
Brenham Healthcare Center 1303 Hwy 290 E Brenham, TX 77833
During record review of a facility menu dated 04/30/2026, week 3 at a glance indicated the lunch meal menu for the day was BBQ chicken, pasta salad, stewed tomatoes, cornbread with margarine, summer fruit cup, and beverage.Observation of the lunch meal revealed, baked chicken, corn, mashed potatoes, a cookie, and beverages.
Interview conducted with the Owner on 04/30/2026, at 4:54 PM revealed that when asked about not following the planned menu for the day, he stated the cook was allowed to make food substitutions with like food items.
The Owner acknowledged that a dietitian should approve substitution meals.
Interview conducted with the Administrator on 04/30/2026, at 5:55PM, stated the meal changing was the Owner's decision due to not having kitchen help.
The Administrator stated the potential risk to the residents could be weight loss if the meals do not share equal nutrients.
Record review of facility's policy Alternative and Substitute Menu Policy dated 1/1/2025 reflected: PurposeTo ensure all residents are offered nutritionally adequate meals while honoring resident preferences, choices, cultural considerations, and individual dietary needs through the availability of alternative and substitute menu options in compliance with Texas nursing facility regulations.Policy StatementThe facility shall provide planned menus that meet residents' nutritional needs and physician-ordered diets.
When a resident refuses the planned meal, requests an alternative, or when a planned menu item is unavailable, the facility shall provide a nutritionally comparable substitute meal.Residents maintain the right to make personal dietary choices, and the facility will make reasonable accommodation whenever possible.Policy Guidelines1.
Planned Menusa.
Menus shall be prepared at least one week in advance.b.
Menus shall be reviewed and approved by the facility's qualified dietitian.All substitutions must be documented on the day of occurrence.
676355 04/30/2026
Brenham Healthcare Center 1303 Hwy 290 E Brenham, TX 77833
serve food in accordance with professional standards.
distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.
place residents who received meals from the kitchen at risk of foodborne illnesses.Findings include:Observation during lunch on 4/29/2026 beginning at 11:35 AM, revealed Dietary Aide C preparing lunch trays without a mustache/beard restraint.
Dietary Aide C was observed with a mustache extended beyond the upper lip area.Interview conducted with Dietary Aide C on 04/30/2026, at 11:47 AM.
Dietary Aide C stated he has worked at the facility for 1 1/2 years. He stated he has never worn a beard/mustache restraint,. He stated he was not told about one.
Dietary Aide C stated if hair fell into a resident's meal, it could cause them to choke.Interview conducted with the Owner on 04/30/2026, at 4:54 PM revealed the Owner stated that the dietary manager trains the dietary staff.
He stated that anyone who enters the kitchen area must always wear hairnets and beard nets if they have a beard. He stated that failure to properly wear beard or hair restraints could result in hair falling into food, which could lead to contamination.Interview conducted with RN B on 04/30/2026, at 5:05 PM.
She stated, All dietary staff should wear hairnets and facial masks. RN B stated not wearing the correct hair nets could be harmful to the residents' health.Interview conducted with the Administrator on 04/30/2026, at 5:55 PM revealed Administrator stated that kitchen staff were required to wear hairnets and beard nets in the kitchen and food preparation areas always.
She stated her expectation is that dietary staff follow facility policies.
She stated that failure to follow the protocols could result in cross-contamination which could cause an infection in residents.
Record review of facility's policy Hair Restraint and Hair Net Compliance, dated 1/01/2025, reflected .
Policy Statement To promote food safety, sanitation, and infection control, all dietary staff, kitchen personnel, and any individuals entering food preparation or service areas must wear appropriate hair restraints to prevent hair contamination of food, clean equipment, and food-contact surfaces.Policy1.
All dietary staff involved in food preparation, plating, serving, dishwashing, or handling clean utensils/equipment must wear a hair net, cap, or other approved hair restraint at all times while in food preparation or service areas. 2.
Hair restraints must fully contain scalp hair, including loose strands, bangs, and ponytails. 3.
Employees with facial hair (beards, mustaches, goatees) must wear beard guards when working in food preparation or service areas. 4.
Hair nets and beard guards must be clean and changed as needed or when soiled.
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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.