Harmony Care At Brookshire
Inspection Findings
F-Tag F0835
F 0835 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
09/13/2025 at various times (2:35pm, 3:30pm, 5:34pm) via telephone call and (5:06pm and 6:00pm) via email request. The facility failed to provide the requested document. The facility provided Policy, titled Administrator, revised March 2021, indicated in part:Policy Statement: A licensed Administrator is responsible for the day-to-day functions of the facility.Policy Interpretation and Implementation: (g). ensuring that an adequate number of personnel are employed to meet resident needs. (i). maintaining his/her license
on a status as required by law and maintaining a copy of such license or registration on premises. (d). implementing established resident care policies, personnel policies, safety and security policies, and other operational policies and procedures necessary to remain in compliance with current laws, regulations, and guidelines governing long-term care facilities.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Harmony Care at Brookshire
710 Hwy 359 S Brookshire, TX 77423
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0943
F 0943 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Based on observation, interviews, and record review, the facility failed to ensure that all staff were trained in
the procedures for reporting abuse, neglect, exploitation, or misappropriation of resident property for 6 of 6 facility employees reviewed for training. The facility failed to provide training on the identity of the Abuse Coordinator and the procedures for reporting abuse. This deficient practice has the potential to affect all residents by placing them at risk for unrecognized or unreported abuse due to staff being unaware of who to report to and how to initiate the facility's abuse reporting process. Observation 09/13/2025 @ 2:40pm,
during the onsite visit, revealed the facility had not update the signage and posting of the facility's Abuse Coordinator. The posting reflected the Former Abuse Coordinator, who was terminated on 08/19/2025, contact information.During interview on 09/13/2025 @ 1:00pm with DON, stated that the Former Abuse Coordinator was terminated 08/19/2025. She stated the in - service was usually provided by the administrator. She stated the facility failed to provide training on the identity of the Abuse Coordinator and
the procedures for reporting abuse. She stated that signage and posting had not been updated but would be updated following the interview. She stated failure to updated and train staff of the Abuse Coordinator could have potentially affected the residents by placing them at risk for unreported abuse. During telephone
interview on 09/13/2025 @ 2:35pm with the facility's VP of Operations, he stated that the prior facility Administrator/ Abuse Coordinator was terminated on 08/19/2025. He stated the facility had no full-time Abuse Coordinator since 08/19/2025. He stated the facility was responsible and had not provided training
on the identity of the Abuse Coordinator and the procedures for reporting abuse. He stated he would be the identified facility Abuse Coordinator; staff would be informed and trained regarding the process and who to contact. He stated the signage and posting with updated Abuse Coordinator's contact would be updated following the interview.During staff interviews on 09/13/2025, 6 out of 6 direct care staff members (CNA S, CNA O, CNA T, Nurse A, Nurse J, Nurse I) were unable to identify the facility's designated Abuse Coordinator. Staff stated they had not received recent or updated in-service training on abuse reporting protocols or on the identity of the person responsible for handling abuse allegations.The training records or sign-in sheets showing that Abuse Coordinator training had been conducted within the last 30 days, were requested from the facility's VP of Operations on 09/13/2025 at various times (2:35pm, 3:30pm, 5:34pm).
The facility failed to provide the requested documentation.
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Harmony Care at Brookshire in Brookshire, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Brookshire, 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 Harmony Care at Brookshire or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.