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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHarmony Care at Brookshire

Harmony Care at Brookshire

710 Hwy 359 S, Brookshire, TX 774232813755272
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
4/5
Beds
130
certified
2 fine(s) totaling $25,797

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 130 certified beds with an average of 83.7 residents per day (64% occupancy)

• Last health inspection found 19 deficiencies (inspected Dec 6, 2024)

• Has been fined a total of $25,797 across 2 fine(s)

• Total nursing staff: 3.12 hours per resident per day

• Part of the Harmony Care Group chain (6 facilities)

Harmony Care at Brookshire is a 1-star Medicare and Medicaid certified nursing home in Brookshire, Texas with 130 certified beds. It has been operating since 1997. The facility scored below average compared to Texas facilities.

Beds
130
Avg Residents/Day
83.7
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 10, 1997
Sprinklers
Yes
Council
Resident
County
Waller
Last Inspection
Dec 6, 2024
Deficiencies (Cycle 1)
19
Weighted Score
169.5
Infection Citations
0

Deficiency Citations (38)

F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Sep 13, 2025Corrected: NoCycle: 1
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Sep 13, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0755Immediate Jeopardy

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 14, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0909Potential for Harm

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Dec 6, 2024Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jul 10, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 30, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 30, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: May 30, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 3, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 18, 2024Corrected: NoCycle: 3

+ 8 more deficiencies

Total Fines
$25,797
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineDec 6, 2024
$10,227
FineFeb 14, 2025
$15,570

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.06 hrs
National avg: 2.35 hrs
LPN0.63 hrs
National avg: 0.86 hrs
RN0.43 hrs
National avg: 0.68 hrs
Total Nursing3.12 hrs
National avg: 3.89 hrs
Weekend Total2.94 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (11)

NameRoleTypeOwnership %Since
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 25, 2024
BROOKSHIRE OPERATING BH, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 6, 2025
ELITE HC HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 7, 2025
BODANSKY, HERSHELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 7, 2025
HELLER, YESHAYAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2025
WEISS, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2025
RUFF, MICHAELCORPORATE OFFICERIndividualN/ADec 25, 2024
BROOKSHIRE HOLDINGS BH, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/ADec 25, 2024
ELITE HC INVESTORS LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/ADec 25, 2024
BODANSKY, HERSHEL5% OR GREATER MORTGAGE INTERESTIndividualN/ADec 25, 2024
WEISS, CHAIM5% OR GREATER MORTGAGE INTERESTIndividualN/ADec 25, 2024

Frequently Asked Questions

What is the CMS rating for Harmony Care at Brookshire?▾
Harmony Care at Brookshire has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Harmony Care at Brookshire had any health inspection violations?▾
Harmony Care at Brookshire had 19 deficiency citations in its most recent health inspection (Dec 6, 2024). The facility has been fined a total of $25,797 across 2 fine(s).
What are the staffing levels at Harmony Care at Brookshire?▾
Harmony Care at Brookshire provides 3.12 total nursing staff hours per resident per day, including 0.43 RN hours, 0.63 LPN hours, and 2.06 nurse aide hours.
How many beds does Harmony Care at Brookshire have?▾
Harmony Care at Brookshire has 130 certified beds with an average of 83.7 residents per day, resulting in approximately 64% occupancy. The facility is Government - Hospital district owned and is part of the Harmony Care Group chain.

Part of Harmony Care Group

This chain operates 6 facilities. View all →