Federal inspection record · CMS data as of October 1, 2026
Brenham Nursing and Rehabilitation Center
400 E Sayles St, Brenham, TX · (979) 836-9770
- Cited for abuse (CMS abuse icon)
- Certified beds
- 128
- Residents per day
- 113
- Ownership
- Non-Profit
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 22, 1999
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Brenham Nursing and Rehabilitation Center carries 193.75 inspection points. That is fewer than 11% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
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K
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Everything else, by area of care
Resident Rights9E
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Keep residents' personal and medical records private and confidential.
- E
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.
Nutrition and Dietary6F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care6E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Pharmacy Service1E
- E
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Inspection history
2026-02-19
17 health deficiencies · 14 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-11-21
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-10-12
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 2 h 39 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
2 h 39 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$21,887 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-19 | Fine | $13,866 |
| 2024-06-06 | Fine | $8,021 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts worse | 96.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.5 pts worse | 4.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 3.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts better | 10.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.1 pts better | 4.7% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7 pts better | 5.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 12.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.2 pts better | 8.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 5.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts better | 89.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts worse | 15.2% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 88.5% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts better | 17.8% | 25.5% | 23.4% |
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Who owns and runs it
40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Oakbend Medical Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 32 facilities |
| 400 East Sayles Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Crayton, Tom | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Csv Rhea Management Holdco, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dorman, John | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Dwd Tx Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Freudenberger, Joseph | Managing Control - Governing Body · Individual | 0% | 35 facilities |
| Freudenberger, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Haley, Jeff | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Holder, Nicholas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Holder, Nicholas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hughes, Ruston | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Adp Of The SNF · Organization | 0% | 68 facilities |
| King, Abby | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| King, Elizabeth | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Oakbend Medical Center | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Oakbend Medical Center | Adp Of The SNF · Organization | 0% | 32 facilities |
| Obakpolor, Osahon | Adp Of The SNF · Individual | 0% | 2 facilities |
| Pisani, Adam | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Popatia, Amirali | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Reg Leased Opco LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Reg Operator Holdco LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Brenham, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Brenham, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Riels, Lauren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stuart, Julius | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Uthman, Edward | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Woodberry, Alencia | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness4F
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Address patient/client population and determine types of services needed.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
High Hope Care Center Of Brenham
Brenham, TX · Charleston Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
- Fines
- $20,699
-
Kruse Village Senior Living Community
Brenham, TX · Health Dimensions Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
-
Avir at Bellville
Bellville, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 36 min
- Fines
- $0