Federal inspection record · CMS data as of October 1, 2026
Brownwood Nursing & Rehabilitation
101 Miller Dr, Brownwood, TX · (325) 643-9555
- Certified beds
- 128
- Residents per day
- 71
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 11, 1995
1
How this home got 4 stars
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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Brownwood Nursing & Rehabilitation carries 39 inspection points. That is fewer than 78% 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
14 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary3E
- E
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
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.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-04-15
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-02-13
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-01-25
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 8 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 8 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 33% 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
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 days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 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 injury1.2 pts worse | 4.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts worse | 5.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 13.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5 pts worse | 14.8% | 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 worsened10.8 pts better | 2.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 17.6% | 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 incontinence8.6 pts better | 3.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts worse | 17.5% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 3.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.4 pts better | 98.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse | 26.5% | 25.5% | 23.4% |
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Who owns and runs it
21 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 |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Gary | Trustee Of The SNF · Individual | 0% | 139 facilities |
| Blake, Gary | Adp Of The SNF · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Bowers, Sean | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Brownwood V Enterprises LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Brownwood V Enterprises LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cisneros, Alfred | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cobb, Travis | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cooper, Stephen | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hardin, Sherrie | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Harris, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Huggins, Linda | Corporate Director · Individual | 0% | 138 facilities |
| Kerzee, Richard | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Korenek, Patricia | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Nigalye, Narendra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Soechting, Paul | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Strack, Joe | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Thompson, Johnny | Corporate Officer · Individual | 0% | 79 facilities |
| West Wharton County Hospital District | Direct Ownership Interest · Organization | 0% | 21 facilities |
| Willig, Zachary | Corporate Officer · Individual | 0% | 84 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems4F
- E
Have proper medical gas storage and administration areas.
- F
Meet requirements for the use and maintenance of medical gas equipment.
- F
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- E
Ensure proper usage of power strips and extension cords.
Services2C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Oak Ridge Manor
Brownwood, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $129,761
-
Pecan Bayou Nursing and Rehabilitation
Brownwood, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
- $48,415
-
Songbird Lodge
Brownwood, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 9 min
- Fines
- $10,210