Brownwood, TX

Cross Country Healthcare Center

4-star overall rating with 4-star inspections with $22,084 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1514 Indian Creek Rd, Brownwood, TX

(325) 646-6529

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hamilton County Hospital District

Operator or chain grouping

Approved since

1991-10-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.38

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.81

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.42

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

4.62

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

5,054

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

37.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9908

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.96

Performance 19.60% · Measure score 3.96 · Achievement 3.96 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.21

Performance 6.58% · Measure score 4.21 · Achievement 4.21 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

3.1

Baseline 3.43 hours · Performance 3.96 hours · Measure score 3.1 · Achievement 3.1 · Improvement 1.76

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.67%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 15.91% · Lower 95% interval 7.36%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	94.59%	95.27% 0.7 pts worse	Numerator 35 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	41.67%	53.69% 12 pts worse	Numerator 10 · Denominator 24
Discharge mobility score	41.67%	50.94% 9.3 pts worse	Numerator 10 · Denominator 24
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 37 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.58%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 29 · Observed rate 3.45% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 93
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 101
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 12 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	5%	25.2% 20.2 pts worse	Numerator 1 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.1%	97.1% 1 pts better	93.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 93.4% · 4Q avg 98.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	97.9% 0.4 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.3% 1 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.5% · Q3 3.5% · Q4 4.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	2.7% 1.7 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	2.6%	3.3% 0.7 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.8%	18.9% 5.1 pts better	19.6% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 9.5% · Q3 8.5% · Q4 16.3% · 4Q avg 13.8%
Percentage of long-stay residents who received an antipsychotic medication	44.1%	10.8% 33.3 pts worse	16.7% 27.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 40.9% · Q3 38.7% · Q4 52.9% · 4Q avg 44.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.8%	15.4% 3.4 pts worse	16.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.2% · Q2 13.7% · Q3 11.6% · Q4 16.3% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.2%	16.1% 6.1 pts worse	14.9% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 19.0% · Q3 19.6% · Q4 24.5% · 4Q avg 22.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.6%	15.0% 1.6 pts worse	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.3% · Q3 15.1% · Q4 14.9% · 4Q avg 16.6%
Percentage of long-stay residents with pressure ulcers	0.6%	4.2% 3.6 pts better	5.1% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.8%	89.7% 7.1 pts better	81.7% 15.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 88.9% · 4Q avg 96.8%
Percentage of short-stay residents who had an outpatient emergency department visit	22.1%	12.0% 10.1 pts worse	12.0% 10.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 28.6% · Expected 14.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.5%	1.5% 2 pts worse	1.6% 1.9 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	88.0% 8.4 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.7%	25.9% 0.2 pts better	23.9% 1.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 25.7% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-04 · Fire 2025-04-04

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

9 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-11-22 · Fire 2022-11-22

13 health deficiencies

Top issue: Administration (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-04

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-04-04

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-04-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-17

C · Minimal harm 2025-04-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-17

E · Potential for more than minimal harm 2024-01-25

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-02-23

C · Minimal harm 2024-01-25

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-01-25

Inspection history

Recent health citations

J · Immediate jeopardy 2025-04-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-24

F · Potential for more than minimal harm 2025-04-04

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-04-04

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-04-05

C · Minimal harm 2025-04-04

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-01-24

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-01-25

D · Potential for more than minimal harm 2025-01-24

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-25

D · Potential for more than minimal harm 2025-01-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-25

G · Actual harm 2024-01-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-01-26

F · Potential for more than minimal harm 2024-01-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-01-26

E · Potential for more than minimal harm 2024-01-25

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-01-26

E · Potential for more than minimal harm 2024-01-25

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-01-26

E · Potential for more than minimal harm 2024-01-25

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-01-26

D · Potential for more than minimal harm 2024-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-26

E · Potential for more than minimal harm 2023-07-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-07-20

F · Potential for more than minimal harm 2022-11-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-12-14

F · Potential for more than minimal harm 2022-11-22

F921 · Environmental Deficiencies

Health

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

Corrected 2022-12-14