Livingston, TX

The Bradford At Brookside

4-star overall rating with 4-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

301 West Park Drive, Livingston, TX

(936) 328-5021

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cantex Continuing Care

Operator or chain grouping

Approved since

1995-10-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 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

0.37

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.50

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,187

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

Performance score

24.54

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.99

Baseline 18.96% · Performance 20.97% · Measure score 0.99 · Achievement 0.99 · Improvement 0

Healthcare-associated infections

Baseline 8.06% · Performance 8.02% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.25

Baseline 100.00% · Performance 41.79% · Measure score 7.25 · Achievement 5.36 · Improvement 7.25

Adjusted total nurse staffing

1.58

Baseline 3.61 hours · Performance 3.53 hours · Measure score 1.58 · Achievement 1.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.28%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 109 · Observed rate 16.51% · Lower 95% interval 8.98%
Discharge to community	49.09%	50.57% 1.5 pts worse	No Different than the National Rate · Eligible stays 83 · Observed rate 44.58% · Lower 95% interval 39.22%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	98.92%	95.27% 3.7 pts better	Numerator 92 · Denominator 93
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 93
Discharge self-care score	57.81%	53.69% 4.1 pts better	Numerator 37 · Denominator 64
Discharge mobility score	45.31%	50.94% 5.6 pts worse	Numerator 29 · Denominator 64
Pressure ulcers or injuries, new or worsened	1.08%	2.29% 1.2 pts better	Numerator 1 · Denominator 93 · Adjusted rate 1.08%
Healthcare-associated infections requiring hospitalization	8.02%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 63 · Observed rate 11.11% · Lower 95% interval 4.61%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 117
Staff flu vaccination coverage	8.05%	42% 34 pts worse	Numerator 14 · Denominator 174
Discharge function score	43.75%	56.45% 12.7 pts worse	Numerator 28 · Denominator 64
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 23 · Denominator 23
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 45 · Denominator 45
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.1	2.1 2 pts worse	1.8 2.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 3.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	3.3% 2.6 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 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 who lose too much weight	0.9%	3.3% 2.4 pts better	5.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.9% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.6%	18.9% 6.7 pts worse	19.6% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 24.6% · Q3 27.3% · Q4 22.6% · 4Q avg 25.6%
Percentage of long-stay residents who received an antipsychotic medication	16.9%	10.8% 6.1 pts worse	16.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 22.0% · Q3 10.3% · Q4 15.8% · 4Q avg 16.9% · 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	13.2%	15.4% 2.2 pts better	16.3% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.7%	16.1% 1.4 pts better	14.9% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 13.7% · Q4 43.2% · 4Q avg 14.7% · 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	0.4%	0.8% 0.4 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.1%	15.0% 9.1 pts worse	19.8% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 16.3% · Q3 15.4% · Q4 34.4% · 4Q avg 24.1%
Percentage of long-stay residents with pressure ulcers	6.7%	4.2% 2.5 pts worse	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 7.2% · Q3 6.9% · Q4 3.3% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	22.3%	12.0% 10.3 pts worse	12.0% 10.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 22.7% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 1.1% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.5%	25.9% 3.4 pts better	23.9% 1.4 pts better	Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 21.2% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-27 · Fire 2025-08-27

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-07-24 · Fire 2024-07-24

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-14 · Fire 2023-06-14

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-08-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-27

E · Potential for more than minimal harm 2024-07-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-07-24

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-09-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-27

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-08-27

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-08-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-08-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-08-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-19

D · Potential for more than minimal harm 2025-08-27

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-08-27

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 2025-08-28

D · Potential for more than minimal harm 2025-08-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-05-21

F557 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-05-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-05-21

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-03-28

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-03-29

D · Potential for more than minimal harm 2024-07-24

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-08-31

D · Potential for more than minimal harm 2024-07-24

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-31

D · Potential for more than minimal harm 2024-07-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-31

D · Potential for more than minimal harm 2024-07-24

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 2024-08-31

D · Potential for more than minimal harm 2024-07-24

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-08-31

E · Potential for more than minimal harm 2023-06-14

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-14

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-14