Brenham Nursing and Rehabilitation Center
400 E Sayles St, Brenham, TX 77833
Brenham Nursing and Rehabilitation Center is a nursing home in Brenham, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionFebruary 19, 2026 (8 months ago)
- Health citations since October 12, 202330 (Texas average 28)
- Fines in the past three years2, $21,887 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of October 8, 2026
Fine
CMS changed the fine from February 19, 2026 from $21,332 to $13,866.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on June 20, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 22, 2026.
CMS has cited this home for F0812 3 times since 2024.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on June 22, 2026.
CMS has cited this home for F0583 2 times since 2024.
Health inspection on May 27, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 29, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 29, 2026.
CMS has cited this home for F0689 2 times since 2026.
CMS update of May 27, 2026
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
Fine
CMS changed the fine from February 19, 2026 from $20,932 to $21,332.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on February 21, 2026
1 citationCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
Show the 1 citation
Citation F0603. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
CMS lists it as corrected on February 22, 2026.
Health inspection on February 19, 2026
11 citationsCMS lists this as a standard inspection.
CMS fine of $13,866 on February 19, 2026.
Show the 11 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 20, 2026.
Citation F0561. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on February 20, 2026.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on February 20, 2026.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2026.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2026.
Citation F0809. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 20, 2026.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0558 3 times since 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on February 20, 2026.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0677 2 times since 2024.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on February 20, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 20, 2026.
Fire safety inspection on February 19, 2026
14 citationsCMS lists this as a standard inspection.
Show the 14 citations
Citation E0007. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Address patient/client population and determine types of services needed.
CMS lists it as corrected on February 20, 2026.
Citation E0020. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures including evacuation.
CMS lists it as corrected on February 20, 2026.
Citation E0031. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on February 20, 2026.
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on February 20, 2026.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on February 20, 2026.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on February 20, 2026.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on February 20, 2026.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on February 20, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 20, 2026.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 20, 2026.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for K0293 2 times since 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 20, 2026.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 20, 2026.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 20, 2026.
Health inspection on December 18, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on December 22, 2025.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Health inspection on January 23, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on January 27, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 27, 2025.
Health inspection on November 21, 2024
9 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 9 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on November 29, 2024.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on November 29, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on November 29, 2024.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on November 29, 2024.
Citation F0802. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on November 29, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 29, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 29, 2024.
Citation F0917. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 29, 2024.
Citation F0640. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on November 29, 2024.
Fire safety inspection on November 21, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on March 12, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 12, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.3 to 2.9 hours per resident per day.
CMS update of August 29, 2024
Ownership
CMS lists this home under a new chain.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on June 6, 2024
1 citationCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $8,021 on June 6, 2024.
Show the 1 citation
Citation F0755. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 24, 2024.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from not rated by CMS to 5 of 5.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 5 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 1 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 5 of 5.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility.
CMS update of January 31, 2024
Health citation
CMS removed citation F0677 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0726 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0755 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0758 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0761 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0805 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0807 from the health inspection on July 7, 2022.
Health citation
CMS removed citation F0812 from the health inspection on July 7, 2022.
Health inspection on October 12, 2023
1 citationCMS lists this as a standard inspection and a complaint inspection.
Show the 1 citation
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on October 16, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (979) 836-9770
- Last standard health inspection
- February 19, 2026 (8 months ago)
- Certified beds
- 128
- Residents per day, on average
- 113.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Oakbend Medical Center
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (30 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- OAKBEND MEDICAL CENTER5% or greater direct ownership interest · 100% · since 02/28/2015
- OAKBEND MEDICAL CENTEROperational/managerial control · not applicable · since 02/28/2015
- REGENCY IHS OF BRENHAM, LLCOperational/managerial control · not applicable · since 02/28/2015
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 02/28/2015
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 02/28/2015
Show 1 more
- HOLDER, NICHOLASOperational/managerial control · not applicable · since 04/25/2017
Questions
When was Brenham Nursing and Rehabilitation Center last inspected?
CMS lists February 19, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Brenham Nursing and Rehabilitation Center have?
CMS lists 30 health citations since October 12, 2023. CMS also calls these deficiencies.
Has Brenham Nursing and Rehabilitation Center been fined?
CMS lists 2 fines in the past three years, $21,887 in total.
What is the CMS star rating of Brenham Nursing and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is Brenham Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.