Care Nursing & Rehabilitation
200 County Road 616, Brownwood, TX 76802
Care Nursing & Rehabilitation is a nursing home in Brownwood, 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 rating4 of 5
- Last standard health inspectionMarch 15, 2025 (1 year ago)
- Health citations since November 30, 202216 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
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 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on May 28, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0849. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS lists it as corrected on May 29, 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 May 29, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of March 25, 2026
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.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on January 8, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0728. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
CMS lists it as corrected on January 8, 2026.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
Health inspection on March 15, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
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 March 16, 2025.
CMS has cited this home for F0689 3 times since 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
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 March 16, 2025.
CMS has cited this home for F0761 2 times since 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on March 16, 2025.
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 March 16, 2025.
CMS has cited this home for F0880 2 times since 2024.
Fire safety inspection on March 15, 2025
10 citationsCMS lists this as a standard inspection.
Show the 10 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 27, 2025.
Citation E0041. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on April 27, 2025.
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 April 27, 2025.
Citation K0343. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
CMS lists it as corrected on April 27, 2025.
Citation K0351. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 27, 2025.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on April 27, 2025.
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 April 27, 2025.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
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 April 27, 2025.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 27, 2025.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on April 27, 2025.
Health inspection on January 8, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on January 9, 2025.
CMS update of October 30, 2024
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 April 25, 2024
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 18, 2024
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0755. Severity E: potential for more than minimal harm, 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 January 23, 2024.
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 January 23, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 18, 2024.
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 January 23, 2024.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS lists it as corrected on January 23, 2024.
Health inspection on November 30, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 1, 2022.
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 December 1, 2022.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS lists it as corrected on December 1, 2022.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (325) 646-5521
- Last standard health inspection
- March 15, 2025 (1 year ago)
- Certified beds
- 97
- Residents per day, on average
- 57.3
- Ownership type
- For profit - Corporation
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (16 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WEST WHARTON COUNTY HOSPITAL DISTRICTDirect ownership interest · not applicable · since 09/01/2020
- BROWNWOOD III ENTERPRISES LLCOperational/managerial control · not applicable · since 09/01/2020
- BLAKE, GARYOperational/managerial control · not applicable · since 09/01/2020
- BLAKE, MALISAOperational/managerial control · not applicable · since 09/01/2020
Questions
When was Care Nursing & Rehabilitation last inspected?
CMS lists March 15, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Care Nursing & Rehabilitation have?
CMS lists 16 health citations since November 30, 2022. CMS also calls these deficiencies.
Has Care Nursing & Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Care Nursing & Rehabilitation?
Its CMS overall star rating is 4 of 5.
Is Care Nursing & Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.