Nursing Care Index

Brenham Nursing And Rehabilitation Center

Brenham, Washington County, Texas · CCN 675799 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates Brenham Nursing And Rehabilitation Center 2 of 5 overall as of August 2026. 128 certified beds, 115 residents a day on average. 30 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $29,353.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing2.71435 hours per resident per day
Registered nurses0.30319 hours per resident per day
Weekend total2.42963 hours per resident per day
Nursing staff turnover44.3% (registered nurses 25%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-20
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-22
2026-06-20
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-22
2026-05-27
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-29
2026-05-27
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-29
2026-02-21
complaint survey
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-02-22
2026-02-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-02-20
2026-02-19 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-02-19 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-02-19 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-02-19 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.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-02-19 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.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-02-20
2026-02-19 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-20
2026-02-19 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-20
2026-02-19 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-20
2026-02-19 Provide appropriate foot care.
Quality of Life and Care Deficiencies · tag F0687
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-20
2026-02-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-20
2025-12-18
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-12-22
2025-01-23
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-27
2025-01-23
complaint survey
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-27
2024-11-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · tag F0802
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-11-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-29
2024-11-21 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.
Environmental Deficiencies · tag F0917
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-29
2024-11-21 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-11-29
2024-06-06
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
K Immediate jeopardy to resident health or safety; pattern Past Non-Compliance
2024-05-24
2023-10-12
complaint survey
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · tag F0676
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-16

Fines and payment denials

DatePenaltyAmount
2026-02-19Fine$21,332
2024-06-06Fine$8,021

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Oakbend Medical Center
Organization
5% or greater direct ownership interest100%2015-02-28
400 East Sayles Street LLC
Organization
adp of the snf2015-02-28
Csv Rhea Management Holdco, LLC
Organization
adp of the snf2015-02-28
Dwd Tx Holdings LLC
Organization
adp of the snf2015-02-28
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
adp of the snf2015-02-28
Oakbend Medical Center
Organization
adp of the snf2025-05-20
Reg Leased Opco LLC
Organization
adp of the snf2015-02-28
Reg Operator Holdco LLC
Organization
adp of the snf2015-02-28
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2015-02-28
Regency Ihs Of Brenham, LLC
Organization
adp of the snf2025-05-20
Regency Ihs Rehab LLC
Organization
adp of the snf2015-02-28
Regency Integrated Health Services LLC
Organization
adp of the snf2025-05-20
Regency Texas Holdings LLC
Organization
adp of the snf2015-02-28
Oakbend Medical Center
Organization
operational/managerial control2015-02-28
Regency Ihs Of Brenham, LLC
Organization
operational/managerial control2015-02-28
Regency Integrated Health Services LLC
Organization
operational/managerial control2015-02-28
Dekowski, Donovan
Individual
adp of the snf2015-02-28
Holder, Nicholas
Individual
adp of the snf2017-04-25
Obakpolor, Osahon
Individual
adp of the snf2025-01-01
Riels, Lauren
Individual
adp of the snf2025-01-01
Woodberry, Alencia
Individual
adp of the snf2025-01-01
Freudenberger, Joseph
Individual
corporate officer2007-06-19
Baird, Daniel
Individual
managing control - governing body2021-04-13
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Crayton, Tom
Individual
managing control - governing body2013-01-15
Dorman, John
Individual
managing control - governing body2022-01-18
Freudenberger, Joseph
Individual
managing control - governing body2007-06-19
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Haley, Jeff
Individual
managing control - governing body2016-07-15
Hughes, Ruston
Individual
managing control - governing body2024-01-01
King, Abby
Individual
managing control - governing body2018-01-23
King, Elizabeth
Individual
managing control - governing body2023-01-17
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Pisani, Adam
Individual
managing control - governing body2019-01-15
Popatia, Amirali
Individual
managing control - governing body2020-03-17
Stuart, Julius
Individual
managing control - governing body2023-01-16
Uthman, Edward
Individual
managing control - governing body2008-01-15
Dekowski, Donovan
Individual
operational/managerial control2015-02-28
Holder, Nicholas
Individual
operational/managerial control2017-04-25

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Washington County.