Brush Country Nursing And Rehabilitation
6500 BRUSH COUNTRY RD., Austin, TX, 78749
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Dynasty Healthcare Group
- Certified beds
- 118 · avg 82 residents/day
- Total nursing staff turnover
- 69.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $143,157 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308248
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Bed type breakdown
- 32 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- October 4, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Dhc Opcoaustin, Llc
- Administrator
- Daniel Broadway
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Dynasty Healthcare Group chain — 5 facilities. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (5 on record)
- Michael d Heath
W-2 Managing Employee · since 2021
- Bradford l Cohen
Operational/managerial Control · since 2021
- David Mak
Corporate Officer · since 2021
- Dhc Opco-austin Llc
Operational/managerial Control · since 2021
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0761·Jan 7, 2026Complaint
Pharmacy Service Deficiencies
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.
- D0761·Nov 11, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0755·Nov 11, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K0697·Oct 4, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0583·Oct 4, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0940·Aug 21, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E0908·Aug 21, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- E0880·Aug 21, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20252 fines · $134K
- 20241 fine · $8,824 · 1 payment denial
Most recent events
- Oct 4, 2025Fine · $36K
- May 7, 2025Fine · $98K
- Feb 26, 2024Payment denial · 10 days · starting Mar 26, 2024
- Feb 26, 2024Fine · $8,824
Largest single fine on record: $98K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jun 15, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Brush Country Nursing And Rehabilitation is a 118-bed Medicare/Medicaid nursing home in Austin, operated by Dynasty Healthcare Group under a hospital district license. CMS rates it 1 star overall, with a 1-star health inspection rating. Three federal fines totaling $143,157 have been assessed, and total nursing staff turnover runs at 69.7% — well above the Texas median of 50%. Quality-of-care measures rate 4 stars, the clearest counterpoint in an otherwise difficult record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing — placing it among roughly 19% of Texas nursing homes at that tier. Each resident receives about 200 minutes of nursing care per day, approximately 41 minutes less than at a 4-star-staffing facility in Texas. RN coverage runs at 36 minutes per resident per day, just under the 37-minute threshold that separates 3-star from 4-star RN staffing in Texas.
Nursing staff turnover is severe. Roughly 7 in 10 nursing staff left in the past year — above the Texas 75th percentile of 60%, itself already a high bar. RN turnover is more acute: approximately 9 in 10 RNs left over the same period. A long-stay resident will likely cycle through multiple primary caregivers over a single year.
CMS recorded 3 fines totaling $143,157. The Texas median for facilities that receive any fine at all is $20,699; this facility's total is nearly seven times that figure. About 30% of Texas nursing homes received no fines in the same period.
Occupancy sits at roughly 69% of licensed beds — 81 residents in a 118-bed facility. When paired with the fine history and turnover figures, that vacancy level reflects conditions beyond ordinary market softness.
Quality-of-care measures rate 4 stars overall, with long-stay measures at 5 stars and short-stay measures at 3 stars. The long-stay score in particular — covering residents living here for 90 days or more — tracks documented outcomes such as pressure wounds, falls, and medication management.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing consistency on your unit
With 7 in 10 nursing staff leaving in the past year, ask which specific aides and nurses have been on this unit for six months or more.
What the three federal fines covered
Three CMS fines totaling $143,157 were assessed — ask what deficiencies triggered each fine and what corrective steps followed.
Current administrator tenure
One administrator change was recorded in the past year; ask how long the current administrator has been in place and who oversees day-to-day operations.
Why occupancy is low
The facility is running at about 69% of its 118 licensed beds — ask what is driving that vacancy and whether any beds or wings are currently closed.
How long-stay outcomes are maintained
Long-stay quality measures rate 5 stars; ask which specific practices — wound rounds, fall protocols, medication reviews — produce that result given the staffing turnover.
Resident Council activity
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how family members can raise concerns with management.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.