Brenham Healthcare Center
1303 HIGHWAY 290 E., Brenham, TX, 77833
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 62 · avg 46 residents/day
- Total nursing staff turnover
- 100% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $164,885 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312649
- Service type
- Medicare/medicaid
- Licensed capacity
- 62 beds
- Bed type breakdown
- 6 Medicare-only · 56 Medicaid/Medicare
- Current license effective
- August 31, 2025
- Current license expires
- August 31, 2026
- Initial license date
- March 11, 2014
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Brenham Healthcare Center, Llc (Limited Liability Company (LLC))
- Administrator
- Carlene Truitt Ross
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- Lillian Hayden
W-2 Managing Employee · 100% · since 2020
- Mark s Mckenzie
Operational/managerial Control · 100% · since 2019
- Dena Mcgregor
Corporate Director · 20% · since 2016
- Grady Hooper
Corporate Officer · 100% · since 2015
- Robert Witzsche
Corporate Director · 20% · since 1998
- Neil Muxworthy
Corporate Officer · 20% · since 1996
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 44)
- J0689·Jan 20, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0627·Jan 20, 2026Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0812·Dec 5, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0677·Dec 5, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0641·Dec 5, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0558·Dec 5, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- J0678·Nov 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- J0610·Aug 19, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal penalties
By year
- 20261 fine · $26K
- 20253 fines · $89K · 1 payment denial
- 20242 fines · $40K
- 20231 fine · $11K
Most recent events
- Jan 20, 2026Fine · $26K
- Nov 17, 2025Fine · $22K
- Aug 19, 2025Fine · $26K
- Jan 27, 2025Payment denial · 1 day · starting Mar 6, 2025
- Jan 27, 2025Fine · $41K
- Mar 1, 2024Fine · $36K
Largest single fine on record: $41K.
Fire-safety citations
12 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Aug 29, 2024. 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
Brenham Healthcare Center is a 62-bed nursing home in Brenham, Texas, licensed to Brenham Healthcare Center, LLC, accepting Medicare and Medicaid. CMS rates it 1 star overall, with a 1-star health inspection rating and a substantiated abuse or neglect finding within the past 36 months. CMS has also flagged it as a Special Focus candidate, signaling a pattern of serious deficiencies. Seven fines totaling $164,885 have been issued. The quality-of-care rating is 4 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, a category shared by roughly 38% of Texas nursing homes. Each resident receives about 144 minutes of nursing care per day, which is 97 minutes below what residents at a 4-star-staffing facility in Texas receive. That gap is sharpened by the fact that residents here need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 144 minutes stretch thinner than the number alone suggests. Registered nurses account for only 25 of those minutes.
Every nursing staff member who worked here left within the past year — a 100% annual turnover rate. RN turnover ran at 87.5%, or roughly 9 in 10 registered nurses. A long-stay resident will cycle through nearly every caregiver over the course of a year. Texas nursing homes at the 75th percentile of turnover see 60% — this facility is well above that ceiling.
Seven CMS fines totaling $164,885 have been issued. The state median for fined facilities in Texas is about $20,699; this total is roughly eight times that figure. About 30% of Texas nursing homes have received no fines at all.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. CMS has also flagged this as a Special Focus candidate — a step below outright Special Focus Facility designation, reflecting a documented pattern of serious deficiencies across inspections.
Despite the above, CMS rates the facility 4 stars on long-stay quality measures — the outcomes it tracks for residents who live here long-term, such as rates of pressure injuries, falls, and pain management. That rating sits in the top half of Texas nursing homes on those metrics.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse or neglect findings
CMS records a substantiated abuse or neglect finding here within the past 36 months — ask what happened, what changed, and how staff are trained and monitored today.
Special Focus candidate designation
CMS has flagged this facility as a Special Focus candidate based on a pattern of serious deficiencies — ask what the corrective action plan looks like and who is overseeing it.
Complete nursing staff turnover
Every nursing staff member left in the past year; ask how the facility recruits and retains caregivers, and how many current staff have been here more than six months.
Staffing levels on weekends
CMS data shows weekend nursing hours average 1.835 minutes per resident — below the already-low weekday average — so ask how many nurses and aides are on shift Saturday and Sunday.
Seven fines totaling $164,885
Ask which deficiencies generated the seven fines and whether the underlying issues have been resolved or are still under a compliance plan.
Strong quality measures amid poor staffing
Long-stay quality outcomes rate 4 stars while staffing rates 1 star — ask how the facility achieves those outcome scores and which specific measures drive the rating.
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.