Brenham Nursing And Rehabilitation Center
400 E SAYLES ST, 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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Wellsential Health
- Certified beds
- 128 · avg 119 residents/day
- Total nursing staff turnover
- 51.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — 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)
- 1 fine · $8,021 total
State licensing & capacity
- License number
- 144712
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 128 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- August 23, 1999
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Regency Ihs Of Brenham Llc
- Administrator
- Nicholas Holder
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (33 on record)
- Oakbend Medical Center
Adp of The Snf · since 2025
- Regency Ihs of Brenham, Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Alencia Woodberry
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Lauren Riels
Adp of The Snf · since 2025
+ 27 additional owners on the federal record.
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 14)
- E0558·Dec 18, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0657·Jan 23, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0558·Jan 23, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0677·Nov 21, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0917·Nov 21, 2024
Environmental Deficiencies
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.
- D0880·Nov 21, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Nov 21, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0802·Nov 21, 2024
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Federal penalties
By year
- 20241 fine · $8,021
Most recent events
- Jun 6, 2024Fine · $8,021
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Nov 21, 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 Nursing And Rehabilitation Center is a 128-bed nursing home in Brenham, Texas, accepting Medicare and Medicaid. CMS rates it 2 stars overall — with a 1-star staffing rating and a 4-star quality-measures rating. Licensed under Oakbend Medical Center (a county entity) and managed by Regency IHS of Brenham LLC, the facility is operating at roughly 93% of licensed capacity.
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, shared by about 38% of Texas nursing homes. Each resident receives approximately 165 minutes of total nursing care per day, about 76 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for just 19 of those minutes, compared to 37 minutes at a 4-star-staffing facility. Residents here also tend to need more hands-on care than at a typical nursing home — less mobile or medically complex on average — so those nursing hours stretch thinner than the raw numbers already suggest.
One CMS fine of $8,021 has been issued. That figure sits well below the Texas median of $20,699 for facilities that receive fines at all; about 30% of Texas nursing homes have had no fines in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.5 hours per resident per day — lower than the already-low weekday figure; ask how many nurses and aides are on the floor during overnight and weekend shifts.
How care plans are reviewed
The quality-measures rating is 4 stars despite a 1-star staffing rating — ask how the team manages care planning and follow-through with fewer nursing hours than peer facilities.
Waitlist and admission timeline
The facility is running at roughly 93% of its 128 licensed beds; ask whether there is a current waitlist and what the typical wait time is.
Management company's role day-to-day
Oakbend Medical Center holds the license while Regency IHS of Brenham LLC manages operations — ask which entity makes staffing and care decisions and who to contact if a concern arises.
Resident Council meeting schedule
CMS records show an active Resident Council but no Family Council; ask how family members can raise concerns formally and how often the Resident Council meets.
RN coverage continuity
Registered nurse hours average just 19 minutes per resident per day; ask how many RNs are on staff, what their schedules are, and who holds clinical oversight when an RN is not on site.
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.