Harmony Care At Brookshire
710 HWY 359 S, Brookshire, TX, 77423
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
- Government - Hospital district · Chain: Harmony Care Group
- Certified beds
- 130 · avg 84 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $25,797 total
State licensing & capacity
- License number
- 312272
- Service type
- Medicare/medicaid
- Licensed capacity
- 130 beds
- Bed type breakdown
- 26 Medicare-only · 104 Medicaid/Medicare
- Current license effective
- December 25, 2024
- Current license expires
- December 25, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Brookshire Operating Bh Llc
- Administrator
- Matthew L Lloyd
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Harmony Care Group chain — 6 facilities. Chain-wide average overall rating 1.8 / 5.
Disclosed owners (11 on record)
- Brookshire Operating Bh, Llc
Adp of The Snf · since 2025
- Chaim Weiss
Adp of The Snf · since 2025
- Elite hc Holdings Llc
Operational/managerial Control · since 2025
- Elite hc Investors Llc
Adp of The Snf · since 2025
- Hershel Bodansky
Operational/managerial Control · since 2025
- Brookshire Holdings Bh, Llc
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Recent change of ownership
December 2024 (1 year ago) · acquired from Harmony Care at Brookshire
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 38)
- E0943·Sep 13, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- F0835·Sep 13, 2025Complaint
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- D0925·Jul 18, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0584·Jul 18, 2025Complaint
Resident Rights Deficiencies
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.
- J0755·Feb 14, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0761·Dec 6, 2024Complaint
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.
- G0697·Dec 6, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- F0584·Dec 6, 2024Complaint
Resident Rights Deficiencies
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.
Federal penalties
By year
- 20251 fine · $16K
- 20241 fine · $10K
Most recent events
- Feb 14, 2025Fine · $16K
- Dec 6, 2024Fine · $10K
Largest single fine on record: $16K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Dec 6, 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
Harmony Care At Brookshire is a 130-bed nursing home in Brookshire, Waller County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and a 2-star health inspection rating. Quality-of-care measures score 4 stars for long-stay residents. The facility is operating at roughly 64% of licensed capacity and is managed by Brookshire Operating Bh Llc under a hospital district license.
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 bottom tier among Texas nursing homes, a group that accounts for about 38% of facilities in the state. Each resident receives roughly 187 minutes of total nursing care per day, about 54 minutes less than at a 4-star-staffing facility in Texas. Of that, only 26 minutes involve a registered nurse, compared to 37 minutes at a 4-star-staffing Texas facility.
CMS issued 2 fines totaling $25,797 against this facility. The state median fine total across Texas nursing homes that receive any fine is about $20,699, and roughly 30% of Texas facilities have no fines at all.
The facility is running at about 64% of its 130 licensed beds — 83 to 84 residents on an average day. That figure sits alongside the 1-star overall and staffing ratings.
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 run lower than weekday hours — ask how many nurses and aides are on the floor on a Saturday night and how that compares to a typical Monday.
What the two fines covered
CMS recorded two fines totaling $25,797 since the last inspection cycle — ask what deficiencies triggered each fine and what corrective steps were taken.
Why occupancy sits at 64%
The facility averages about 84 residents against 130 licensed beds — ask whether that reflects a recent drop, a discharge pattern, or a longer-term trend.
Registered nurse coverage per shift
Reported RN hours work out to about 26 minutes per resident per day — ask which shifts have a licensed RN physically present in the building.
How the Resident Council works
The facility has a Resident Council but no Family Council — ask how often it meets, who facilitates it, and how families can raise concerns in its absence.
Management company's role day to day
The facility is licensed to Frio Hospital District but operated by Brookshire Operating Bh Llc — ask which entity makes staffing and care decisions and who to contact with complaints.
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.