Care Nursing & Rehabilitation
200 COUNTY ROAD 616, Brownwood, TX, 76802-3294
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: Creative Solutions In Healthcare
- Certified beds
- 97 · avg 55 residents/day
- Total nursing staff turnover
- 35.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308727
- Service type
- Medicare/medicaid
- Licensed capacity
- 97 beds
- Bed type breakdown
- 5 Medicare-only · 92 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- May 30, 1986
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Brownwood Iii Enterprises, Llc
- Administrator
- Karen Holmes
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- Brownwood Iii Enterprises Llc
Adp of The Snf · since 2025
- Holly Pennington
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
- Sean Bowers
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Care Nursing & Rehabilitation
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
Recent health-deficiency citations (most recent 8 of 15)
- E0728·Jan 8, 2026Complaint
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- D0880·Mar 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Mar 15, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0761·Mar 15, 2025
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.
- E0689·Mar 15, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0580·Jan 8, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0880·Jan 18, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Jan 18, 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.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Mar 15, 2025. 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
Care Nursing & Rehabilitation is a 97-bed Medicare/Medicaid nursing home in Brownwood, TX, operated under the Creative Solutions In Healthcare chain. CMS rates it 4 stars overall, with a 4-star health inspection score. Staffing comes in at 3 stars, and outcome measures rate 3 stars for long-stay residents and 2 stars for short-stay. The facility is running at roughly 56% 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 3 stars. Each resident receives about 191 minutes of nursing care per day — roughly 50 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 191 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year. That figure sits below the Texas 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state.
One administrator has turned over in the past year. That is one change, not a revolving door, but leadership transitions affect care coordination and staffing consistency.
The facility is filling about 56 of its 97 licensed beds — roughly 56% occupancy. That figure is below what a financially stable nursing home typically runs.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Reported weekend nursing hours drop to 2.77 per resident per day versus 3.18 on weekdays — ask how many nurses and aides are scheduled on a Saturday night shift.
Residents' care needs and staffing levels
CMS data shows residents here require more hands-on care than average, while staffing rates 3 stars — ask how the facility adjusts staff assignments when a resident's needs increase.
New administrator's background
One administrator has turned over in the past year; ask how long the current administrator has been in the role and what their prior experience in nursing-home leadership is.
Why occupancy is low
The facility is operating at about 56% of its licensed beds — ask whether that reflects a recent trend, a local referral change, or something else affecting admissions.
Short-stay outcomes in detail
CMS rates short-stay quality measures at 2 stars — ask which specific measures drove that score and what the facility has changed in response.
Family involvement without a Family Council
The facility has a Resident Council but no Family Council — ask how family members raise concerns or get updates outside of individual care conferences.
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.