Cross Country Healthcare Center
1514 Indian Creek Rd, Brownwood, TX, 76801
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Hamilton County Hospital District
- Certified beds
- 94 · avg 69 residents/day
- Total nursing staff turnover
- 56.5% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $22,084 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 675017
- Certified beds
- 94 beds · avg 69 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Hamilton County Hospital District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (4 on record)
- Cassandra l Mistretta
Operational/managerial Control · since 2021
- Grady Hooper
Corporate Officer · since 2021
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
- Slp Brownwood, Llc
Operational/managerial Control · 100% · since 2021
Recent change of ownership
September 2021 (4 years ago) · acquired from Cross Country Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 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 27)
- E0728·Feb 9, 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.
- F0812·Apr 4, 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.
- D0777·Apr 4, 2025
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- J0689·Apr 4, 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.
- C0680·Apr 4, 2025
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0842·Jan 24, 2025Complaint
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·Jan 24, 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·Jan 24, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 fine · $13K
- 20241 fine · $8,824 · 1 payment denial
Most recent events
- Apr 4, 2025Fine · $13K
- Jan 25, 2024Payment denial · 2 days · starting Feb 21, 2024
- Jan 25, 2024Fine · $8,824
Largest single fine on record: $13K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Apr 4, 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Cross Country Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.