ElderGrade
C

64.5/100

Average

Care Nursing & Rehabilitation

200 County Rd 616, Brownwood, TX 76802

CMS 3/5 stars #2 of 7 in Brown County (325) 646-5521
Certified beds
97
Occupancy
59%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.01 total nurse hours per resident per day (national median 3.77)
  • 0.55 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.98 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.55 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.58 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 17 citations

Last standard health inspection: March 15, 2025 (1 year ago).

E May 28, 2026 F0849 From a complaint

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

E Jan 8, 2026 F0728 From a complaint

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.

No actual harm, potential for more than minimal harm

E Mar 15, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Mar 15, 2025 F0761

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...

No actual harm, potential for more than minimal harm

D Mar 15, 2025 F0842

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.

No actual harm, potential for more than minimal harm

D Mar 15, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jan 8, 2025 F0580 From a complaint

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
WEST WHARTON COUNTY HOSPITAL DISTRICT Organization DIRECT OWNERSHIP INTEREST
BOWERS, SEAN Individual MANAGING CONTROL - GOVERNING BODY
CISNEROS, ALFRED Individual MANAGING CONTROL - GOVERNING BODY
COBB, TRAVIS Individual MANAGING CONTROL - GOVERNING BODY
COOPER, STEPHEN Individual MANAGING CONTROL - GOVERNING BODY
HARDIN, SHERRIE Individual MANAGING CONTROL - GOVERNING BODY
KERZEE, RICHARD Individual MANAGING CONTROL - GOVERNING BODY
KORENEK, PATRICIA Individual MANAGING CONTROL - GOVERNING BODY
SOECHTING, PAUL Individual MANAGING CONTROL - GOVERNING BODY
STRACK, JOE Individual MANAGING CONTROL - GOVERNING BODY
HUGGINS, LINDA Individual CORPORATE DIRECTOR
WILLIG, ZACHARY Individual CORPORATE DIRECTOR

What families say

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Common questions about Care Nursing & Rehabilitation

What is the ElderGrade for Care Nursing & Rehabilitation? +

Care Nursing & Rehabilitation holds an ElderGrade of C (64.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Care Nursing & Rehabilitation? +

Residents receive an average of 2.98 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Care Nursing & Rehabilitation been cited for harming residents? +

No. None of the 17 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Care Nursing & Rehabilitation accept Medicaid? +

Yes, Care Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.