Brazos Healthcare Center

In the surveyor’s words

From the most serious findings on record at Brazos Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 25, 2021

  Based on observation, interview and record review, the facility failed to ensure residents were free from neglect for 1 of 8 residents (CR #2) were reviewed for neglect. The facility admitted CR #2 to the facility after identifying he required services of one on one supervision of two staff which they were unable to provide. The facility failed to train staff how to care for CR #2 who had diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] The facility failed to provide CR #2 with the behavior management and supervision he required which resulted in CR #2 physically assaulting Resident #1. […]

• Actual harm, isolatedF684Jun 25, 2021

  Based on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 8 residents (CR #1) reviewed for quality of care. The facility failed to monitor CR #1 by not checking his blood pressure and pulse for 8 days. CR #1 was unable to eat or drink due to dysphagia and was not provided any form of nutrition or hydration for 8 days. The facility failed to identify CR #1 had a change in condition for 2 days as the hospice agency documented CR #1 began showing signs of imminent death and facility continued to document resident was stable. […]

• No harm, potential for more than minimal, widespreadF761Jul 2, 2025

  Based on observation, interview, and record review the facility failed to ensure and provide separately locked, permanently affixed compartments for storage of controlled drugs listed in Schedule II of the Comprehensive Drug Abuse Prevention and Control Act of 1976 for 54 of 54 residents in that: Facility failed to ensure Emergency Narcotic Kit kept in the facility medication room was permanently affixed. This failure could place residents at risk for misappropriation of property, and exploitation related to drug diversion. Findings: Observation and interview with ADON on [DATE] at 10:19 am of facility's only medication room that was key locked and secured, located behind the nursing station desk of B hall/unit. […]

• No harm, potential for more than minimal, widespreadF812Jul 2, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: - The facility failed to ensure the tabletop can opener blade and base were free of grime and debris.- The facility failed to ensure that the 3-compartment sink with wash-water and sanitizing solution was not used for food preparation.- The facility failed to label, and date left over food items in the refrigerator\freezer.- The facility failed to ensure that dented can goods were stored away from undented can goods. These failures could place residents at risk for food contamination and foodborne illness. […]

• No harm, potential for more than minimal, patternF584Dec 23, 2025

  Based on observations, interviews, and record reviews, the facility failed to provide a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and support for daily living safely for 3 of 3 shower rooms (A-Hall, B-Hall, and C-Hall) reviewed for cleanliness and sanitization.The facility failed to maintain clean and organized shower rooms, maintenance leaking shower head faucet, and properly dispose of dirty briefs and used linen.These deficient practices could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life.Findings included: During an observation on 12/19/2025 at 01:12 p.m.in unlocked shower room A-Hall (across from the nurse's station) had leaking water dripping from… […]