Brenham Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Brenham Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF603Feb 21, 2026

  Based on observation, interview, and record review the facility failed to protect the resident's right to be free from involuntary seclusion for 1 of 5 residents (Resident #1) reviewed for involuntary seclusion.The facility failed to ensure Resident #1 was not secluded when Resident #1 was placed in a vacant bathroom that was 60 degree Fahrenheit for approximately 5 hours. CNA A and LVN B knew Resident #1 was in the bathroom when the Surveyor found Resident #1 alone and cold. These failures resulted in an Immediate Jeopardy (IJ) situation on 02/21/2026. The IJ template was provided to the facility on [DATE] at 5:20 AM. […]

• Immediate jeopardy, patternF755Jun 6, 2024

  Based on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 4 residents (Resident #1) reviewed for pharmaceutical services. The facility failed to provide antibiotic medication to Resident #1 from 05/17/24 through 05/21/24. On 05/21/24, the facility sent Resident #1 to the ER by EMS. On 05/22/24, Resident #1 was admitted to the hospital for higher level of care. The noncompliance was identified as PNC. The IJ began on 05/21/24 and ended 05/24/24. The facility had corrected the noncompliance before the survey began. […]

• Actual harm, isolatedF689Dec 8, 2022

  Based on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #24) of 10 residents reviewed for accidents and hazards. The facility failed to ensure Resident #24 was supported when sitting on the edge of her bed on 11/26/2022 and Resident #24 fell and suffered a laceration to her head that required eight sutures. This failure could place residents at risk for injury and decreased quality of life. […]

• No harm, potential for more than minimal, widespreadF812Feb 19, 2026

  Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.The facility failed to properly store, label, and date all food items located in the facility's walk-in refrigerator, freezer and in the dry food pantry area on 02/17/2026, 02/18/2026 and 02/19/2026 . The facility failed to properly seal food product bags in the walk-in refrigerator to prevent exposure to air on 02/17/2026. The facility failed to properly seal food product containers in the dry food area on 02/18/2026.The facility failed to discard outdated food items located in the dry food pantry area on 02/18/2026 and 02/19/2026 . […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's kitchen, nourishment room and resident ice machine. -The facility failed to clean and sanitize the resident nourishment room ice machine which resulted in the ice machine having a pink bacterial mold present in the ice bin. -The facility failed to clean the walk-in cooler and freezer which resulted in food and other trash being present on the floor. -The facility failed to store thawed raw bacon and sausage below cooked foods in the walk-in cooler. -The facility failed to fix a water leak in the walk-in cooler refrigerator which resulted in standing water in the walk-in refrigerator. […]