High Hope Care Center of Brenham

In the surveyor’s words

From the most serious findings on record at High Hope Care Center of Brenham, in the surveyor’s own words.

• Immediate jeopardy, isolatedF686Jan 10, 2025

  Based on observation, interview, and record review the facility failed to ensure residents receive care consistent with professional standards of practice, to prevent pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and once developed, failed to ensure necessary treatment and services to promote healing for one (Resident #46) of three residents reviewed for pressure ulcers. The facility failed to ensure Resident #46 who was admitted to the facility on [DATE] without a pressure ulcer to his right lateral calf did not develop a pressure ulcer. […]

• No harm, potential for more than minimal, widespreadF804Jan 10, 2025

  Based on observations, interviews, and record review, the facility failed to serve foods that were palatable and attractive and prepare food by methods that conserve nutritive value, flavor, and appearance for 1 of 1 kitchen observed. 1. The test tray of the lunch meal included foods that were bland, unappealing, and inedible. 2. The facility failed to follow the recipe of the cabbage and did not include spices or prepare the dish as the recipe was written. These failures could place residents at risk of decreased food intake, hungry, unwanted weight loss, and diminished quality of life. Findings included: Observation on 01/08/2025 at 10:21 AM reveled [NAME] L chopped heads of cabbage and boiled the chopped cabbage on the stove. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2025

  Based on observation, interview and record review, the facility failed to prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen observed for food storage, preparation, and distribution. 1. The facility failed to ensure the low-temperature dishwasher reached manufacture temperature settings for each cycle. 2. [NAME] L and Dietary Manger failed to perform hand hygiene when preparing food and performing tasks in kitchen. These failures could place residents at risk for health complications, foodborne illnesses and decreased a quality of life. Findings include: Observation on 01/07/2025 at 11:25 AM revealed [NAME] L removed gloves and threw them away. [NAME] L put on new gloves without performing hand hygiene. […]

• No harm, potential for more than minimal, patternF677Mar 26, 2026

  Based on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three of eight residents (Resident # 9, Resident #19, and Resident # 37) reviewed for ADL care.The facility failed to ensure Resident #9, Resident #19 and Resident #37's nails were cleaned on 03/24/2026.This failure could place residents at risk of not receiving services or care, diminished quality of life, and decreased self-esteem.Findings included:Resident #9Record review of Resident #9's face sheet, dated 03/26/2026, reflected an [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE] with the following diagnoses:… […]

• No harm, potential for more than minimal, patternF679Mar 26, 2026

  Based on interview and record review, the facility failed to provide an ongoing activity program to support residents in their choice of activities, both facility sponsored group and individual activities, and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 2 (Residents #9, and #37) of 6 residents reviewed for activities. The facility failed to provide activities for Resident #9, and Resident #37to meet their psycho-social and mental well-being for the months of January, February and March 2026.This failure could place residents at risks of boredom, depression, behavior, diminished quality of life and decreased cognitive function. […]