All states › Texas › Brookshire › Harmony Care at Brookshire
710 Hwy 359 S Brookshire, TX 77423 · Waller County
CMS certification number 675700 · See this home on Medicare Care Compare
Is Harmony Care at Brookshire a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harmony Care at Brookshire as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.50 hours per resident per day at Harmony Care at Brookshire, above the Texas median of 3.30 (US median: 3.72). About 0.65 of those hours are from registered nurses. On weekends it falls to 3.15 hours, 10% below its all-week average. 70.3% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Harmony Care at Brookshire: Medicare and Medicaid
Harmony Care at Brookshire is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 12, 2026 and found 10 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 47 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 47 citations at Harmony Care at Brookshire across 13 inspection dates, 25 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 14, 2025 (complaint inspection). The most common areas cited were quality of life and care (12) and resident rights (8). The most serious was cited under the CMS rule to "provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist" (tag F0755, level J, February 14, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 18, 2026 · 2 citations · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
March 4, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
February 12, 2026 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EKeep residents' personal and medical records private and confidential.
EProvide activities to meet all resident's needs.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
September 13, 2025 · 2 citations · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
July 18, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
July 10, 2025 · 1 citation · includes complaint inspection
DRespond appropriately to all alleged violations.
February 14, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
December 6, 2024 · 14 citations, includes actual harm · includes complaint inspection
GProvide safe, appropriate pain management for a resident who requires such services.
FHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
DRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
July 10, 2024 · 1 citation · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 30, 2024 · 3 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
January 18, 2024 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 30, 2023 · 2 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
November 3, 2023 · 6 citations · includes complaint inspection
FDispose of garbage and refuse properly.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Harmony Care at Brookshire
- Inspectors cited the home at the immediate-jeopardy level on February 14, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 13, 2025. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 70.3% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $25,797 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 14, 2025 | Fine | $15,570 |
| Dec 6, 2024 | Fine | $10,227 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
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Location
Hospitals near Harmony Care at Brookshire
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.9 mi
Memorial Hermann Katy Hospital KatyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 11m for patients treated and sent home
- 12.1 mi
- 12.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Harmony Care at Brookshire › All nursing homes in Brookshire ›
Compare Harmony Care at Brookshire with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Sterling Oaks Rehabilitation · Katy · 5 stars · 9.2 mi
- Heritage Park of Katy Nursing and Rehabilitation · Katy · 4 stars · 7.5 mi
- Ignite Medical Resort Katy · Katy · 4 stars · 9.5 mi
Other Harmony Care Group nursing homes in Texas
- Harmony Care at Stamford · Stamford · 3 stars
- Harmony Care at Floresville · Floresville · 2 stars
- Harmony Care at Giddings · Giddings · 1 stars
- Harmony Care at Golfcrest · Houston · 1 stars
- Harmony Care at Beaumont · Beaumont · not rated
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Harmony Care Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.