HARMONY CARE AT BROOKSHIRE – BROOKSHIRE, TX

CMS Verified | 2026-03-01

Harmony Care At Brookshire

710 HWY 359 S, Brookshire, TX 77423
(281) 375-5272
130 beds
All Brookshire facilities
1.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
66.37
Score /100
#9824
National Rank

#9824
of 14703 facilities
National
33.2% position
#754
of 1177 in TX
State Rank
#1
of 1 in Waller
County Rank
#1
of 1 in Brookshire
City Rank
#1
of 1 in ZIP 77423
ZIP Rank






About Harmony Care At BrookshireHarmony Care At Brookshire is located at 710 Hwy 359 S, Brookshire, TX, reachable at (281) 375-5272. This Government – Hospital district facility operates 130.0 certified beds and serves an average of 83 residents per day. It is part of the Harmony Care Group network (6 facilities nationwide). Medicare and Medicaid services have been provided since 1997-04-10. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Harmony Care At Brookshire

Address

710 Hwy 359 S, Brookshire, TX 77423

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 130 Certified Beds
  • Ownership: Government – Hospital district
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: HARMONY CARE GROUP

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 10 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
66.37
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#9824 of 14703 nationally – #754 of 1177 in Texas

Who Is This Facility Best For?

Harmony Care At Brookshire may be considered for families with limited options in Brookshire, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHarmony Care At Brookshire currently provides 3 hours 7 minutes of total nurse staffing per resident per day, including 26 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 7 minutes
Nurse Aide Hours2 hours 4 minutes
Licensed Practical Nurse (LPN) Hours38 minutes
Registered Nurse (RN) Hours26 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 56 minutes
Weekend Registered Nurse (RN) Hours28 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $25,797. 43 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $25797.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 144.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#9,824
of 14,703
National
Bottom 33%
#754
TX State
Bottom 36% in TX
#1
of 1
️ Waller County
Best in county
#1
of 1
️ Brookshire
Best in city
#1
of 1
ZIP 77423
Best in ZIP

Nationally, Harmony Care At Brookshire ranks 9824th out of 14,703 facilities (composite score: 66.4/100), placing it in the below average nationwide. Within TX, it ranks 754th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #12,562 nationally and RN hours rank #10,281 nationally (#426 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.62 #6,894 / 14,703 #279 / 1,177 Above average
2023 #14,162 / 14,703 #1,119 / 1,177 ⚠️ Bottom 5%
2024 3.69 #6,459 / 14,703 #188 / 1,177 Above average
2025 #14,282 / 14,703 #1,146 / 1,177 ⚠️ Bottom 5%
2026 3.12 #12,562 / 14,703 #776 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.28 #12,689 / 14,703 #735 / 1,177 ⚠️ Bottom 25%
2023 #14,162 / 14,703 #1,119 / 1,177 ⚠️ Bottom 5%
2024 0.38 #10,826 / 14,703 #426 / 1,177 Below average
2025 #14,282 / 14,703 #1,146 / 1,177 ⚠️ Bottom 5%
2026 0.43 #10,281 / 14,703 #426 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Harmony Care At Brookshire is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-04-10. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (281) 375-5272 or your local Medicaid office to verify current eligibility.

Harmony Care At Brookshire holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.4/100, placing it #9824 of 14703 facilities nationally and #754 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Harmony Care At Brookshire receives a reported average of 3 hours 7 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 26 minutes; Licensed Practical Nurse (LPN) — 38 minutes; Nurse Aide — 2 hours 4 minutes. On weekends, total nurse staffing is 2 hours 56 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $25,797. 43 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $25,797, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 144.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Harmony Care At Brookshire ranks 9824th out of 14,703 facilities (composite score: 66.4/100), placing it in the below average nationwide. Within TX, it ranks 754th out of 1,177 nursing homes. For 2026 staffing: total nurse hours rank #12,562 nationally and RN hours rank #10,281 nationally (#426 in TX). Our composite quality score of 66.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Brookshire, visit: https://nursinghomesnearme.org/texas/brookshire/

Contact and Location

ADR
Address

710 HWY 359 S, Brookshire, TX 77423
Get directions on Google Maps

TEL
LLC
Legal Name

FRIO HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Waller County ·
Brookshire ·
ZIP 77423

Facility Details

Number of Certified Beds 130
Average Residents / Day 83 (64% occupancy)
Ownership Type Government – Hospital district
Provider Type Medicare and Medicaid
County Waller County, TX
City Brookshire, TX
ZIP Code 77423
Approved Since April 10, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675700
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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