Facility profile · CCN 065242
Brookshire Post Acute
45 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $75,713.
Record summary
Federal record · Q1 202645
Total citations
34
Last 3 years
5
Actual harm+
3
Federal penalties
$75,713
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
45 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 6, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Oct 16, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Oct 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 16, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jan 16, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Jan 16, 2025 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard |
| Jan 16, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jan 16, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 16, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jan 16, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Jan 16, 2025 | F679 | Provide activities to meet all resident's needs. | E | Standard |
| Jan 16, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jan 16, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jan 16, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jan 16, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Jan 25, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Jan 25, 2024 | F761 | Ensure 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. | E | Standard |
| Jan 25, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 25, 2024 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard |
| Jan 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 25, 2024 | F688 | Provide 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. | D | Standard |
| Jan 25, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 25, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Jan 25, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jan 25, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard |
| Jan 25, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jan 25, 2024 | F584 | Honor 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. | E | Standard |
| Jan 25, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Oct 12, 2023 | F688 | Provide 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. | G | Complaint |
| Oct 12, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Oct 12, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Oct 12, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 12, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Sep 29, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | E | Standard |
| Sep 29, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 29, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 29, 2022 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Sep 29, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 29, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Sep 29, 2022 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Sep 29, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 29, 2022 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Standard |
| Sep 29, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard |
| Sep 29, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $75,713 and 1 payment-denial actions spanning 12 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 16, 2025 | Fine | $46,638 | — |
| Oct 12, 2023 | Fine | $29,075 | — |
| Oct 12, 2023 | Payment Denial | — | Nov 10, 2023 · 12 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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