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Brazos Healthcare Center

413 Garland Dr, Lake Jackson, TX 77566
9792973266
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 2.1/5

4.0/5

Quality Measures

vs State Average: 3.8/5

0 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Dec 23, 2025 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
Dec 23, 2025 Provide and implement an infection prevention and control program. E
Dec 23, 2025 Provide enough food/fluids to maintain a resident's health. E
Nov 26, 2025 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D
Jul 2, 2025 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D
Score
3.0
State Average
2.1
National Average
2.9
0.5 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
4.0
State Average
3.8
National Average
3.6
4.0 Long-Stay QM Rating
Short-Stay QM Rating
51.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL NEXION HEALTH AT BRAZOS INC
OPERATIONAL/MANAGERIAL CONTROL KIRLEY, FRANCIS
CORPORATE DIRECTOR FOSTER, PATTI
CORPORATE DIRECTOR NICHOLS, MASON
CORPORATE DIRECTOR SWIFT, SCOTT
CORPORATE DIRECTOR WEEKS, VIOLET
CORPORATE OFFICER PARK, KELLY
W-2 MANAGING EMPLOYEE KIRLEY, FRANCIS
Recent Penalties

No penalty records found.

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