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Brenham Rest Home

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About Brenham Rest Home

General Information

Legal Business NameBrenham Health Care Ltd
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 18, 1997 (19 years)
Capacity76
Residents37
Percent Occupied49%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brenham Rest Home

Brenham Rest Home
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 30, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
BSomePotential for Minimal HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

July 29, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmFire Safety InspectionProperly working alarms on sprinkler valves.
CManyPotential for Minimal HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CManyPotential for Minimal HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

December 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
KSomeImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
KSomeImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

November 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
KSomeImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
KSomeImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

October 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
KSomeImmediate JeopardyComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
KSomeImmediate JeopardyComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
KSomeImmediate JeopardyComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

July 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
FManyPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
BSomePotential for Minimal HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brenham Rest Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 40min
2hr 20min
ReportedExpected
CNA
25min
40min
ReportedExpected
LPN
30min
1hr 5min
ReportedExpected
RN
2hr 35min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
95.6%
95.6%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
87.9%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
46.9%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
27.0%
22.9%
19.4%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
33.3%
-
-
19.6%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
8.8%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
-
-
-
6.6%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
0.0%
2.8%
0.0%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
5.3%
10.8%
2.6%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
2.2%
0.0%
0.0%
3.3%
Q1 2015Q2 2015Q3 2015TX
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015TX
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
71.4%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
71.1%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
16.5%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.0%
Q1 2015Q2 2015Q3 2015TX
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened