BRENHAM REST HOME

The information listed below provides an in-depth look into the type and quality of care offered at Brenham Rest Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BRENHAM REST HOME
406 COTTONWOOD ST
BRENHAM, TX 77833
(979) 836-3434

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

62%

Number of Residents and Certified Beds

  • Residents: 47
  • Certified Beds: 76

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Brenham Rest Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-160.9%
ADL Index Range: 6-102.2%
ADL Index Range: 0-52.5%
Total Percent:5.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.4%
ADL Index Range: 0-55.6%
Total Percent:10.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-511.9%
Total Percent:11.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1619.1%
ADL Index Range: 6-107.2%
ADL Index Range: 0-531.0%
Total Percent:57.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.9%
Total Percent:0.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- Signs of depression
4.4%
ADL Index Range: 0-1
- Signs of depression
0.9%
ADL Index Range: 0-1
- No Signs of depression
4.4%
Total Percent:9.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
4.4%
Total Percent:4.4%
 

Rating Details For Brenham Rest Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours22 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours22 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 29 Minutes2 Hours
Total Licensed Nurse Hours44 Minutes1 Hour and 31 Minutes
Total Nurse Hours2 Hours and 13 Minutes3 Hours and 32 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season89%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination74%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious4%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder25%46%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Lose Too Much Weight11%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%12%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%5%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination54%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores28%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain15%16%
Percent of Short-Stay Residents Who Have Delirium-3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/24/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Keep Sound Levels Comfortable.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011
Provide Rooms That Are Big Enough for Each Resident.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/06/2008
  • Correction Date: 01/15/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 12/17/2009
  • Correction Date: 01/22/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/24/2011
  • Correction Date: 03/24/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)05/22/2009$6,500
Civil Money Penalty (CMP)12/06/2008$9,100
Civil Money Penalty (CMP)12/06/2008$10,725
Civil Money Penalty (CMP)05/22/2009$39,550

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Brenham Rest Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Get Rid of Garbage Properly.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Provide Rooms That Are Big Enough for Each Resident.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009
1) Hire Only People Who Have 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.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/22/2009
  • Correction Date: 06/17/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 12/06/2008
  • Correction Date: 01/15/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Brenham Rest Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/30/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/01/2011
Portable Fire Extinguishers.
  • Inspection Date: 02/25/2011
  • Correction Date: 02/26/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Building Service Equipment

An Externally Vented Heating System.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
Properly Protected Cooking Facilities.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
An Externally Vented Heating System.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 12/21/2009
  • Correction Date: 03/10/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/30/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 12/04/2008
  • Correction Date: 01/15/2009
Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/21/2009
  • Correction Date: 01/22/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 02/25/2011
  • Correction Date: 04/25/2011
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011