Brookshire Residence and Rehabilitation Center

Located in Brookshire, Texas, Brookshire Residence and Rehabilitation Center is the only facility we identified in the city. Our scoring system was not favorable to this facility, as it received an overall score of F. This facility does not seem to have any redeeming qualities. More information on this nursing home's category grades may be found below. Its best category was short-term care, which is addressed in the next section.

On top of receiving a poor overall score, we also gave this place poor grades in the various categories. It received a D for its short-term care grade, which was its highest category. Our short-term care grade is typically employed to gauge a nursing home's rehabilitation services. To have quality rehabilitation services, facilities generally must provide better levels of highly skilled nursing. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. In this nursing home's case, we found that it provides less physical therapist and registered nurse hours per resident than the average facility. Finally, we considered the percentage of patients who ultimately returned home from this facility. This nursing home didn't fare well here either. In fact, we found that just 36.8 percent of this facility's residents were able to return home. This figure was well off the national average.

We gave this facility a grade of just D for our nursing rating and that actually turned out to be its second highest score. Our nursing grade considers a number of factors. The most heavily weighted one is the amount of time nurses spent with residents. This facility provided just 3.3 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. To pair with its low totals in the area of nursing hours per patient, this place also didn't perform as well in the quality-based measures we looked at in calculating our nursing grades. We looked at the percent of patients experiencing major falls and pressure ulcers. This facility had more falls and pressure ulcers than the average nursing home.

Tragically, we gave this facility an F for its long-term care score. For prospective patients in need of a permanent place to live rather than skilled nursing, long-term care grades are an important measure. After we finished assessing the amount of care provided by nurses, we then looked at the nursing home's vaccination record. We were pleased to learn that this nursing home vaccinated 100 percent of its patients for pneumonia. Finally, we looked at the nursing home's number of hospitalizations. We found that this nursing home fared much worse with 2.84 hospitalizations per 1,000 long-term resident days. Unfortunately, this figure is nearly twice the national average.

In our last category of inspections, this facility received a grade that's as bad as it gets. When a nursing home has this poor of an inspection rating, you should look for severe deficiencies on its inspection report. Severe deficiencies indicate a threat to patient safety. This facility was assessed a category G through L deficiency, which rank among the more severe deficiencies. These categories indicate that the deficiencies uncovered by CMS had potential to pose actual harm to residents. In addition to having severe deficiencies, this nursing home was cited by CMS for possible abuse or neglect. This is generally a really bad sign. We would never recommend this facility.