All citations for Brookshire Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Brookshire Post Acute

Last standard health inspection on record

January 16, 2025

Showing 1 to 25 of 46 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2025).

  2. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2022).

  3. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  4. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  5. Harm to a resident

    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.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of October 12, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 22, 2023).

  6. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of October 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2025).

  7. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  8. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  9. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2022).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2025).

  11. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  12. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 12, 2025).

  13. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0940, Administration Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  14. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

  15. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

  16. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

  17. No harm, with potential for more than minimal harm

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Pattern (more than a few residents). CMS level E.

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2022).

  18. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2022).

  19. No harm, with potential for more than minimal harm

    Ensure staff are vaccinated for COVID-19

    Pattern (more than a few residents). CMS level E.

    Health citation F-0888, Infection Control Deficiencies. Inspection of September 29, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2022).

  20. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  21. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  22. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  23. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of January 16, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

  25. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of January 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.