Nursing home
Harmony Care at Brookshire
710 Hwy 359 S, Brookshire, TX 77423 · Map
Government - Hospital district · Part of Harmony Care Group (6 facilities) · 130 certified beds
Harmony Care at Brookshire is a Medicare-certified nursing home in Brookshire, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.12 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 6, 2024 cited 18 deficiencies.
- 2 fines totaling $25,797In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harmony Care at Brookshire compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.12 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.06 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 18.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $25,797, 2 total penalties.
What inspectors found at Harmony Care at Brookshire
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 4, 2026 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Sep 13, 2025 · Full report (PDF) - Potential for harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 13, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for 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.
Resident Rights Deficiencies · Jul 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 14, 2025 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for 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.
Resident Rights Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for 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.
Pharmacy Service Deficiencies · Dec 6, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 6, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 710 Hwy 359 S
Brookshire, TX 77423 - CMS certification #
- 675700
- Ownership
- Government - Hospital district
- Certified beds
- 130
- Avg residents/day
- 83.7
- Provider type
- Medicare and Medicaid
- First certified
- 1997-04-10
- Chain
- Harmony Care Group (6 facilities)
- Setting
- Urban
Part of Harmony Care Group
Harmony Care Group operates 6 nursing facilities across the United States. View all Harmony Care Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harmony Care at Brookshire using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Hermann Katy Hospital, Katy. 8.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Paradigm at Katy, Katy. 7.2 miles away, straight line.
- Nearest home health agency office
- Rosary Home Health, Katy. 7.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- B & B Food (Pharmacy). 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77423 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Katy Dialysis Grand Parkway, Katy, 8.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Pin Oak Dialysis, Katy, 9.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Katy Cinco Ranch Dialysis, Katy, 11.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 51 Medicare hospices tell CMS they serve ZIP code 77423.
Jol Healthcare, office in Katy, 7.9 miles away, straight line
Fort Bend Hospice And Palliative Care LLC, office in Katy, 8.4 miles away, straight line
Blue Star Hospice, Inc., office in Katy, 12.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Ut Physicians, Cypress. 17.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Harmony Care at Brookshire a good nursing home?
CMS gives Harmony Care at Brookshire an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harmony Care at Brookshire staffed?
Harmony Care at Brookshire reports 3.12 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Harmony Care at Brookshire had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Harmony Care at Brookshire have?
Harmony Care at Brookshire is certified for 130 beds.