Brazos Healthcare Center

Name: Brazos Healthcare Center
Address: 413 Garland Dr, Lake Jackson, TX, 77566, US
Telephone: 9792973266

413 Garland Dr, Lake Jackson, TX 77566 · Brazoria County · 120 certified beds · avg 51 residents/day · certified since May 6, 1983

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.36

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 23, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Dec 23, 2025	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Dec 23, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 26, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Jul 2, 2025	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 2, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 2, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jul 2, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 30, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
May 28, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
May 28, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 28, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 6, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 6, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Worst severity that year
2023	2	D
2024	4	E
2025	8	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.36	3.46	3.95	top 9% in Texas; top 27% in the U.S.
Registered Nurse hours	0.31	0.44	0.69	bottom 30% in Texas; bottom 10% in the U.S.
Weekend total nurse staffing	3.79	3.04	3.50	top 10% in Texas; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.34	0.48	bottom 47% in Texas; bottom 28% in the U.S.
Total nursing staff turnover (%)	54.8	55.3	45.8	bottom 44% in Texas; bottom 25% in the U.S.
RN turnover (%)	66.7	54.6	42.9	bottom 34% in Texas; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.95, RN 0.28, weekend 3.43. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Foster, Patti	Individual	Corporate Director	NOT APPLICABLE	05/27/2014
Kirley, Francis	Individual	W-2 Managing Employee	NOT APPLICABLE	03/31/2023
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2023
Nexion Health at Brazos INC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/31/2023
Nichols, Mason	Individual	Corporate Director	NOT APPLICABLE	05/27/2014
Park, Kelly	Individual	Corporate Officer	NOT APPLICABLE	08/01/2019
Swift, Scott	Individual	Corporate Director	NOT APPLICABLE	05/26/2015
Weeks, Violet	Individual	Corporate Director	NOT APPLICABLE	09/24/2013

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Woodlake Nursing Center	1.7 mi	Clute, TX	★★★☆☆	3/5
Creekside Village	2.1 mi	Richwood, TX	★★★★☆	5/5
Oak Village Healthcare	2.2 mi	Lake Jackson, TX	★★★★☆	4/5
Country Village Care	10.4 mi	Angleton, TX	★☆☆☆☆	1/5
Cypress Woods Care Center	10.7 mi	Angleton, TX	★★★☆☆	4/5
Paradigm at Sweeny	16.2 mi	Sweeny, TX	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Lake Jackson →

Facility data as of CMS processing date 2026-08-01. CCN 455477.

The Care File

Visit checklist — Brazos Healthcare Center

413 Garland Dr, Lake Jackson, TX 77566 · 9792973266

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455477 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)