Brownfield Rehabilitation and Care Center
510 S First St, Brownfield, TX 79316 · Terry County · 54 certified beds · avg 32 residents/day · certified since Oct 7, 1993
Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (16)
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 |
|---|---|---|
| Aug 14, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Aug 14, 2025 | E · Potential for harm, repeated | 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. |
| Aug 14, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 14, 2025 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jul 18, 2024 | 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 18, 2024 | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not have policies on smoking. |
| Jul 18, 2024 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jun 7, 2023 | E · Potential for harm, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jun 7, 2023 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 7, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jun 7, 2023 | 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. |
| Jun 7, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jun 7, 2023 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 6 | 0 | F |
| 2025 | 4 | 0 | E |
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) | 3.46 | 3.46 | 3.95 | top 39% in Texas; bottom 34% in the U.S. |
| Registered Nurse hours | 0.50 | 0.44 | 0.69 | top 27% in Texas; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.01 | 3.04 | 3.50 | top 41% in Texas; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.34 | 0.48 | top 21% in Texas; top 42% in the U.S. |
| Total nursing staff turnover (%) | 31.6 | 55.3 | 45.8 | top 7% in Texas; top 17% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 3.26, RN 0.47, weekend 2.84. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Stratford Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| 510 S First LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Brownfieldtx LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Chebib, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| Chebib, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
| Chumley, Richard | Individual | Corporate Director | NOT APPLICABLE | 04/01/2017 |
| Empower Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Empower Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Lee, Raleigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/18/2019 |
| Lee, Raleigh | Individual | ADP of the SNF | NOT APPLICABLE | 02/18/2019 |
| Mistretta, Cassandra | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/25/2026 |
| Pfeifer, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Texas Senior Realty Ventures LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can I see the actual room my family member would live in before we decide?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
- "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 |
|---|---|---|---|---|---|
| Apex Secure Care Brownfield | 0.8 mi | Brownfield, TX | ★☆☆☆☆ | 2/5 | |
| Lynwood Nursing and Rehabilitation | 16.6 mi | Levelland, TX | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675182.