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Care Nursing & Rehabilitation
200 County Road 616, Brownwood, TX 76802 (opens Google Maps) · Brown County · (325) 646-5521· 97 certified beds · avg 57 residents/day · certified since Feb 28, 2005 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
4/5
Health inspection rating (on-site)
inspected Mar 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.01
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint F-0849
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint F-0558
The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint F-0728
View all 16 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | E · Potential for more than minimal harm, pattern | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint · F-0849 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558 |
| Jan 8, 2026 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint · F-0728 |
| Mar 15, 2025 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Mar 15, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 15, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jan 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Jan 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Jan 18, 2024 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0761 |
| Jan 18, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693 |
| Nov 30, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0695 |
| Nov 30, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 30, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
All citationsSerious citations (G–L)
2022
All citations: 3
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | E |
| 2024 | 5 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 3 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.01
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.55
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.61
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.01 | 3.46 | 3.95 | bottom 24% in Texas; bottom 14% in the U.S. |
| Registered Nurse hours | 0.55 | 0.44 | 0.69 | top 20% in Texas; bottom 46% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.04 | 3.50 | bottom 23% in Texas; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.34 | 0.48 | top 24% in Texas; top 46% in the U.S. |
| Total nursing staff turnover (%) | — | 55.3 | 45.8 | — |
| RN turnover (%) | — | 54.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.98, RN 0.55, weekend 2.58.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.98 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Care Nursing & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| West Wharton County Hospital District | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2020 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Bowers, Sean | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Brownwood III Enterprises LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2020 |
| Brownwood III Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Cisneros, Alfred | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/18/2008 |
| Cobb, Travis | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/05/2022 |
| Cooper, Stephen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/11/2022 |
| Hardin, Sherrie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/04/2024 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Kerzee, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/24/2007 |
| Korenek, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/05/2018 |
| Morales, David | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2020 |
| Pennington, Holly | Individual | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Soechting, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/22/2024 |
| Strack, Joe | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/11/2022 |
| Thompson, Johnny | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
All 20 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Castle Pines Health & Rehabilitation — Lufkin, TX · overall 2/5
- Cedar Creek Nursing and Rehabilitation Center — Bandera, TX · overall 2/5
- Cedar Manor Nursing and Rehabilitation Center — San Angelo, TX · overall 4/5
- Central Texas Nursing & Rehabilitation — Ballinger, TX · overall 3/5
- Cherokee Rose Nursing and Rehabilitation — Glen Rose, TX · overall 3/5
- Concho Health & Rehabilitation Center — Eden, TX · overall 4/5
- Copperas Hollow Nursing & Rehabilitation Center — Caldwell, TX · overall 3/5
- Cottonwood Nursing & Rehabilitation — Denton, TX · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 20 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lake Hills Healthcare Center | 5.7 mi | Brownwood, TX | ★★★☆☆ | 3/5 | |
| Songbird Lodge | 6.4 mi | Brownwood, TX | ★★☆☆☆ | 3/5 | |
| Pecan Bayou Nursing and Rehabilitation | 6.5 mi | Brownwood, TX | ★★★★★ | 4/5 | |
| Brownwood Nursing & Rehabilitation | 6.7 mi | Brownwood, TX | ★★★☆☆ | 4/5 | |
| Oak Ridge Manor | 6.8 mi | Brownwood, TX | ★★★☆☆ | 4/5 | |
| Bangs Nursing and Rehabilitation | 11.9 mi | Bangs, TX | ★★★★★ | 5/5 |
Facility data as of CMS processing date 2026-08-01. CCN 676046.
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