Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brownfield Rehabilitation And Care Center during CMS and state inspections, most recent first.
Grievance Procedure Not Provided to Residents: 8 confidential residents stated they did not have access to a grievance form, did not know they could file a grievance anonymously, and had not seen the grievance procedure posted in prominent locations. Record review showed the facility policy required the grievance/complaint procedure to be posted, but lobby postings did not include grievance instructions. The ADM confirmed he was the grievance officer, stated there were no grievance forms, and stated there was no process for anonymous grievances.
Food storage and kitchen sanitation were deficient when surveyors observed dirty buildup around the ice machine sink, range hood, and dish and pot washing area, along with sticky refrigerator and freezer doors. Multiple food items were found unlabeled, undated, or expired, including lettuce, Swiss cheese, peas, ham, ground beef, and tamales. The ADM acknowledged the conditions and stated the facility had not had a Dietary Manager since May 2025.
Failure to Keep Dryer Lint Traps Clean: A laundry staff member was observed with excess lint on a dryer lint trap and lint on the floor below it, while the lint trap log showed no signatures for the period reviewed. The staff member said she had returned after an absence, had been trained by someone no longer at the facility, and was unsure about the log and the potential outcome of not cleaning the lint trap. The ADM stated staff were responsible for checking the lint traps every two hours, but he was unaware the checks and documentation were not being done as expected.
Insufficient Floor Space in Semiprivate Rooms: The facility failed to provide the required 80 sq ft per resident in 24 semiprivate rooms with two beds. Record review showed the rooms were covered by a room-size waiver and listed as Title 18/19 semiprivate rooms, while surveyors observed each room had 156 sq ft instead of the required 160 sq ft for two residents. The ADM stated the waiver had been in place for years, the floor plan had not changed, and there was no facility policy for the waiver.
The facility's dietary services failed to meet professional standards, with issues such as improper food labeling, storage of dented cans, and spoiled potatoes. The Dietary Manager did not wash hands before handling food, and uncovered food was served to residents. Staff interviews revealed a lack of adherence to protocols and communication breakdowns, posing risks of foodborne illness.
The facility failed to develop comprehensive care plans for two residents, potentially placing them at risk of not receiving necessary care. One resident with dementia and other conditions lacked care plans for urinary incontinence and psychosocial well-being, despite these areas being triggered in the MDS assessment. Another resident with similar conditions also lacked these care plans. The MDS Coordinator and DON were unaware of the missing care plans, indicating an oversight in ensuring all triggered items were addressed.
A resident with cognitive impairment and physical weaknesses was observed smoking without staff supervision and without a required smoking apron, as outlined in his care plan. Interviews revealed that staff were either unaware of or did not enforce the use of smoking aprons, and supervision was inconsistent, even when the resident's family member was present. The facility's policies required supervision and protective equipment, but these were not consistently applied, placing the resident at risk.
A facility failed to document the pneumococcal immunization status of a resident with severe cognitive impairment and multiple health conditions. The resident's record lacked evidence of a physician's order, education, or consent form for vaccine refusal. Staff interviews revealed that the last vaccine audit was conducted 15 months ago, and there was no specific training on the pneumococcal vaccine. The facility's policy required offering the vaccine to at-risk residents, but this was not properly documented.
The facility did not follow its smoking policy, resulting in cigarette butts littering the designated smoking area. Staff interviews revealed a lack of training and unclear responsibilities for maintaining the area, posing a potential fire hazard. The facility's policies require routine maintenance to remove cigarette butts, but these were not effectively implemented.
The facility failed to provide the required 80 square feet per resident in 24 semi-private rooms, each containing two beds. These rooms were found to have only 156 square feet instead of the required 160 square feet for two residents. The facility had been granted a waiver for room size requirements annually due to old construction, and the administrator acknowledged the lack of a policy for room sizes.
Grievance Procedure Not Provided to Residents
Penalty
Summary
The facility failed to ensure that 8 confidential residents were provided the grievance procedure, information identifying the facility grievance officer and contact information, and instructions on how to file an anonymous grievance. During Resident Council on 08/13/2025 at 1:00 pm, the 8 confidential residents stated they did not have access to a grievance form, did not know they could file a grievance anonymously, and had not observed a posting of the grievance procedure in prominent locations. The residents in attendance had all been residents of the facility for more than 6 months. Record review showed the facility grievance policy stated that a copy of the grievance/complaint procedure should be posted on the resident bulletin board. However, when prominent postings in the lobby were observed on 08/14/2025 at 10:45 am, the facility did not include instructions regarding the grievance procedure with those postings. Grievance forms were not available to residents in the facility, and there was no access to submit a grievance anonymously. Interview with the ADM on 08/14/2025 at 1:15 pm confirmed he was the grievance officer for the facility and was responsible for reviewing grievances and assigning them to department heads. The ADM stated there were currently no grievance forms and no procedure for residents to submit grievances anonymously. He also stated that completed grievance forms were kept in a notebook and that he monitored the grievance process by following up with the staff member assigned to resolve the grievance and meeting with the complainant to ensure satisfaction with the resolution.
Food Storage and Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards in one kitchen reviewed for dietary services. During a kitchen tour on 08/12/25, surveyors observed dirty unknown black particles around the ice machine sink, dusty buildup and cobwebs around the range hood, and non-clean unknown black colored particles around the dish and pot washing area. Surveyors also observed dirty and sticky front doors of one freezer and one refrigerator. Surveyors found multiple food items that were not properly labeled, dated, or stored, including an undated and unlabeled round-shaped vegetable later identified by staff as lettuce, undated Swiss cheese, undated peas, an unlabeled and undated oval pinkish raw meat item identified as ham, an unlabeled and undated red raw meat item identified as ground beef, and expired yellow short solid corn-like items wrapped in a corn husk identified as tamales. In interviews, staff stated that labeling and dating depended on the dietary staff on duty when food arrived, that expired food should be discarded, and that food items should be labeled and dated. The ADM stated the facility had not had a Dietary Manager since May 2025 and acknowledged the unlabeled, undated, and expired items, as well as the dirty kitchen conditions observed by surveyors.
Failure to Keep Dryer Lint Traps Clean
Penalty
Summary
The facility failed to maintain the dryer lint traps in safe operating condition in 1 of 2 dryers in the laundry room. During an observation on 8/13/2025 at approximately 10:20 AM, the Housekeeping/Laundry staff member showed excess lint on the dryer lint trap and lint on the floor below the trap. The staff member stated she had returned to work on 8/9/2025 after being gone for two months, had been trained by someone who no longer worked at the facility, and was not sure what the clipboard logs were for. She also stated she had been signing the logs every day but did not know the potential negative outcome of not cleaning the lint trap. Record review of the Dryer Lint trap Log for August 2025 did not show signatures from 8/1/2025 through 8/13/2025. During an interview on 8/14/2025 at 10:59 AM, the ADM stated there were two laundry staff responsible for checking the dryer lint traps every two hours, but he was not aware that the staff member had not been checking the lint traps every two hours or documenting on the logs. He stated she had not been trained by the facility because he assumed she had been trained by the previous company, and he stated the Maintenance Supervisor would now be in charge of checking and cleaning the dryers. The facility policy titled Dryer Vent Cleaning and Maintenance Policy stated the facility would maintain dryer vents, lint traps, and associated ductwork in a clean, unobstructed condition and that lint would be removed and discarded from the lint screen/trap after each dryer load.
Insufficient Floor Space in Semiprivate Resident Rooms
Penalty
Summary
The facility failed to provide 80 square feet of floor space per resident in 24 of 24 semiprivate resident rooms containing two beds, including Rooms 1, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 15, 18, 20, 22, 24, 26, 28, 29, 30, 31, 32, 33, and 34. Record review showed that a room size waiver had been completed yearly by the facility, and a Room Size Waiver for Facilities dated 05/06/22 listed those rooms. A Texas Health and Human Services Form 3740 dated 09/20/22 documented the same rooms as Title 18/19 bed classification semiprivate rooms for two residents. During interview, the Administrator stated he wanted to apply for the room size waiver and said the rooms had a waiver for years with no change to the floor plan. During general observation, surveyors noted that the 24 semiprivate rooms had 156 square feet instead of the required 160 square feet for two residents. The Administrator later stated it had not been a problem in the past and that there was no facility policy for room size waiver.
Food Safety and Hygiene Deficiencies in Dietary Services
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed in their kitchen operations. Several deficiencies were noted, including the improper dating and labeling of food items, such as hot dog buns and cups of milk, which were found without appropriate labels indicating their preparation or expiration dates. Additionally, dented cans of mandarin oranges and milk were stored alongside other food items intended for resident consumption, contrary to safety protocols. Spoiled potatoes with visible signs of decay were also found in the pantry, indicating a lack of proper monitoring and disposal of perishable items. The Dietary Manager (DM) was observed entering the food preparation area without washing her hands, a critical breach of hygiene practices. This occurred while she handled food items, which were then passed to the cook, further risking contamination. The DM also failed to cover food items, such as chocolate cakes, which were left uncovered in the kitchen for an extended period before being served to residents. These actions were contrary to the facility's policies and training, which emphasized the importance of hand hygiene and covering food to prevent contamination. Interviews with staff, including the DM and the Assistant Dietary Manager (ADM), revealed a lack of adherence to established protocols and a misunderstanding of responsibilities. The DM admitted to not checking for dented cans daily and acknowledged the oversight in disposing of spoiled potatoes. The ADM and other staff members were unaware of the presence of dented cans and spoiled potatoes, indicating a breakdown in communication and monitoring systems. The Director of Nutrition confirmed the deficiencies in labeling, handwashing, and food storage practices, highlighting the potential risks of foodborne illness due to these lapses.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, which could potentially place them at risk of not receiving the necessary care to meet their individualized needs. Resident #11, a male with diagnoses including dementia, psychotic disturbance, mood disturbance, and anxiety, did not have care plans addressing urinary incontinence and psychosocial well-being, despite these areas being triggered in the Minimum Data Set (MDS) assessment. Similarly, Resident #13, a female with diagnoses including dementia, diarrhea, psychotic disorder, anorexia, cognitive communication deficit, anxiety disorder, and constipation, also lacked care plans for urinary incontinence and psychosocial well-being, even though these were identified as areas of concern in her MDS assessment. The MDS Coordinator acknowledged the oversight, stating that the care plan policy was based on data from the MDS assessment and Care Area Assessments (CAAs) in Section V. The Coordinator admitted that if an item was triggered on the MDS assessment, it should be care planned unless otherwise indicated. However, the Coordinator was unaware of why the care plans for the identified areas were not completed, suggesting that they may have been overlooked. The Director of Nursing (DON), who was new to long-term care, also stated that she was unfamiliar with Section V of the MDS and was unaware of the missing care plans. The facility's policy on care plans emphasized the need for a comprehensive, person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. Despite this policy, the care plans for the two residents were incomplete, as the MDS Coordinator and DON failed to ensure that all triggered items from the MDS assessments were addressed. This lack of comprehensive care planning could result in residents not receiving the appropriate care tailored to their needs.
Failure to Supervise Resident Smoking and Use Protective Equipment
Penalty
Summary
The facility failed to ensure adequate supervision and the use of assistance devices to prevent accidents for a resident who was identified as a smoker. The resident's care plan and smoking assessment indicated the need for supervision while smoking and the use of a smoking apron to prevent burns. However, observations revealed that the resident was smoking outside without staff supervision and without wearing a smoking apron, contrary to the guidelines set forth in his care plan. Interviews with the resident and staff members highlighted inconsistencies in the implementation of the smoking safety measures. The resident reported that staff had never provided him with a smoking apron and that he was sometimes left unsupervised while smoking. Staff members, including a CNA and an LVN, were either unaware of the requirement for the resident to wear a smoking apron or did not consistently enforce it. The CNA admitted to not knowing the specifics of the resident's care plan, and the LVN acknowledged that the resident's smoking assessment required the use of a smoking apron, which was not being followed. The facility's policy mandated that all residents who smoke must be supervised by staff, and smoking aprons should be used when necessary. Despite this, the DON and ADM provided conflicting information regarding the necessity of a smoking apron for the resident and the supervision requirements when the resident's family member was present. The facility's failure to adhere to its own policies and procedures placed the resident at risk of injury from burns or fire due to inadequate supervision and the absence of protective equipment.
Failure to Document Pneumococcal Immunization Status
Penalty
Summary
The facility failed to ensure that the medical record of a resident included documentation regarding the pneumococcal immunization status. Specifically, the record did not indicate whether the resident received the vaccine, declined it, or had a medical contraindication. The resident in question, a female with a history of type 2 diabetes, hypertension, muscle atrophy, and vascular dementia, was noted to have severe cognitive impairment. The Minimum Data Set (MDS) indicated that the resident did not receive the pneumococcal vaccine because it was offered and declined. However, there was no documentation of a physician's order for the vaccine, nor was there evidence of education or a consent form for refusal in the resident's vaccine record. Interviews with facility staff revealed gaps in the vaccine auditing process. The Assistant Director of Nursing (ADON), who also serves as the infection preventionist and MDS coordinator, acknowledged that the last vaccine audit was conducted approximately 15 months ago. The Director of Nursing (DON) and the Administrator (ADM) confirmed that the responsibility for ensuring residents are current with their vaccines lies with the ADON and DON. However, there was no specific training on the pneumococcal vaccine, and the facility's checklist only monitored flu and COVID vaccines. The facility's policy stated that pneumococcal vaccines should be offered to residents at risk, but this was not adequately documented or followed for the resident in question.
Failure to Maintain Cleanliness in Designated Smoking Area
Penalty
Summary
The facility failed to adhere to its established smoking policy in the designated smoking area, which was observed to have multiple cigarette butts scattered in the grass and around outdoor tables and chairs. This observation was made during a survey, and interviews with various staff members revealed a lack of clarity and training regarding the responsibility for maintaining the cleanliness of the smoking area. The Maintenance Supervisor mentioned that he attempts to keep the area clean but has not received any specific training or in-services related to this task. Similarly, the Housekeeping Supervisor indicated that while housekeeping helps sweep the patio, the maintenance team is responsible for the outdoor area, and she also noted a lack of training on outdoor upkeep. Further interviews with the Director of Nursing (DON) and the Administrator (ADM) highlighted a lack of clear responsibility for maintaining the grounds, with both acknowledging the potential fire hazard posed by cigarette butts. The DON expected staff to assist residents with proper disposal of cigarette butts, while the ADM expected staff to monitor smoking times and ensure proper disposal. Interviews with a CNA and an LVN revealed that while they observed residents smoking and discarding cigarette butts improperly, they had not received specific training on maintaining the cleanliness of the smoking area. The facility's policies on maintenance and smoking guidelines emphasize the need for routine maintenance of disposal containers and property to remove cigarette butts, but these were not effectively implemented.
Deficiency in Room Size Compliance
Penalty
Summary
The facility failed to provide the required 80 square feet of floor space per resident in 24 semi-private rooms, each containing two beds. These rooms, identified as Rooms 1, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 15, 18, 20, 22, 24, 26, 28, 29, 30, 31, 32, 33, and 34, were found to have only 156 square feet instead of the required 160 square feet for two residents. This deficiency was identified through record review, observation, and interview during a survey. The facility had been granted a waiver for room size requirements annually, citing old construction as the reason for non-compliance. During an interview, the facility's administrator acknowledged the lack of a policy for room sizes and expressed a desire to continue receiving the waiver. The administrator noted that the potential negative outcome of not meeting the standard guidelines could lead to overcrowding in resident rooms, although no complaints had been received regarding room sizes. The facility's records, including the Texas Health and Human Services Form 3740, documented these rooms as Title 18/19 bed classification semi-private rooms for two residents, and the floor plan had not changed over the years.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brownfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Apex Secure Care Brownfield | 0.8 mi | ★★★★★ | 18 | 1 |
| Lynwood Nursing And Rehabilitation | 16.6 mi | ★★★★★ | 14 | 1 |
| Levelland Nursing & Rehabilitation Center | 29.6 mi | ★★★★★ | 10 | 1 |
| Crown Point Health Suites | 30.8 mi | ★★★★★ | 7 | 0 |
| Hansford County Hospital District Dba Lakeridge Nu | 32 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.