Skilled NursingCMS verified

Harmony Care at Brookshire

710 Hwy 359 S, Brookshire, TX 77423 · Waller County

2.0CMS overall rating(281) 375-5272 Visit website ↗

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Photos via google places, facility website.

Availability outlookUsually has openings

Typically 64% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Brookshire

Harmony Care at Brookshire is a government-owned skilled nursing facility in Brookshire, TX, with 130 certified beds and an average of about 83 residents per day. It operates as part of the Harmony Care Group network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 2/5 on staffing, 4/5 on quality measures.

Staff provide about 3.39 total nurse hours per resident each day (0.49 of them from registered nurses), below the national benchmark of roughly 3.9 hours. On the safety record, CMS notes 19 health deficiencies at its most recent standard survey, and 2 federal fines totaling $25,797 in the recent record.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.39 hrs/resident/day)
•19 deficiencies at last survey
•$25,797 in federal fines

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Brookshire options — our advisors can help you compare.

At a glance

Certified beds: 130
Avg. residents/day: 83
Ownership: Government - Hospital district
Part of a chain: Harmony Care Group
Continuing care: No
CMS provider #: 675700

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$5,280–$7,920/mo (median $6,380)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Houston prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Harmony Care at Brookshire →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.39; National avg ≈ 3.9
RN hrs / resident / day: 0.49; National avg ≈ 0.75

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 19
Federal fines: 2 ($25,797)
Total penalties: 2
Last standard survey: 2024-12-06
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (39 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-03-04Severity E — potential for harmFrom a complaintResident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-09-13Severity F — potential for harmFrom a complaintAdministration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2025-09-13Severity E — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2025-07-18Severity D — potential for harmFrom a complaintResident Rights Deficiencies

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.

2025-07-18Severity D — potential for harmFrom a complaintEnvironmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2025-02-14Severity J — immediate jeopardyFrom a complaintPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-12-06Severity G — actual harmFrom a complaintQuality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

2024-12-06Severity F — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2025-02-14	Fine	$15,570
2024-12-06	Fine	$10,227

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Rehabilitation services
✓ Memory care
✓ Scheduled transportation
✓ Restaurant-style dining
✓ On-site salon / barber
✓ Housekeeping & laundry
✓ Daily activities & events
✓ Courtyard / outdoor space
✓ Gardens / walking paths
✓ Private rooms available

Location

710 Hwy 359 S, Brookshire, TX

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

3.3

15 reviews →

Verified family reviews

No verified family reviews yet for Harmony Care at Brookshire.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Harmony Care at Brookshire

How much does Harmony Care at Brookshire cost?

Harmony Care at Brookshire does not publish exact rates. Comparable skilled nursing in the Brookshire, TX area typically runs $5,280–$7,920 per month (median $6,380, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Harmony Care at Brookshire's Medicare rating?

Medicare (CMS) rates Harmony Care at Brookshire 2 out of 5 stars overall, including 2/5 for health inspections, 2/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Harmony Care at Brookshire?

Staff provide about 3.39 total nurse hours per resident per day (national benchmark ≈ 3.9). These figures are reported to the federal government and updated regularly.

What did inspectors find at Harmony Care at Brookshire?

Harmony Care at Brookshire has 39 health citations on its recent federal inspection record (last standard survey: 2024-12-06). The full citation-by-citation detail, with severity levels, is published on this page.

Does Harmony Care at Brookshire have availability?

Typically 64% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Harmony Care at Brookshire offer?

Harmony Care at Brookshire in Brookshire, TX offers skilled nursing and is licensed for 130 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Houston.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Harmony Care at Brookshire — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
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