Brenham Nursing And Rehabilitation Center

Penalties

• Feb 19, 2026 — Fine ($21,332)
• Jun 6, 2024 — Fine ($8,021)

Inspection findings

1. Jun 20, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jun 22, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jun 22, 2026 · CMS health inspection

2. May 27, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected May 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 29, 2026 · CMS health inspection

3. Feb 21, 2026 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0603 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

     Corrected Feb 22, 2026 · CMS health inspection

4. Feb 19, 2026 Fire Safety · 25 findings
   • Not serious Scope/severity F

     E0007 Emergency Preparedness Deficiencies

     Address patient/client population and determine types of services needed.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0020 Emergency Preparedness Deficiencies

     Establish policies and procedures including evacuation.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0031 Emergency Preparedness Deficiencies

     Provide emergency officials' contact information.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0565 Resident Rights Deficiencies

     Honor the resident's right to organize and participate in resident/family groups in the facility.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0809 Nutrition and Dietary Deficiencies

     Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Feb 20, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Feb 20, 2026 · CMS fire safety

5. Dec 18, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Dec 22, 2025 · CMS health inspection

6. Jan 23, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jan 27, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jan 27, 2025 · CMS health inspection

7. Nov 21, 2024 Health · 11 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

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

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0584 Resident 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.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity B

     F0640 Resident Assessment and Care Planning Deficiencies

     Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0802 Nutrition and Dietary Deficiencies

     Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0917 Environmental Deficiencies

     Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

     Corrected Nov 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Mar 12, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Mar 12, 2025 · CMS fire safety

8. Jun 6, 2024 Health · 1 finding
   • Serious Scope/severity K Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected May 24, 2024 · CMS health inspection

9. Oct 12, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0676 Quality of Life and Care Deficiencies

     Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

     Corrected Oct 16, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• CRAYTON, TOM — managing control - governing body, NOT APPLICABLE, since 01/15/2013
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 02/28/2015
• DORMAN, JOHN — managing control - governing body, NOT APPLICABLE, since 01/18/2022
• FREUDENBERGER, JOSEPH — managing control - governing body, NOT APPLICABLE, since 06/19/2007
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 06/19/2007
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HALEY, JEFF — managing control - governing body, NOT APPLICABLE, since 07/15/2016
• HOLDER, NICHOLAS — adp of the snf, NOT APPLICABLE, since 04/25/2017
• HOLDER, NICHOLAS — operational/managerial control, NOT APPLICABLE, since 04/25/2017
• HUGHES, RUSTON — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• KING, ABBY — managing control - governing body, NOT APPLICABLE, since 01/23/2018
• KING, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/17/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• OBAKPOLOR, OSAHON — adp of the snf, NOT APPLICABLE, since 01/01/2025
• PISANI, ADAM — managing control - governing body, NOT APPLICABLE, since 01/15/2019
• POPATIA, AMIRALI — managing control - governing body, NOT APPLICABLE, since 03/17/2020
• RIELS, LAUREN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• STUART, JULIUS — managing control - governing body, NOT APPLICABLE, since 01/16/2023
• UTHMAN, EDWARD — managing control - governing body, NOT APPLICABLE, since 01/15/2008
• WOODBERRY, ALENCIA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• 400 EAST SAYLES STREET LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 02/28/2015
• OAKBEND MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• OAKBEND MEDICAL CENTER — adp of the snf, NOT APPLICABLE, since 05/20/2025
• REG LEASED OPCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS OF BRENHAM, LLC — adp of the snf, NOT APPLICABLE, since 05/20/2025
• REGENCY IHS OF BRENHAM, LLC — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 05/20/2025
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015