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Brazos Healthcare Center in Lake Jackson, TX

413 Garland Dr, Lake Jackson, TX 77566
9792973266
Hours not listed yet
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Overall CMS Rating

3.0/5

vs State Average: 2.7 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 1.9/5

3.0/5

Quality Measures

vs State Average: 3.7/5

0 penaltiesin last 3 years
Penalties
vs State Average: 1.6 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
CitationDateDescriptionSeverity
F0584Dec 23, 2025Honor 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.E
F0880Dec 23, 2025Provide and implement an infection prevention and control program.E
F0692Dec 23, 2025Provide enough food/fluids to maintain a resident's health.E
F0655Nov 26, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
F0761Jul 2, 2025Ensure 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.F
Score
3.0
State Average
1.9
National Average
2.9
0.3RN Hours / Resident / Day
4.0Total Nurse Hours / Resident / Day
66.7%RN Turnover Rate
Score
3.0
State Average
3.7
National Average
3.6
3.0Long-Stay QM Rating
2.0Short-Stay QM Rating
51.3Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increased14.103%Long Stay
Percentage of long-stay residents who lose too much weight5.521%Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder0.320%Long Stay
Percentage of long-stay residents with a urinary tract infection0.000%Long Stay
Percentage of long-stay residents who have depressive symptoms0.000%Long Stay
Percentage of long-stay residents who were physically restrained3.191%Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury7.447%Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine98.404%Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine56.875%Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication2.667%Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
W-2 MANAGING EMPLOYEEKIRLEY, FRANCIS
OPERATIONAL/MANAGERIAL CONTROLNEXION HEALTH AT BRAZOS INC
OPERATIONAL/MANAGERIAL CONTROLKIRLEY, FRANCIS
CORPORATE OFFICERPARK, KELLY
CORPORATE DIRECTORSWIFT, SCOTT
CORPORATE DIRECTORFOSTER, PATTI
CORPORATE DIRECTORNICHOLS, MASON
CORPORATE DIRECTORWEEKS, VIOLET
Recent Penalties

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