CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6760462026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Care Nursing & Rehabilitation

200 County Road 616 · Brownwood, TX 76802 · Brown County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds97CMS provider file
Recent citation rows26current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-03-1572025-03-1510
Cycle 22024-01-1862024-01-180
Cycle 32022-11-3032022-11-300
02 / CITATION DETAIL

26 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-28 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-05-28 · HEALTHF0849Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint
2026-01-08 · HEALTHF0728Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Correction field: Deficient, Provider has date of correction · 2026-01-08 · complaint
2025-03-15 · FIREE0041Severity E · pattern; potential for more than minimal harm

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · HEALTHF0689Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-16
2025-03-15 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-16
2025-03-15 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2025-03-16
2025-03-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-03-16
2025-03-15 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0343Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0351Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0374Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0741Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0918Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-03-15 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2025-04-27
2025-01-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2025-01-09 · complaint
2024-01-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-23 · complaint
2024-01-18 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Correction field: Deficient, Provider has date of correction · 2024-01-23 · complaint
2024-01-18 · HEALTHF0755Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-23 · complaint
2024-01-18 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-01-23 · complaint
2024-01-18 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-02-18 · complaint
2022-11-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-12-01
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • WEST WHARTON COUNTY HOSPITAL DISTRICTOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 09/01/2020
  • BOWERS, SEANIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2024
  • CISNEROS, ALFREDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/18/2008
  • COBB, TRAVISIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/05/2022
  • COOPER, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/11/2022
  • HARDIN, SHERRIEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 09/04/2024
  • KERZEE, RICHARDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 09/24/2007
  • KORENEK, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/05/2018
  • SOECHTING, PAULIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/22/2024
  • STRACK, JOEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/11/2022
  • HUGGINS, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2020
  • WILLIG, ZACHARYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • THOMPSON, JOHNNYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • BROWNWOOD III ENTERPRISES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2020
  • BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2020
  • BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2020
  • BROWNWOOD III ENTERPRISES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/10/2025
  • BLAKE, GARYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/01/2020

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.98per resident day
RN hours0.55per resident day
Weekend nurse hours2.58per resident day
Staff turnover—%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.