Brazos Healthcare Center
413 Garland Dr, Lake Jackson, TX 77566 · CCN 455477
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 51.3
- Phone
- 9792973266
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-02 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2024-05-28 | 4 | 9.4 | 9.8 | -5.4 better |
| 3 | 2023-04-06 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.87 | 57.8% |
| RN staffing (reported) | 0.50 | 50.0% |
| Total nurse staffing (adjusted) | 4.49 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- NEXION HEALTH
- Facilities in chain
- 52
- Chain avg overall
- 2.30 / 5
Inspection citations (17)
- EF0584Honor 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.2025-12-23 · Health · corrected 2025-12-24
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-12-23 · Health · corrected 2025-12-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-23 · Health · corrected 2025-12-24
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-26 · Health · corrected 2026-01-12
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-07-02 · Health · corrected 2025-07-05
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-02 · Health · corrected 2025-07-05
Potential for more than minimal harm
- FF0761Ensure 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.2025-07-02 · Health · corrected 2025-07-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-02 · Health · corrected 2025-07-05
Potential for more than minimal harm
- EF0584Honor 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.2024-06-30 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-28 · Health · corrected 2024-05-29
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-05-28 · Health · corrected 2024-05-29
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-28 · Health · corrected 2024-05-29
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-06 · Health · corrected 2023-04-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-06 · Health · corrected 2023-04-10
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-06 · Health · corrected 2023-04-10
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-06 · Health · corrected 2023-04-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-06 · Health · corrected 2023-04-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NEXION HEALTH AT BRAZOS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-31 |
| KIRLEY, FRANCIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-31 |
| FOSTER, PATTI | Individual | CORPORATE DIRECTOR | — | 2014-05-27 |
| NICHOLS, MASON | Individual | CORPORATE DIRECTOR | — | 2014-05-27 |
| SWIFT, SCOTT | Individual | CORPORATE DIRECTOR | — | 2015-05-26 |
| WEEKS, VIOLET | Individual | CORPORATE DIRECTOR | — | 2013-09-24 |
| PARK, KELLY | Individual | CORPORATE OFFICER | — | 2019-08-01 |
| KIRLEY, FRANCIS | Individual | W-2 MANAGING EMPLOYEE | — | 2023-03-31 |
Other facilities in Lake Jackson
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.