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Brenham Nursing and Rehabilitation Center

Nursing Home Facility

400 Sayles St, Brenham, TX 77833

Nursing Home Care Senior Living

Brenham Nursing and Rehabilitation Center is a senior care community located in Brenham, TX. It provides nursing home care and senior living for older adults in the Brenham area. To learn more or schedule a tour, call (979) 836-9770.

Operated by Wellsential Health, which runs 38 communities in our directory.

With 128 beds, Brenham Nursing and Rehabilitation Center is one of the larger communities in the area, senior care communities in Brenham average about 80 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 89% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Brenham average about 3.0 stars. Its most recent standard health inspection was in February 2026 and recorded 17 deficiencies.

Residents receive about 2.7 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Communities in Brenham average about 3.3 hours. Nursing staff turnover over the past year was about 44%.

The community is located in Washington County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Brenham Nursing and Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 11 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $29,353.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected February 2026, after a complaint. Corrected by February 22, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected June 2026, after a complaint. Corrected by June 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected June 2026, after a complaint. Corrected by June 22, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected May 2026, after a complaint. Corrected by May 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2026, after a complaint. Corrected by May 29, 2026.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected February 2026. Corrected by February 20, 2026.

Show 9 more
  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate foot care.

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected February 2026. Corrected by February 20, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected December 2025, after a complaint. Corrected by December 22, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Brenham Nursing and Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Church related
  • Beds / units 128
  • Religious affiliation Church Based
  • Occupancy 89%
  • Nursing hours per resident/day 2.7
  • Annual staff turnover 44%
  • Last health inspection February 2026

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