Brazos Healthcare Center
413 Garland Dr
Lake Jackson, TX, 77566
9792973266
CCN: 455477
3
Overall3
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
AMAZON HEALTH CENTER, INC
1128b8
Excluded 2010-01-20
MED-AMERICA HEALTH CENTER
1128b8
Excluded 1996-08-13
SAS HEALTHCARE, INC
1128a1
Excluded 2020-07-20
Ownership
| Name | Role | % |
|---|---|---|
| WEEKS, VIOLET | CORPORATE DIRECTOR | NOT APPLICABLE |
| FOSTER, PATTI | CORPORATE DIRECTOR | NOT APPLICABLE |
| NICHOLS, MASON | CORPORATE DIRECTOR | NOT APPLICABLE |
| SWIFT, SCOTT | CORPORATE DIRECTOR | NOT APPLICABLE |
| PARK, KELLY | CORPORATE OFFICER | NOT APPLICABLE |
| NEXION HEALTH AT BRAZOS INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KIRLEY, FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KIRLEY, FRANCIS | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (17)
2025-12-23 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
E
F584 · 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.
2025-11-26 · Health
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2025-07-02 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F761 · 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.
D
F657 · 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.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
2024-06-30 · Health
E
F584 · 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.
2024-05-28 · Health
E
F842 · 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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-04-06 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F656 · 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.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.87
RN Hrs/Resident/Day0.54
0.50
LPN Hrs/Resident/Day0.81
0.95
CNA Hrs/Resident/Day2.33
2.42
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01