High Hope Care Center Of Brenham - 1-Star Rehab Facility in Brenham, TX | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 15.17%Falls causing major injury 5.33%Pressure ulcers (high-risk) 3.52%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
⚠️ Last inspected: Jan 2025 (467 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
1/5
★☆☆☆☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
3h 37m
State avg: 3h 24m · US avg: 3h 53m
1 min
State avg: 4 min · US avg: 4 min
54 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
52%below avg
US avg: 64%
Total Nurse Weekend
2h 53m
Federal Penalties
9 penalties · $186,291 total
| Date | Type | Fine | Denial Days |
|---|
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
| 1/10/2025 | Fine | $20,699 | - |
Inspection Citations
Survey: January 10, 2025(30 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for Harm
33.5 per 100
State avg: 25.9 · US avg: 23.9
23.8 per 100
State avg: 12.0 · US avg: 12.0
5.3 per 100
State avg: 3.3 · US avg: 3.3
3.5 per 100
State avg: 4.2 · US avg: 5.1
3.0 per 100
State avg: 1.5 · US avg: 1.6
100.0 per 100
State avg: 88.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
40/100
Incentive Payment
-0.67% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
41.5 days
Avg Payment / Stay
$17,358.57
Patient Complexity
2.36 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Nutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: November 30, 2023(9 citations)
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: October 5, 2022(3 citations)
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies