Brush Country Nursing and Rehabilitation

    6500 Brush Country Rd, Austin, TX 78749
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.1ยท85 reviews

    Attentive compassionate care improved independence

    I placed my dad at Brush Country and am very pleased. The staff-from admissions to nurses, CNAs and therapists-are attentive, professional and compassionate. Clean, welcoming facility with tasty meals, engaging activities and supportive administration; they built an individualized plan that improved his independence. Our family is grateful and would recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.11ยท(85)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      3.5
    • Amenities

      3.4
    • Value

      2.3

    Pros

    • Strong nursing and clinical therapy
    • Well-trained physical and occupational therapists
    • Effective short-term rehabilitation services
    • Clean, well-maintained common areas
    • Spacious, homelike rooms with ample natural light
    • Secure entry and monitored grounds
    • Engaged activities program (crafts, fitness, social events)
    • Supportive admissions and office staff
    • Nutritionally appropriate meals and clinical feeding support
    • Flexible dining with room-service option
    • Community engagement and volunteer visits
    • Hospice and dignified end-of-life support

    Cons

    • Inconsistent staffing levels and high turnover
    • Gaps in clinical communication and care coordination
    • Medication-management and disclosure weaknesses
    • Delays in clinical response to acute events
    • Infection-control and outbreak management concerns
    • Variable meal quality and service consistency
    • Pest-control concerns in some units
    • Billing and administrative process deficiencies
    • Supervision gaps for residents with cognitive impairment
    • Staff conduct and behavior oversight weaknesses
    • Facility maintenance and equipment reliability inconsistencies

    Summary of reviews

    Brush Country Nursing and Rehabilitation elicits strongly polarized impressions. Many families and referral sources highlight high-quality nursing and rehabilitation services: on-site therapy, well-trained physical and occupational therapists, and an effective short-term rehab program are repeatedly praised. Clinical feeding support and hospice services are also noted as strengths. These positive clinical attributes are often paired with commentary about a clean, well-maintained environment, spacious rooms with ample natural light, secure entry procedures, and visible community engagement such as volunteer visits and intergenerational activities.

    Staffing and day-to-day responsiveness are a central theme with mixed assessments. Numerous reviews describe caring, attentive nurses, CNAs, social work support, and an admissions team that facilitates a smooth transition. At the same time, there are frequent concerns about inconsistent staffing levels, high turnover, and variability in direct-care responsiveness. Related patterns include gaps in clinical communication and care coordination, delayed responses to acute events, and examples indicating weaknesses in medication-management documentation and disclosure. These items point to operational variability that can affect timeliness and continuity of care.

    Dining and activities present a similar mixed picture. The facility offers a range of activities โ€” arts and crafts, puzzles, bingo, fitness classes, shopping trips, and religious and entertainment programming โ€” which many families describe as meaningful and well-run. Meals are generally described as nutritious and serviceable, and a room-service option is available; however, reviewers also describe inconsistent meal quality and service continuity. Prospective residents should confirm current menu practices and any special-diet accommodations during a tour.

    Facility features and amenities receive largely positive comments: grounds are well-kept, communal areas are clean and cozy, some rooms and bathrooms have been remodeled, and safety features such as secure entrances and monitored common areas are in place. Nevertheless, reviewers identify areas needing attention including equipment reliability (mattress and shower issues), maintenance inconsistencies, and isolated pest-control concerns.

    Management and administrative performance are mixed and a frequent source of dissatisfaction for some families. Praise is directed at specific leaders (admissions directors, executive director, and director of nursing) and examples of responsive leadership exist. Conversely, other reviewers report billing problems, slow administrative follow-up, payroll or HR issues, lapses in family notification, and perceptions of poor staffโ€“management relations. There are also mentions of infection-control and regulatory concerns that merit direct inquiry.

    Notable patterns for prospective residents and families: Brush Country offers strong rehabilitative and nursing capabilities, a robust activities program, and a generally clean, community-oriented environment. However, variability in staffing, clinical communication, medication oversight, and administrative processes appears to affect the experience for some residents. When evaluating the facility, visitors should observe current staffing ratios, ask about recent infection-control and state survey outcomes, review medication and incident-response protocols, and clarify billing and admission practices to assess how consistent day-to-day operations currently are.

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    Medicare Ratings

    1ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Brush Country Nursing and Rehabilitation

    Brush Country Nursing and Rehabilitation is located at 6500 Brush Country Rd, Austin, TX, 78749.

    About Brush Country Nursing and Rehabilitation

    Brush Country Nursing and Rehabilitation sits at 6500 Brush Country Rd. in southwest Austin on the edge of Texas Hill Country, where folks have been coming for care for over 30 years, and you can see tall oak trees and friendly, smiling faces as soon as you walk in. The facility has 118 certified beds and runs around the clock every day, so residents always have access to help. The four wings each have their own covered patios and day rooms, which gives both outdoor access and places to gather inside, and they've really focused on making the place feel comfortable and homelike with a warm environment, and there's always group and individual activities for residents to join if they want to stay active or just find some company.

    Brush Country provides both long-term nursing home care for people who need extra help for a while and short-term rehabilitation after an operation or illness, and the team offers skilled nursing alongside physical therapy, occupational therapy, and speech therapy. There's special memory support for people with cognitive challenges, and the staff have been known for their personal, nurturing approach over the years, with a strong commitment to creating a supportive and caring experience for every resident and their family. Pharmaceutical services are available, and licensed pharmacists work on staff. There's a registered nurse on duty, but it's worth noting that the nurse staffing levels are below the Texas state average, and records do show some deficiencies, including some related to infection control.

    The facility isn't BBB accredited, but it is recognized by the Texas Health and Human Services Commission for maintaining certain standards, and it's affiliated with Dynasty Healthcare Group and managed by Dhc Opco Austin Llc since May 2021, with direct ownership by West Wharton County Hospital District; Mr. Brian Lafler serves as the Administrator. The place gets regular praise around Austin for its environmental design, community involvement, and efforts to focus on both the physical and emotional needs of residents, though it holds a 3.4 rating from 34 reviews, which is about average for nursing homes. Brush Country has policies to help residents move or transfer safely to other settings, and they do their best to help families make good decisions about care. The overall goal here is pretty clear-they want to help people feel supported, respected, and as comfortable as possible through every stage of care, whether that's for a short stay or long-term support. For more information or to learn more about the community and its values, the Brush Country Nursing and Rehabilitation website offers additional resources.

    People often ask...

    Brush Country Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 6500 Brush Country Rd, Austin, TX 78749.

    No, Brush Country Nursing and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Brush Country Nursing and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Brush Country Nursing and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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