Brookshire Residence and Rehabilitation Center

    710 Hwy 359 S, Brookshire, TX 77423
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    3.3ยท42 reviews

    Compassionate skilled staff, clean facility

    I was very pleased with the compassionate, skilled staff - nurses, aides and the therapy team provided attentive, mobility-focused care and clear exercise guidance. The facility is clean, freshly scented and nicely updated, offers good food and family-friendly communication; I felt safe and well-informed and would recommend it.

    Current/former 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

    3.33ยท(42)

    Overall rating

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

      3.5
    • Staff

      3.5
    • Meals

      3.5
    • Amenities

      2.6
    • Value

      3.3

    Pros

    • Compassionate and attentive nursing staff
    • Clear family communication and social-work support
    • Skilled physical and occupational therapy services
    • Enjoyable dining environment with musical/dining-room features
    • Active programs and recreational activities
    • Ongoing renovations and updated therapy spaces
    • Family-friendly visitation and hospice coordination
    • Responsive and informative managers
    • On-site salon and recreational amenities
    • Experience coordinating VA benefits and payments

    Cons

    • Chronic understaffing and scheduling instability
    • Inconsistent sanitation and pest-control practices
    • Variable staff professionalism and perceived favoritism
    • High staff turnover and role conflicts
    • Variable clinical responsiveness and follow-through
    • Weekend and off-shift service variability
    • Management instability and inconsistent grievance resolution
    • Inconsistent dining and meal-service continuity
    • Communication barriers (phone access and language)
    • Older facility condition with uneven renovation progress
    • Discharge and relocation process concerns

    Summary of reviews

    Brookshire Residence and Rehabilitation Center receives strongly mixed feedback that clusters around two central themes: praised interpersonal care and recurring operational shortcomings. Many families and residents describe genuinely compassionate, attentive nursing and caregiving staff, positive communication from social-work and nursing teams, and effective therapy services. The facility offers activities, a social dining room with musical features, an on-site salon, and has undertaken visible renovation work and therapy-area upgrades โ€” elements that several reviewers cited as supportive of resident well-being.

    Care and staff: Clinical care is frequently characterized as caring and competent by a number of reviewers: nurses, CNAs, and therapists receive positive mentions for responsiveness, coordination of care, and family communication. At the same time, there are repeated operational concerns about staffing levels, scheduling instability, and weekend/off-shift variability. These staffing issues are tied to higher turnover and reports of aides leaving, which some families say affected consistency of daily care. Several comments also reflect perceived favoritism and role conflicts that can undermine team functioning and morale.

    Dining and activities: The facility offers an engaging dining environment and active programming; reviewers highlighted a pleasant dining room, musical programming, and recreational activities. Therapy services and physical-therapy spaces were described positively in many accounts. However, the consistency of meal service and activity scheduling appears uneven across shifts and periods of staffing strain โ€” prospective residents should confirm current activity calendars and meal routines during a visit.

    Facilities and cleanliness: Brookshire is an older building undergoing renovations; some communal and therapy areas have been refreshed and were described as clean and improved. Contrasting reviews cite sanitation and odor concerns and point to uneven maintenance and pest-control performance in some areas. These discrepancies suggest variability between renovated/managed sections and parts of the building still awaiting attention.

    Management and processes: Management responsiveness is also mixed. Several families praised managers who communicated well and coordinated care (including with the VA), while others reported poor complaint resolution, scheduling conflicts between administrative staff, and at least one formal grievance and concerns about relocation/discharge handling. Communication barriers โ€” including limited phone access and occasional language issues โ€” were raised as impediments to families seeking timely updates.

    Notable patterns and guidance: The overall picture is polarized: many families describe an excellent, family-like caregiving culture, while others experienced operational lapses significant enough to prompt formal complaints. When evaluating Brookshire, prospective residents and families should prioritize a facility tour that assesses current staffing levels (including weekend coverage), sanitation and pest-control protocols, grievance procedures, how the facility handles discharge/relocation decisions, and the status/timeline of ongoing renovations. Ask for recent inspection results, staffing ratios, and examples of how management has addressed prior complaints to get a clearer sense of current operating consistency.

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    Medicare Ratings

    2ยท/ 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 Brookshire Residence and Rehabilitation Center

    Brookshire Residence and Rehabilitation Center is located at 710 Hwy 359 S, Brookshire, TX, 77423.

    About Brookshire Residence and Rehabilitation Center

    Brookshire Residence and Rehabilitation Center is a large, for-profit senior care facility situated in Brookshire, Texas. With a capacity of 130 beds, this center provides both short-term rehabilitation and long-term nursing care services. The facility participates in both Medicare and Medicaid programs, making it accessible for residents with varying financial backgrounds. Brookshire Residence and Rehabilitation Center is not part of a continuing care retirement community, focusing its services on both individuals in need of short stays for rehabilitation as well as those who require ongoing support due to chronic or age-related conditions.

    The care home maintains an average rating for both its short-term rehabilitation and long-term care services, as reflected in its most recent assessments. Residents seeking post-acute care after a hospital stay may find that the center offers support for conditions such as strokes, heart attacks, infections, or injuries. Although data specifically reporting the proportion of residents able to return home is not available, available reports indicate that 5.7% of residents experienced falls resulting in significant injury, while 6.2% of short-term stays resulted in serious infections necessitating hospitalization. Emergency room visit rates during short-term rehabilitation totaled 6.8%. Nursing staff provide an average of 3 hours and 52 minutes of care per resident each day, encompassing tasks from administering medication to assisting with daily living needs like dressing and eating. However, the consistency of weekend staffing has been rated below average compared to weekday staffing.

    Long-term residents at Brookshire Residence and Rehabilitation Center benefit from a similar average level of nursing attention, with residents receiving 3 hours and 52 minutes of staff time per day. An impressive 93.6% of long-term residents maintain the ability to eat, move, and manage personal hygiene independently. Vaccination rates are notably high, with 99.6% of residents receiving the annual influenza vaccine. The facility averages 1.3 emergency room visits per 1000 patient days for its long-term population, reflecting its efforts to manage health challenges in-house whenever possible.

    Regular inspections assess the homeโ€™s adherence to health, fire, and safety standards, including food preparation and infection prevention. Recent surveys highlighted several areas in need of improvement, most of which posed a low potential for harm and affected only a few residents. Cited issues included the need to better support residents with activities of daily living, improve infection prevention programs, and provide more dignified personal care. Additional concerns included developing complete care plans tailored to each resident, maintaining or improving residents' range of motion, providing appropriate catheter care, and ensuring proper garbage disposal. Importantly, these issues have been addressed and fixed within the inspection dates provided. The facility has not faced fines or payment denials in the past three years, indicating an ongoing effort to resolve concerns in a timely manner.

    Brookshire Residence and Rehabilitation Center seeks to provide a supportive environment for its residents, backed by a nursing team equipped to handle both medical and non-medical needs. The center offers rehabilitation for those recovering from acute conditions as well as comprehensive long-term care, aiming for high levels of independence and health among its residents. The homeโ€™s combination of rehabilitation, attentive nursing, and access to public health insurance programs positions it as a resource for individuals and families seeking reliable nursing care and assistance with daily living.

    People often ask...

    Brookshire Residence and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 710 Hwy 359 S, Brookshire, TX 77423.

    No, Brookshire Residence and Rehabilitation Center 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 Brookshire Residence and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Brookshire Residence and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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