Benbrook Nursing & Rehabilitation Center
1000 McKinley St · Benbrook, TX · 76126 · 8172490020
115 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.09 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.71 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 2 · $41,143 |
Inspection citations (50 in the current record)
-
Potential for harm · D April 2, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 3, 2026 · Resident Rights
-
Potential for harm · E March 31, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 1, 2026 · Quality of Life and Care
-
Potential for harm · D March 31, 2026 · found via complaint
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.
Corrected May 1, 2026 · Pharmacy Service
-
Potential for harm · D March 31, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 1, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 31, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
-
Potential for harm · D March 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2026 · Quality of Life and Care
-
Potential for harm · D January 22, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 19, 2026 · Environmental
-
Potential for harm · E September 11, 2025
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.
Corrected October 15, 2025 · Resident Rights
-
Potential for harm · D September 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 13, 2025 · Quality of Life and Care
-
Potential for harm · D September 11, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected September 13, 2025 · Quality of Life and Care
-
Potential for harm · D September 11, 2025
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.
Corrected September 13, 2025 · Pharmacy Service
-
Potential for harm · F September 11, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 13, 2025 · Nutrition and Dietary
-
Potential for harm · F September 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 13, 2025 · Nutrition and Dietary
-
Potential for harm · E September 11, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected September 13, 2025 · Nutrition and Dietary
-
Potential for harm · E September 11, 2025
Dispose of garbage and refuse properly.
Corrected September 13, 2025 · Nutrition and Dietary
-
Potential for harm · D September 11, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected September 13, 2025 · Nursing and Physician Services
-
Potential for harm · D September 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J August 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 10, 2025 · Quality of Life and Care
-
Potential for harm · D August 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 3, 2025 · found via complaint
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.
Corrected June 5, 2025 · Resident Rights
-
Potential for harm · D June 3, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 5, 2025 · Nursing and Physician Services
-
Potential for harm · D May 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 9, 2025 | Fine | $27,724 |
| November 16, 2023 | Fine | $13,419 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675906 · certified since March 6, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.