Brush Country Nursing and Rehabilitation
Brush Country Nursing and Rehabilitation reported 3.05 HPRD in Q1 2026. This level is below the CMS case-mix benchmark (3.51 HPRD) and in the bottom 25% of Texas nursing homes.
- Q2 2025: 2.43
- Q3 2025: 3.33
- Q4 2025: 3.03
- Q1 2026: 3.05
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS Case-Mix (Q1 2026)
Case-Mix by Position
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
Ownership
West Wharton County Hospital District
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
| Name | Type | Role | Since | |
|---|---|---|---|---|
| Kristina J Madrigal-velasquez | Individual | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| Michael Joseph Gutierrez | Individual | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| Pmg Opco - Austin, LLC | Organization | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| Priority Management Group, LLC | Organization | Operational/managerial control; ADP of the SNF | 11/1/2025 | |
| William M Bauder | Individual | Operational/managerial control | 11/1/2025 | |
| West Wharton County Hospital District | Organization | 100% ownership interest; Ownership interest | 5/1/2021 | |
| Johnny Thompson | Individual | Corporate officer | 5/16/2024 |
- Entity changed
How these figures are calculatedMethods, definitions, and data sources
Staffing from CMS Payroll-Based Journal (PBJ) public nurse files (2017–2026), plus Provider Information (August 2026) and chain data where shown. State staffing context via March 2022 compendium. Methodology · PBJ explained.
Metrics
- Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
- Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
- Contract Staff %: Share of hours provided by contract staff.
- Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.