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BRENTWOOD PLACE ONE

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BRENTWOOD PLACE ONE is a for profit - limited liability company facility in DALLAS, TX with 120 certified beds and a 3-star overall CMS rating. The facility has 29 deficiency records on file. Total penalties: $8K.

3505 S BUCKNER BLVD BLDG 2, DALLAS, TX 75227

Phone: 2143811815

Overall Rating

3/5

Health Inspection

3/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675680
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
105
In Hospital
No
County
Dallas
Last Inspection
Jan 22, 2025

Staffing Data

RN Hours
0.35 (nat'l avg: 0.68)
LPN Hours
0.47
CNA Hours
1.56
Total Nursing Hours
2.38 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
61.8%
RN Turnover
63.6%

What the CMS Record Reveals About BRENTWOOD PLACE ONE

BRENTWOOD PLACE ONE operates 120 certified beds in DALLAS, TX with approximately 105 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 29 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.38 total nursing hours per resident day (national average 3.89), with RN coverage at 0.35 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, BRENTWOOD PLACE ONE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 61.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (29 most recent)

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jul 24, 2025

E — Pattern - Minimal harm Jan 22, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 24, 2025

E — Pattern - Minimal harm Jan 22, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 24, 2025

E — Pattern - Minimal harm Jan 22, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jan 24, 2025

E — Pattern - Minimal harm Jan 22, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 24, 2025

E — Pattern - Minimal harm Jan 22, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 24, 2025

D — Isolated - Minimal harm Jan 22, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 24, 2025

E — Pattern - Minimal harm Dec 6, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Nov 7, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 8, 2024

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 1, 2023

D — Isolated - Minimal harm Nov 30, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 1, 2023

J — Isolated - Jeopardy Jul 21, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 22, 2023

D — Isolated - Minimal harm Jun 26, 2023 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Apr 13, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

E — Pattern - Minimal harm Apr 13, 2023 Tag: 0680

Ensure the activities program is directed by a qualified professional.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

E — Pattern - Minimal harm Apr 13, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 28, 2023

D — Isolated - Minimal harm Apr 13, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 28, 2023

E — Pattern - Minimal harm Apr 13, 2023 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Apr 28, 2023

E — Pattern - Minimal harm Feb 8, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 9, 2023

E — Pattern - Minimal harm Sep 23, 2022 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 15, 2022

E — Pattern - Minimal harm Sep 23, 2022 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 23, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 24, 2022

E — Pattern - Minimal harm Sep 23, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 15, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 15, 2022

J — Isolated - Jeopardy Sep 23, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.9% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Jul 21, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for BRENTWOOD PLACE ONE?
BRENTWOOD PLACE ONE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at BRENTWOOD PLACE ONE?
BRENTWOOD PLACE ONE reports 2.38 total nursing hours per resident day (national average: 3.89). RN hours are 0.35 per resident day (national average: 0.68). Nursing staff turnover is 61.8%.
How many beds does BRENTWOOD PLACE ONE have?
BRENTWOOD PLACE ONE has 120 certified beds with approximately 105 residents. The facility is located at 3505 S BUCKNER BLVD BLDG 2, DALLAS, TX 75227.
Does BRENTWOOD PLACE ONE have any deficiencies on record?
Yes, BRENTWOOD PLACE ONE has 29 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has BRENTWOOD PLACE ONE received any fines or penalties?
Yes, BRENTWOOD PLACE ONE has received 1 penalties totaling $8K.
Who owns BRENTWOOD PLACE ONE?
BRENTWOOD PLACE ONE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was BRENTWOOD PLACE ONE last inspected?
The most recent health inspection for BRENTWOOD PLACE ONE was on Jan 22, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for BRENTWOOD PLACE ONE?
BRENTWOOD PLACE ONE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial