Nursing HomeMedicaid Investigative

Brentwood Place Three

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3505 S Buckner Blvd Bldg 4, Dallas, TX 75227|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 191 Google reviews

(214) 381-1815 Directions Website

Open in Google Maps

Watch Brentwood Place Three

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

1/ 10

low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low staffing rating (1/5 stars)

Above average in Texas · Critically understaffed (RN) · Chain outperformer · $12,740 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility has shown significant recent progress in cleanliness and management organization, making it a much more pleasant environment than in previous years. However, families should remain vigilant about the security of personal belongings and should proactively establish a communication plan with the staff to ensure timely updates.

Google Reviews

191 reviews on Google

“Brentwood Place Three shows a significant recent trend of improvement in organization and cleanliness, with many families praising the new administration and the warmth of the nursing staff. However, serious concerns persist regarding the loss of personal belongings, occasional communication lapses, and historical reports of neglect or poor hygiene in certain wings.”

Quality Themes

Tap a score for details

Strengths

Warm and professional nursing staff
Clean and well-maintained environment
Effective rehabilitation and therapy services
Welcoming and friendly administration

Concerns

Loss of resident personal belongings and clothing (mentioned by 4 reviewers)
Difficulty reaching staff via phone or after hours (mentioned by 3 reviewers)
Issues with hygiene and odors in certain areas (mentioned by 3 reviewers)
Staffing shortages or slow response times (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 215 analyzed

153

How They Respond to Reviews

0%response rate

Questions for Your Tour

1We've heard wonderful things about the warmth of your nursing staff; how do you ensure that same level of care is maintained during shift changes?
2What specific systems do you have in place to ensure residents' personal belongings and clothing are tracked and kept safe?
3How do you manage communication with families during the evening and weekend hours if we have a question or concern?
4With the high standard of cleanliness noted by many visitors, what are your daily protocols for maintaining hygiene and freshness in the resident living areas?
5Could you tell us more about the dining experience and how the menu is planned to ensure residents enjoy their meals?
6What is the process for handling medical emergencies or urgent care needs after the main administration office has closed for the day?

Personalized based on this facility's data

Key Review Excerpts

“The staff is exceptional, proficient and caring.”

Long-term care family member · 2026★★★★★

“The D.O.N and his team has been amazing in resolving client complaints. He initiated a training session just to correct a mistake that occurred and my loved one Miss Alice Lawrence whom l am advocating for felt happy and now can call Brentwood 2 a home.”

Resident advocate · 2025★★★★★

“I appreciate how clean and well-maintained everything is - you can tell the staff takes pride in creating a pleasant environment.”

Visitor · 2026★★★★☆

Source: 191 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.29hrs

38%

Registered nurses for medical care

Total Nursing

2.50hrs

61%

All nurses + aides combined

Staff Turnover

43%

Lower is better (< 30% = good)

RN Turnover

55%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

12.1%

2.5%

Dallas

2.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.8%

Better than Avg

Here

12.8%

19.5%

18.4%

Dallas

16.2%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility11.1%

Better than Avg

Here

11.1%

15.3%

14.9%

Dallas

17.0%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility12.4%

Better than Avg

Here

12.4%

14.4%

16.1%

Dallas

18.0%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility14.8%

Mixed vs Avgs

Here

14.8%

15.4%

9.4%

Dallas

10.5%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility98.1%

Better than Avg

Here

98.1%

93.4%

96.9%

Dallas

95.6%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility96.9%

Better than Avg

Here

96.9%

79.7%

88.0%

Dallas

78.7%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.4%

Better than Avg

Here

95.4%

81.8%

89.2%

Dallas

86.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Dallas

1.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies

1penalties

Above state avg (9.1)

13 complaint-triggered

$12,740 in fines

Brentwood Place Three has concerning patterns of deficiencies that families have repeatedly reported, particularly around medication management, daily care assistance, and care planning. While most violations have been corrected, serious issues persist including medication labeling problems as recently as December 2024, and the facility has faced multiple complaints about abuse protection and basic care quality, suggesting ongoing challenges with fundamental resident safety and care standards.

Mar 19, 2026Routine7 findings

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Feb 6, 2026Complaint5 findings

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 2, 2025Complaint1 finding

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Sep 11, 2025Complaint1 finding

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 8, 2025Routine2 findings

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 8, 2025Complaint1 finding

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Federal Penalties

Fine

Feb 6, 2026

$12,740

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

BRENTWOOD 13 NURSING AND REHAB LLC

Administrator

MUHAMMAD MIRZA

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 3 of 24

Ownership & Management

Owners

Coryell County Memorial Hospital Authority

Owner · Organization

100%

Gurwitz, Solomon