Nursing HomeMedicaid Needs closer review

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 193 Google reviews

(214) 381-1815 Directions Website

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5flags

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low overall rating (1/5 stars)
Low health inspection rating (2/5 stars)
Low staffing rating (1/5 stars)
1 Medicare penalty on record
Above-median findings in the latest survey (14 vs median 8)

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 43% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 14 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Google Reviews

218 public Google reviews available

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 · 218 analyzed

154

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: 218 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.32hrs

43%

Registered nurses for medical care

Total Nursing

2.58hrs

63%

All nurses + aides combined

Staff Turnover

39%

Lower is better (< 30% = good)

RN Turnover

44%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

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 Facility0.6%

Better than Avg

Here

0.6%

12.8%

2.4%

Dallas

1.9%

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

Residents on antipsychotic medication

↓ Lower is better

This Facility16.7%

Worse than Avg

Here

16.7%

15.4%

9.6%

Dallas

6.7%

Residents needing more daily help over time

↓ Lower is better

This Facility8.1%

Better than Avg

Here

8.1%

13.9%

15.8%

Dallas

16.6%

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.0%

Better than Avg

Here

12.0%

19.5%

18.0%

Dallas

15.3%

Residents whose walking got worse

↓ Lower is better

This Facility8.9%

Better than Avg

Here

8.9%

14.1%

14.0%

Dallas

15.5%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility15.4%

Mixed vs Avgs

Here

15.4%

19.0%

13.4%

Dallas

13.0%

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%

79.8%

88.0%

Dallas

86.1%

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility94.3%

Better than Avg

Here

94.3%

82.0%

88.9%

Dallas

90.8%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.1%

Mixed vs Avgs

Here

1.1%

1.6%

1.5%

Dallas

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

29findings in history

1penalty

Latest survey: 14 · well above TX avg (9.1)

13 complaint-triggered findings

$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.

Jun 3, 2026Complaint1 finding

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.

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.

Federal Penalties

Fine

Feb 6, 2026

$8,281

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

66 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