Brentwood Terrace Healthcare and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (10 vs median 8.0)
Bottom 25% in Texas · Below recommended RN staffing · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $234,447 in fines · Abuse citation
What this means for your family
This facility presents significant risks regarding patient safety, specifically concerning medication administration and wound care. While some families report kind staff, the frequency of serious allegations regarding neglect is too high to ignore; if you choose this facility, you must implement daily, unannounced visits to monitor your loved one's physical condition and medication adherence.
Google Reviews
Google Reviews
47 reviews analyzed“Families should exercise extreme caution, as several recent reviews allege severe medical neglect, including failure to administer life-saving medications, untreated bed sores, and unexplained injuries. While some long-term residents' families praise the kindness of specific staff members and the cleanliness of the facility, there is a significant pattern of serious allegations regarding patient safety and staffing inadequacy.”
Quality Themes
Tap a score for detailsStrengths
- Kind and compassionate nursing staff
- Clean and well-maintained facility
- Attentive administrative leadership
- Effective physical therapy and wound care (in older reviews)
Concerns
- Severe medical neglect and medication errors (mentioned by 3 reviewers)
- Inadequate wound care and development of bed sores (mentioned by 2 reviewers)
- Staffing shortages and high turnover of aides (mentioned by 2 reviewers)
- Poor communication regarding patient status and falls (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a highly standardized, template-based approach for all negative reviews. While they acknowledge the reviewer by name, the core of the response is a repetitive script that fails to address the specific allegations of neglect, overdose, or injury.
Questions for Your Tour
- 1I noticed some great feedback about the kindness of your nursing staff; how do you ensure that level of compassion stays consistent across all shifts?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on time every day?
- 3How does the administration handle communication with families, especially when there is an update regarding a resident's health or a recent fall?
- 4Could you tell me more about your wound care procedures and how you monitor skin integrity for residents with limited mobility?
- 5What does a typical daily schedule look like for residents, and what kind of social activities or dining options are available?
- 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“My mother was in this facility for 2 days before I rescued her! She was supposed to be there for rehab after a hip replacement. She was left in bed all of time without pain meds, until I got there.”
“Due to the negligence here they are back and worse just from letting her sit in soiled bottoms. She is in a very small bed with no bed rails!!”
“I have a family member who spent some time at Brentwood. I was impressed with how kind and attentive the staff were to my loved one.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 23 complaint-triggered deficiencies, indicating families have filed reports about care quality. The most recurring issues involve medication management errors, resident protection from abuse and neglect, and resident rights violations. Recent surveys show ongoing problems with medication errors and protection policies continuing into 2025, suggesting these critical safety concerns persist despite correction attempts.
Mar 4, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Nov 21, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 4, 2025Routine7
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jun 4, 2025Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jan 8, 2025Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Jan 8, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Federal Penalties
Fine
Mar 2, 2024
$234,447
Payment Denial
Mar 2, 2024
20-day denial
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
PARIS I ENTERPRISES, LLC
BRENTON MICHAEL RAY
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 145 of 148 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit brentwoodterrace.com
Medicare data downloads
Original nursing home datasets
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