Brentwood Place One

3505 S Buckner Blvd Bldg 2 · Dallas, TX · 75227 · 2143811815

120 certified beds For profit - Corporation Chain: Opco Skilled Management

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.45 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 84
Staffing 20% 35
Federal penalties 15% 77
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.453.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day2.13≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)1 · $7,878

Inspection citations (17 in the current record)

  • Potential for harm · D April 9, 2026

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 10, 2026 · Quality of Life and Care

  • Potential for harm · D April 9, 2026

    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.

    Corrected April 10, 2026 · Pharmacy Service

  • Potential for harm · D April 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 10, 2026 · Infection Control

  • Potential for harm · D July 23, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 24, 2025 · Resident Rights

  • Potential for harm · D July 23, 2025 · found via complaint

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

    Corrected July 24, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025

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

    Corrected January 24, 2025 · Quality of Life and Care

  • Potential for harm · E January 22, 2025 · found via complaint

    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.

    Corrected January 24, 2025 · Resident Rights

  • Potential for harm · E January 22, 2025 · found via complaint

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

    Corrected January 24, 2025 · Quality of Life and Care

  • Potential for harm · E January 22, 2025 · found via complaint

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

    Corrected January 24, 2025 · Pharmacy Service

  • Potential for harm · E January 22, 2025 · found via complaint

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

    Corrected January 24, 2025 · Nutrition and Dietary

  • Potential for harm · E January 22, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 24, 2025 · Infection Control

  • Potential for harm · E December 6, 2024 · found via complaint

    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.

    Corrected December 7, 2024 · Resident Rights

  • Potential for harm · E November 7, 2024 · found via complaint

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

    Corrected November 8, 2024 · Nutrition and Dietary

  • Potential for harm · D November 30, 2023

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

    Corrected December 1, 2023 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

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

    Corrected December 1, 2023 · Quality of Life and Care

  • Immediate jeopardy · J July 21, 2023 · found via complaint

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

    Corrected July 22, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 26, 2023 · found via complaint

    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.

    Corrected July 19, 2023 · Resident Rights

Federal penalties

DateTypeAmount / length
July 21, 2023Fine$7,878

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675680 · certified since April 22, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.