Brentwood Place Three faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.64 total nurse hours per resident per day, Brentwood Place Three falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 25 deficiencies at Brentwood Place Three. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.64 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.66 | 2.4 | Below Average |
| Weekend Total Nursing | 2.31 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 1, 2025 · Pharmacy Service Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Sep 10, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 7, 2025 · Infection Control Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 7, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Nov 11, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 10.7% | 14.5% | Better |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 13.1% | 14.0% | Average |
| Excessive weight loss | 9.8% | 7.5% | Worse |
| New/worsened incontinence | 19.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,740
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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