Brentwood Place One faces challenges in its CMS ratings, earning a D grade with a score of 53/100. The facility ranks in the 59th percentile among Texas nursing homes, suggesting significant room for improvement.
With 2.38 total nurse hours per resident per day, Brentwood Place One falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 28 deficiencies at Brentwood Place One, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.38 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.56 | 2.4 | Below Average |
| Weekend Total Nursing | 2.09 | 3.8 | Below Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Jul 22, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Jul 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 21, 2025 · Resident Rights Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventJan 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jan 21, 2025 · Pharmacy Service 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 | 0.9% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 9.9% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 24.5% | 14.0% | Worse |
| Excessive weight loss | 2.1% | 7.5% | Better |
| New/worsened incontinence | 15.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $7,878
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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