Brentwood Place Four

Name: Brentwood Place Four
Address: 3505 S BUCKNER BLVD BLDG 5, Dallas, TX, 75227, US
Telephone: 2142373250

3505 S Buckner Blvd Bldg 5, Dallas, TX 75227 · Dallas County · 90 certified beds · avg 79 residents/day · certified since Dec 15, 2010

Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (30)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 27, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jun 11, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jun 11, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Jun 11, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 5, 2025	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Feb 5, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Feb 5, 2025	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 10, 2024	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
May 10, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
May 10, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 10, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 10, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 10, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 10, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 10, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
May 10, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
May 10, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 10, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 14, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Mar 23, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 23, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 10).

Year	Citations	Worst severity that year
2023	5	E
2024	11	E
2025	13	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.53	3.46	3.95	bottom 4% in Texas; bottom 4% in the U.S.
Registered Nurse hours	0.46	0.44	0.69	top 33% in Texas; bottom 31% in the U.S.
Weekend total nurse staffing	2.27	3.04	3.50	bottom 6% in Texas; bottom 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.34	0.48	bottom 46% in Texas; bottom 27% in the U.S.
Total nursing staff turnover (%)	65.2	55.3	45.8	bottom 25% in Texas; bottom 10% in the U.S.
RN turnover (%)	64.3	54.6	42.9	bottom 34% in Texas; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.19, RN 0.58, weekend 2.86. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Dallas County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	02/20/2015
3505 Buckner Brentwood 4, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Bradley, Shannan	Individual	Corporate Officer	NOT APPLICABLE	12/11/2023
Brentwood 4 Nursing & Rehab LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/29/2018
Castaneda, Edmundo	Individual	Corporate Officer	NOT APPLICABLE	01/10/2022
Cerise, Frederick	Individual	Corporate Officer	NOT APPLICABLE	03/24/2014
Continuum Rehab Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Esdov Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Garetz, David	Individual	Operational/Managerial Control	NOT APPLICABLE	03/29/2018
Gibraltar Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Gurwitz, Solomon	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025
Hagins, Elizabeth	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/31/2025
Kaplan, Esther	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025
Kaplan, Mordechai	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/31/2025
Mindle, Adam	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025
Nayak, Neeta	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Okelu, Basil	Individual	ADP of the SNF	NOT APPLICABLE	02/04/2025
Opco Ca Skilled Mgmt INC.	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Opco Texas Skilled Mgmt LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/29/2018
Unger, Jeffrey	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/03/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Brentwood Place Three	0.0 mi	Dallas, TX	★☆☆☆☆	2/5
South Dallas Nursing & Rehabilitation	0.0 mi	Dallas, TX	★☆☆☆☆	1/5
Brentwood Place One	0.0 mi	Dallas, TX	★★★★★	5/5
Brentwood Place Two	0.0 mi	Dallas, TX	★★★☆☆	3/5
Carrollton Health and Rehabilitation Center	2.9 mi	Carrollton, TX	★★☆☆☆	2/5
Treemont Healthcare and Rehabilitation Center	3.5 mi	Dallas, TX	★★☆☆☆	2/5
The Madison on Marsh	4.2 mi	Carrollton, TX	★★★★☆	3/5
Heritage Gardens Rehabilitation and Healthcare	4.7 mi	Carrollton, TX	★☆☆☆☆	2/5	abuse
Signature Pointe	4.8 mi	Dallas, TX	★★☆☆☆	2/5
Traymore Nursing Center	4.9 mi	Dallas, TX	★★★☆☆	4/5
The Plaza at Edgemere	5.6 mi	Dallas, TX	★★★★☆	4/5
Sandy Lake Rehabilitation and Care Center	5.8 mi	Coppell, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Dallas →

Facility data as of CMS processing date 2026-08-01. CCN 676270.

The Care File

Visit checklist — Brentwood Place Four

3505 S Buckner Blvd Bldg 5, Dallas, TX 75227 · 2142373250

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676270 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)