Brentwood Place Three

Name: Brentwood Place Three
Address: 3505 S BUCKNER BLVD BLDG 4, Dallas, TX, 75227, US
Telephone: 2143811815

3505 S Buckner Blvd Bldg 4, Dallas, TX 75227 · Dallas County · 120 certified beds · avg 100 residents/day · certified since Jun 9, 1994

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

2/5

Health inspection rating (on-site)

Serious findings on record

$8,281

Fines, last 3 years

2.29

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Feb 6, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 7, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (24)

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
Jun 3, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 19, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 19, 2026	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.
Mar 19, 2026	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.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 19, 2026	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.
Mar 19, 2026	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.
Feb 6, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 6, 2026	D · Potential for harm, one-off	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. · from a complaint
Feb 6, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 6, 2026	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
Feb 6, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 2, 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
Sep 11, 2025	D · Potential for harm, one-off	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
Jan 8, 2025	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.
Jan 8, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Nov 12, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Mar 12, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Mar 12, 2024	D · Potential for harm, one-off	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
Nov 16, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 16, 2023	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
Nov 16, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Nov 16, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 16, 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 increased between the last two inspection cycles (1 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2023	5	0	E
2024	3	0	E
2025	4	0	E
2026	12	1	J ▲

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)

1 fine totaling $8,281.

Date	Type	Amount / length
Feb 6, 2026	Fine	$8,281

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)	2.29	3.46	3.95	bottom 1% in Texas; bottom 2% in the U.S.
Registered Nurse hours	0.29	0.44	0.69	bottom 25% in Texas; bottom 8% in the U.S.
Weekend total nurse staffing	1.99	3.04	3.50	bottom 1% in Texas; bottom 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.34	0.48	top 42% in Texas; bottom 36% in the U.S.
Total nursing staff turnover (%)	39.4	55.3	45.8	top 19% in Texas; top 35% in the U.S.
RN turnover (%)	44.4	54.6	42.9	top 37% in Texas; bottom 45% 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 2.58, RN 0.32, weekend 2.24. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Coryell County Memorial Hospital Authority	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2021
3505 S Buckner Blvd, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Brentwood 1-3 Nursing and Rehab, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Byrom, David	Individual	Corporate Officer	NOT APPLICABLE	03/01/2015
Continuum Rehab Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Esdov Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Garetz, David	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Gurwitz, Solomon	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/02/2025
Kaplan, Esther	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/02/2025
Kaplan, Mordechai	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	08/14/2025
Magnolia Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Mindle, Adam	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/02/2025
Mirza, Muhammad	Individual	Operational/Managerial Control	NOT APPLICABLE	02/04/2026
Mirza, Muhammad	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2026
Opco Ca Skilled Mgmt INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Opco Texas Skilled Mgmt LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Oregon Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2021
Silva, Phillip	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2015
Silva, Phillip	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2015
Unger, Jeffrey	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/02/2025

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"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 protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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
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
Brentwood Place Four	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 →

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Facility data as of CMS processing date 2026-08-01. CCN 675352.

The Care File

Visit checklist — Brentwood Place Three

3505 S Buckner Blvd Bldg 4, Dallas, TX 75227 · 2143811815

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $8,281

Most serious findings on record:

▲ Feb 6, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "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 protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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 675352 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)