Brentwood Place Two
3505 S Buckner Blvd Bldg 3, Dallas, TX 75227 · Dallas County · 120 certified beds · avg 101 residents/day · certified since Aug 5, 1997 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Oct 2, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0757 · triggered by a complaint
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
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: Oct 2, 2023 (Past Non-Compliance)
All citations in the current public record (32)
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 |
|---|---|---|
| Jul 2, 2026 | D · Potential for harm, one-off | 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 |
| Mar 5, 2026 | 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. |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Mar 5, 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 5, 2026 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Mar 5, 2026 | D · Potential for harm, one-off | 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. |
| Mar 5, 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. |
| Mar 5, 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. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Jun 4, 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 4, 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 4, 2025 | D · Potential for harm, one-off | 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 |
| Dec 12, 2024 | E · Potential for harm, repeated | 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. |
| Dec 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. |
| Dec 12, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 12, 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. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Dec 12, 2024 | D · Potential for harm, one-off | 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. |
| Oct 18, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, 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 |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Feb 29, 2024 | 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 |
| Feb 29, 2024 | 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 |
| Nov 2, 2023 | 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. |
| Nov 2, 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. |
| Nov 2, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Nov 2, 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. |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Sep 22, 2023 | 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 |
| Sep 22, 2023 | 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 |
| Sep 22, 2023 | D · Potential for harm, one-off | 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 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 12 | 2 | J ▲ |
| 2025 | 3 | 0 | E |
| 2026 | 9 | 0 | E |
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 $14,433.
| Date | Type | Amount / length |
|---|---|---|
| Feb 29, 2024 | Fine | $14,433 |
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) | 2.23 | 3.46 | 3.95 | bottom 1% in Texas; bottom 2% in the U.S. |
| Registered Nurse hours | 0.41 | 0.44 | 0.69 | top 44% in Texas; bottom 24% in the U.S. |
| Weekend total nurse staffing | 1.90 | 3.04 | 3.50 | bottom 1% in Texas; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.34 | 0.48 | bottom 21% in Texas; bottom 12% 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 (%) | 45.5 | 54.6 | 42.9 | top 39% in Texas; bottom 43% 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 2.51, RN 0.46, weekend 2.14. 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 |
|---|---|---|---|---|
| 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 |
| Nayak, Neeta | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2003 |
| 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 |
| Oraekwe, Valentine | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2019 |
| Oregon Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2021 |
| 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.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "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 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 →
Facility data as of CMS processing date 2026-08-01. CCN 675702.