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Brentwood Place Three

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About Brentwood Place Three

General Information

Legal Business NameCoryell County Memorial Hospital Authority
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareJune 9, 1994 (23 years)
Capacity120
Residents107
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Brentwood Place Three

Brentwood Place Three
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaintHave a program that investigates, controls and keeps infection from spreading.
LManyImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

May 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$116,025 fine
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.

May 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
CManyPotential for Minimal HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Brentwood Place Three require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 35min
2hr 25min
ReportedExpected
CNA

45min
ReportedExpected
LPN
30min
1hr 15min
ReportedExpected
RN
3hr
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.8%
97.7%
97.7%
90.7%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
87.9%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
21.4%
34.4%
30.3%
46.9%
Q1 2015Q2 2015Q3 2015TX
Low Risk Residents Who Lose Control of Their Bowel or Bladder
25.3%
23.4%
20.0%
22.3%
Q1 2015Q2 2015Q3 2015TX
Received an Antipsychotic Medication
12.2%
17.9%
17.7%
19.6%
Q1 2015Q2 2015Q3 2015TX
Need for Help with ADLs has Increased
31.1%
39.0%
16.3%
8.8%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
11.0%
2.4%
3.6%
6.3%
Q1 2015Q2 2015Q3 2015TX
Lose Too Much Weight
2.3%
8.8%
3.5%
6.6%
Q1 2015Q2 2015Q3 2015TX
High Risk Residents With Pressure Ulcers
25.6%
3.5%
10.5%
6.1%
Q1 2015Q2 2015Q3 2015TX
Have Depressive Symptoms
1.2%
3.6%
1.2%
5.1%
Q1 2015Q2 2015Q3 2015TX
With a Urinary Tract Infection
0.0%
0.0%
0.0%
3.5%
Q1 2015Q2 2015Q3 2015TX
Experiencing One or More Falls with Major Injury
3.3%
6.5%
4.4%
3.3%
Q1 2015Q2 2015Q3 2015TX
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015TX
Were Physically Restrained

Quality Measures for Short Stay Residents

97.5%
100.0%
100.0%
71.4%
Q1 2015Q2 2015Q3 2015TX
Assessed and Appropriately Given the Pneumococcal Vaccine
88.4%
87.6%
87.6%
71.1%
Q1 2015Q2 2015Q3 2015TX
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
59.8%
47.8%
39.4%
16.5%
Q1 2015Q2 2015Q3 2015TX
Self Report Moderate to Severe Pain
0.0%
0.0%
2.9%
3.2%
Q1 2015Q2 2015Q3 2015TX
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015TX
With Pressure Ulcers That Are New or Worsened