BRENTWOOD TERRACE HEALTHCARE AND REHABILITATION
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-03-02 — IMMEDIATE JEOPARDY (tag F0760, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0755, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0725, severity L)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0835, severity L)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-03-02 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.44
state median 2.67
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.42
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
93%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $234,447 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-03-02 | Fine | $234,447 |
| 2024-03-02 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-04 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-21 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-21 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-04 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-04 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-06-04 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-04 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-04 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-04 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-04 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-04 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-01-08 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-08 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2025-01-08 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-08 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-08 | F0807 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-01-08 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-02 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-02 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-02 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-02 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-02 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-03-02 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-03-02 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-03-02 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-02 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-02 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-02 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-02 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-03-02 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-02 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-02 | F0725 | Nursing and Physician Services Deficiencies | L | not recorded |
| 2024-03-02 | F0755 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-03-02 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-02 | F0760 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-03-02 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-02 | F0802 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-02 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-02 | F0835 | Administration Deficiencies | L | not recorded |
| 2024-03-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-03-02 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2024-03-02 | F0940 | Administration Deficiencies | E | not recorded |
| 2024-02-07 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-07 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-07 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-11-20 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-04 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2023-08-04 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |