Federal inspection record · CMS data as of October 1, 2026

Brentwood Terrace Healthcare And Rehabilitation

2885 Stillhouse Road, Paris, TX · (903) 784-4111

CMS overall rating

1 of 5

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Certified beds
119
Residents per day
78
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 12, 2005

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Brentwood Terrace Healthcare And Rehabilitation carries 302.75 inspection points. That is fewer than 3% of Texas's 1,166 rated homes.

5★4★3★2★1★+30 homes above 317.8905102550100200inspection points → fewer is better on the leftThis home · 302.75 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 5 100 pts
L 2 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 10 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (8)

  1. L

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 2, 2024 · Complaint inspection · Nursing and Physician Services · F725 · Corrected March 3, 2024

  2. L

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    March 2, 2024 · Complaint inspection · Administration · F835 · Corrected March 3, 2024

  3. K

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 2, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 3, 2024

  4. K

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 2, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected March 3, 2024

  5. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 2, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected March 3, 2024

  6. K

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 2, 2024 · Complaint inspection · Pharmacy Service · F755 · Corrected April 19, 2024

  7. K

    Ensure that residents are free from significant medication errors.

    March 2, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected March 3, 2024

  8. J

    Respond appropriately to all alleged violations.

    March 2, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected March 3, 2024

Everything else, by area of care

Quality of Life and Care6D
  1. D

    Provide enough food/fluids to maintain a resident's health.

    July 29, 2026 · Standard · F692 · Corrected July 30, 2026

  2. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    July 21, 2026 · Complaint · F744 · Corrected July 22, 2026

  3. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    March 4, 2026 · Complaint · F676 · Corrected March 5, 2026

  4. D

    Provide enough food/fluids to maintain a resident's health.

    June 4, 2025 · Complaint · F692 · Corrected June 5, 2025

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    June 4, 2025 · Standard · F695 · Corrected June 5, 2025

  6. D

    Provide enough food/fluids to maintain a resident's health.

    November 20, 2023 · Complaint · F692 · Corrected November 21, 2023

Resident Rights5E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 21, 2025 · Complaint · F550 · Corrected November 22, 2025

  2. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    June 4, 2025 · Standard · F553 · Corrected June 5, 2025

  3. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    January 8, 2025 · Complaint · F550 · Corrected January 24, 2025

  4. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 8, 2025 · Complaint · F565 · Corrected January 24, 2025

  5. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    January 8, 2025 · Standard · F578 · Corrected February 3, 2025

Nutrition and Dietary4E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    July 29, 2026 · Standard · F804 · Corrected July 30, 2026

  2. D

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    July 29, 2026 · Standard · F810 · Corrected July 30, 2026

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 8, 2025 · Standard · F812 · Corrected January 24, 2025

  4. D

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    January 8, 2025 · Standard · F807 · Corrected January 24, 2025

Pharmacy Service4E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 21, 2025 · Complaint · F755 · Corrected November 22, 2025

  2. E

    Ensure that residents are free from significant medication errors.

    June 4, 2025 · Complaint · F760 · Corrected June 5, 2025

  3. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    June 4, 2025 · Standard · F761 · Corrected June 5, 2025

  4. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    January 8, 2025 · Standard · F761 · Corrected January 24, 2025

Freedom from Abuse, Neglect, and Exploitation4E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 4, 2025 · Complaint · F600 · Corrected April 24, 2025

  2. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 2, 2024 · Complaint · F609 · Corrected March 3, 2024

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    February 7, 2024 · Complaint · F607 · Corrected February 8, 2024

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 7, 2024 · Complaint · F609 · Corrected February 8, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    July 29, 2026 · Standard · F880 · Corrected July 30, 2026

  2. E

    Provide and implement an infection prevention and control program.

    June 4, 2025 · Standard · F880 · Corrected June 5, 2025

  3. D

    Provide and implement an infection prevention and control program.

    March 2, 2024 · Complaint · F880 · Corrected March 3, 2024

Nursing and Physician Services2E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    July 29, 2026 · Standard · F725 · Corrected July 30, 2026

  2. E

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    February 7, 2024 · Complaint · F726 · Corrected February 11, 2024

Resident Assessment and Care Planning2D
  1. D

    Ensure each resident receives an accurate assessment.

    June 4, 2025 · Standard · F641 · Corrected June 5, 2025

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 8, 2025 · Standard · F656 · Corrected January 24, 2025

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    July 29, 2026 · Standard · F849 · Corrected July 30, 2026

Inspection history

  1. 2026-07-29

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2025-06-04

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2025-01-08

    21 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 6 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 6 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$234,447 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-02Fine$234,447
2024-03-02Payment Denial · 20 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts worse2.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same2.02.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse3.8%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.9 pts better0.4%2.3%13.5%
Percentage of long-stay residents who lose too much weight3.4 pts worse6.3%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better11.0%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse11.4%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.2 pts worse16.1%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts worse23.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse17.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better1.5%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.7 pts better99.4%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6 pts worse18.2%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better1.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better23.5%25.5%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Blake, GaryOperational/Managerial Control · Individual0%139 facilities
Blake, MalisaOperational/Managerial Control · Individual0%139 facilities
Huggins, LindaCorporate Director · Individual0%138 facilities
Mak, DavidCorporate Officer · Individual0%28 facilities
Paris I Enterprises LLCOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 29, 2026 · K345 · Corrected July 29, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 29, 2026 · K353 · Corrected July 29, 2026

  3. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    July 29, 2026 · K372 · Corrected July 29, 2026

  4. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 29, 2026 · K321 · Corrected July 29, 2026

  5. E

    Install an approved automatic sprinkler system.

    June 4, 2025 · K351 · Corrected June 18, 2025

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 4, 2025 · K353 · Corrected June 18, 2025

  7. E

    Install an approved automatic sprinkler system.

    January 8, 2025 · K351 · Corrected January 8, 2025

  8. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 8, 2025 · K374 · Corrected January 8, 2025

·

Other homes nearby

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  3. Legend Healthcare And Rehabilitation - Paris

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