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Complaint Investigation

Brentwood Terrace Healthcare And Rehabilitation

November 21, 2025 · Paris, TX · 2885 Stillhouse Road
Citations 2
CMS Rating 1/5
Beds 119
Provider ID 676045
Healthcare Facility
Brentwood Terrace Healthcare And Rehabilitation
Paris, TX  ·  View full profile →
Inspection Summary

BRENTWOOD TERRACE HEALTHCARE AND REHABILITATION in PARIS, TX — inspection on November 21, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/11/2025 at 1:59 PM, CNA A said Resident #1 had visual impairment and was hard of hearing. CNA A said there was no problem with her making the comment that Resident #1 only wanted the TV on because the surveyors were in his room because he could not hear her. CNA A said there were no dignity issues associated with the way she treated Resident #1 or with her walking away from him without explaining why she was leaving the room when he questioned her. CNA A said she did not talk bad about any of the residents, and she had never said Resident #1 was crazy.,

During an interview on 11/12/2025 at 12:38 PM, the DON said she expected the staff to explain to the residents what they were doing.

The DON said she had not received any complaints about CNA A.

The DON said she did not want any of the staff to speak negatively about the residents.

The DON said CNA A walking away from Resident #1 could make him feel confused about the situation.

During an interview on 11/12/2025 at 1:05 PM, the Administrator said he expected the staff to explain to the residents what they were doing and prior to leaving the room ensure the residents' needs were met.

The Administrator said everyone was responsible for treating the residents with dignity and respect.

The Administrator said speaking about the residents in front of them, even if they were not able to hear, and walking away from them without explaining could make them feel bad.

Record review of the facility's undated policy titled, Resident Rights, indicated, A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality.

The facility must protect and promote the rights of the resident.

Respect and dignity - The resident has a right to be treated with respect and dignity, including.

The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/21/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Brentwood Terrace Healthcare and Rehabilitation

2885 Stillhouse Road Paris, TX 75460

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 11/12/2025 at 12:24 PM, the DON said the nurses were supposed to call the pharmacy prior to the residents' medications running out.

The DON said if a medication was not administered the physician should be contacted.

The DON said she was not aware Resident #2's Qulipta was not administered.

The DON said the nurses should have contacted her to notify her of the doses of the missed medication, but they did not.

The DON said not administering medications as ordered by the physician could result in a negative outcome.

During an interview on 11/12/2025 at 12:50 PM, the Administrator said if a medication was not in the building, he expected the nurses to contact the pharmacy and get the medication delivered immediately.

The Administrator said it was the nurse's responsibility to ensure medications were administered as ordered, and his expectations were if they did not, they should notify the ADON and DON.

The Administrator said he was not medical; therefore, he was not aware of the risks associated with not administering medications as ordered.

During an attempted phone interview on 11/12/2025 at 1:09 PM, LVN D did not answer the phone.

Record review of the facility's policy, Medication Administration and General Guideline v3-2025, indicated, Medications are administered as prescribed.Medications are administered in accordance with written orders of the attending physician.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PARIS, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BRENTWOOD TERRACE HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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