Arlington, TX

Green Oaks Nursing & Rehabilitation

4-star overall rating with 3-star inspections with $83,850 in total fines with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

3033 W Green Oaks Blvd, Arlington, TX

(817) 222-6000

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

142

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hmg Healthcare

Operator or chain grouping

Approved since

2007-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.24

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.04

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.11

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.69

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

3.21

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,946

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.96

Baseline 27.12% · Performance 24.63% · Measure score 1.96 · Achievement 0 · Improvement 1.96

Healthcare-associated infections

1.09

Baseline 9.96% · Performance 9.18% · Measure score 1.09 · Achievement 0 · Improvement 1.09

Total nurse turnover

0.77

Baseline 66.67% · Performance 61.36% · Measure score 0.77 · Achievement 0.57 · Improvement 0.77

Adjusted total nurse staffing

2

Baseline 3.37 hours · Performance 3.65 hours · Measure score 2 · Achievement 2 · Improvement 0.66

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.62%	10.72% 0.9 pts worse	No Different than the National Rate · Eligible stays 86 · Observed rate 13.95% · Lower 95% interval 8.18%
Discharge to community	36.56%	50.57% 14 pts worse	Worse than the National Rate · Eligible stays 73 · Observed rate 27.4% · Lower 95% interval 27.36%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	87.84%	95.27% 7.4 pts worse	Numerator 65 · Denominator 74
Falls with major injury	1.35%	0.77% 0.6 pts worse	Numerator 1 · Denominator 74
Discharge self-care score	62.5%	53.69% 8.8 pts better	Numerator 30 · Denominator 48
Discharge mobility score	29.17%	50.94% 21.8 pts worse	Numerator 14 · Denominator 48
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 74 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.18%	7.12% 2.1 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 14.55% · Lower 95% interval 5.12%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 106
Staff flu vaccination coverage	15.06%	42% 26.9 pts worse	Numerator 25 · Denominator 166
Discharge function score	47.92%	56.45% 8.5 pts worse	Numerator 23 · Denominator 48
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 26 · Denominator 26
Transfer of health information to patient	96.43%	96.28% 0.2 pts better	Numerator 27 · Denominator 28
Resident COVID-19 vaccinations up to date	9.3%	25.2% 15.9 pts worse	Numerator 4 · Denominator 43

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.6%	3.3% 2.7 pts better	3.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	2.7% 1 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.6% · Q3 1.3% · Q4 0.0% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	3.4%	3.3% 0.1 pts worse	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.1% · Q3 3.0% · Q4 4.5% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.2%	18.9% 2.7 pts better	19.6% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 16.4% · Q3 16.7% · Q4 15.7% · 4Q avg 16.2%
Percentage of long-stay residents who received an antipsychotic medication	8.0%	10.8% 2.8 pts better	16.7% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.9% · Q3 8.3% · Q4 9.5% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.9%	15.4% 7.5 pts better	16.3% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.5%	16.1% 3.6 pts better	14.9% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 9.5% · Q3 19.4% · Q4 17.7% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.9%	15.0% 6.1 pts better	19.8% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.6% · Q3 10.5% · Q4 10.0% · 4Q avg 8.9%
Percentage of long-stay residents with pressure ulcers	3.8%	4.2% 0.4 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.6% · Q3 3.8% · Q4 2.1% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.4%	89.7% 7.7 pts better	81.7% 15.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 95.8% · Q3 97.8% · Q4 99.4% · 4Q avg 97.4%
Percentage of short-stay residents who had an outpatient emergency department visit	6.6%	12.0% 5.4 pts better	12.0% 5.4 pts better	Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.8% · Expected 13.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.5% 1.3 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.8%	88.0% 7.8 pts better	79.7% 16.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.5%	25.9% 1.4 pts better	23.9% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 26.6% · Expected 25.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-13 · Fire 2025-01-13

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-11-29 · Fire 2023-11-29

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-10-06 · Fire 2022-10-06

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-13

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-02-10

F · Potential for more than minimal harm 2025-01-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-04

F · Potential for more than minimal harm 2025-01-13

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2025-02-10

F · Potential for more than minimal harm 2025-01-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-13

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-02-10

F · Potential for more than minimal harm 2023-11-29

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-11-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-01-17

E · Potential for more than minimal harm 2023-11-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-17

E · Potential for more than minimal harm 2022-10-06

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2022-10-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-02-26

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-24

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-24

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-02-24

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-03-08

F · Potential for more than minimal harm 2025-01-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-02-10

F · Potential for more than minimal harm 2025-01-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-13

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-02-10

E · Potential for more than minimal harm 2025-01-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-02-10

D · Potential for more than minimal harm 2024-07-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-05-07

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-05-24

K · Immediate jeopardy 2024-01-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-01-21

B · Minimal harm 2024-01-03

F553 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-11-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-08-06

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-08-06

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-08-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-07

G · Actual harm 2023-03-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-09

Penalties and ownership

What sits behind the stars

$83,850 2024-01-20

Fine

Fine · fine $83,850

Fine

Ownership

Winnie-Stowell Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 75 facilities 2021-10-01

Balsamo, Krystal