Arlington, TX

Interlochen Health and Rehabilitation Center

1-star overall rating with 1-star inspections with $84,341 in total fines with 13 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

2645 West Randol Mill Rd, Arlington, TX

(817) 277-6789

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

80

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1989-08-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 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

0.31

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.26

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.81

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.86

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.80

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,306

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

Performance score

30.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9858

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

6.60

Baseline 8.63% · Performance 6.05% · Measure score 6.60 · Achievement 5.96 · Improvement 6.60

Total nurse turnover

0.37

Baseline 66.67% · Performance 63.01% · Measure score 0.37 · Achievement 0 · Improvement 0.37

Adjusted total nurse staffing

2.07

Baseline 3.53 hours · Performance 3.67 hours · Measure score 2.07 · Achievement 2.07 · Improvement 0.13

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.63%
10.72%
2.9 pts worse
No Different than the National Rate · Eligible stays 66 · Observed rate 21.21% · Lower 95% interval 9.6%
Discharge to community 41.81%
50.57%
8.8 pts worse
No Different than the National Rate · Eligible stays 45 · Observed rate 33.33% · Lower 95% interval 30.31%
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up 76.67%
95.27%
18.6 pts worse
Numerator 23 · Denominator 30
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 30
Discharge self-care score 68%
53.69%
14.3 pts better
Numerator 17 · Denominator 25
Discharge mobility score 56%
50.94%
5.1 pts better
Numerator 14 · Denominator 25
Pressure ulcers or injuries, new or worsened 3.33%
2.29%
1 pts worse
Numerator 1 · Denominator 30 · Adjusted rate 3%
Healthcare-associated infections requiring hospitalization 6.05%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 25 · Observed rate 0% · Lower 95% interval 3.19%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 111
Staff flu vaccination coverage 5.7%
42%
36.3 pts worse
Numerator 9 · Denominator 158
Discharge function score 76%
56.45%
19.5 pts better
Numerator 19 · Denominator 25
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
2.1
0.3 pts better
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
2.1
0.8 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star
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 5.6%
3.3%
2.3 pts worse
3.3%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 6.2% · Q3 4.3% · Q4 4.4% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.4%
2.7%
2.3 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight 0.5%
3.3%
2.8 pts better
5.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.1%
18.9%
6.8 pts better
19.6%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 17.0% · Q3 14.8% · Q4 8.8% · 4Q avg 12.1%
Percentage of long-stay residents who received an antipsychotic medication 8.2%
10.8%
2.6 pts better
16.7%
8.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.1% · Q3 7.1% · Q4 12.2% · 4Q avg 8.2% · 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 20.3%
15.4%
4.9 pts worse
16.3%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 34.2% · Q3 11.8% · Q4 28.9% · 4Q avg 20.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.5%
16.1%
0.6 pts better
14.9%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 19.1% · Q3 13.0% · Q4 21.6% · 4Q avg 15.5% · 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 1.1%
0.8%
0.3 pts worse
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.0%
15.0%
5 pts worse
19.8%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 22.7% · Q3 15.3% · Q4 20.5% · 4Q avg 20.0%
Percentage of long-stay residents with pressure ulcers 3.1%
4.2%
1.1 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.7% · Q3 1.3% · Q4 3.6% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.9%
89.7%
9.2 pts better
81.7%
17.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 98.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
Percentage of short-stay residents who had an outpatient emergency department visit 6.8%
12.0%
5.2 pts better
12.0%
5.2 pts better
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 7.7% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.4%
1.5%
1.9 pts worse
1.6%
1.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 7.5% · Q4 2.4% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.7%
88.0%
10.7 pts better
79.7%
19 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.8%
25.9%
14.1 pts better
23.9%
12.1 pts better
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.5% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-02-15 · Fire 2024-02-15

10 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-12-07 · Fire 2022-12-07

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-13

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

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 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-18

E · Potential for more than minimal harm 2024-02-15

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 2024-03-11

F · Potential for more than minimal harm 2022-12-07

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-12-30

F · Potential for more than minimal harm 2022-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-20

E · Potential for more than minimal harm 2022-12-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-12-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-29

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

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.

Not marked corrected

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-08

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 2025-09-08

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

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2025-09-08

D · Potential for more than minimal harm 2025-07-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-06-10

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-07-01

D · Potential for more than minimal harm 2025-06-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-07-01

K · Immediate jeopardy 2025-04-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-11

K · Immediate jeopardy 2025-04-24

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-04-11

D · Potential for more than minimal harm 2025-03-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-31

K · Immediate jeopardy 2024-09-03

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-04

K · Immediate jeopardy 2024-09-03

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-06-07

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-07-05

D · Potential for more than minimal harm 2024-06-07

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 2024-07-05

D · Potential for more than minimal harm 2024-05-16

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 2024-05-17

G · Actual harm 2024-03-20

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 2024-03-21

G · Actual harm 2024-03-20

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 2024-03-21

E · Potential for more than minimal harm 2024-02-15

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-03-11

E · Potential for more than minimal harm 2024-02-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-02-15

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-03-11

D · Potential for more than minimal harm 2024-01-17

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 2024-01-18

E · Potential for more than minimal harm 2023-12-21

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-21

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-08-22

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 2023-08-23

J · Immediate jeopardy 2023-05-18

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 2023-05-19

D · Potential for more than minimal harm 2023-05-18

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 2023-05-19

E · Potential for more than minimal harm 2023-03-22

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-22

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 2023-04-07

D · Potential for more than minimal harm 2023-03-22

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 2023-04-07

D · Potential for more than minimal harm 2023-03-22

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-04-07

E · Potential for more than minimal harm 2022-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-29

D · Potential for more than minimal harm 2022-12-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-12-29

D · Potential for more than minimal harm 2022-12-07

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 2022-12-29

Penalties and ownership

What sits behind the stars

$16,729 2025-04-24

Fine

Fine · fine $16,729

Fine

$28,424 2024-09-03

Fine

Fine · fine $28,424

Fine

$8,984 2024-03-20

Fine

Fine · fine $8,984

Fine

$14,521 2023-05-18

Fine

Fine · fine $14,521

Fine

$15,683 2023-05-18

Fine

Fine · fine $15,683

Fine

Ownership

Fannin County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 52 facilities 2017-03-31
Arlington I Enterprises, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-10-01
Blake, Gary

Operational/Managerial Control · Individual

0% 136 facilities 2022-10-01
Blake, Malisa

Operational/Managerial Control · Individual

0% 135 facilities 2022-10-01
Huggins, Linda

Corporate Director · Individual

0% 137 facilities 2022-10-01
Sanderson, Clark

Corporate Officer · Individual

0% 56 facilities 2012-10-29
Willig, Zachary

Corporate Director · Individual

0% 77 facilities 2025-01-01

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Fines
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