23 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Arlington, TX
1-star overall rating with 1-star inspections with abuse icon flag with $25,864 in total fines with 23 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
7100 Matlock Rd, Arlington, TX
(817) 466-2511
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
148
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-06-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
2.19
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
0.98
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.71
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
2.23
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
2.28
CMS adjusted RN staffing hours
Adjusted total hours
3.83
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
8,535
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.40
Composite VBP score used to determine payment impact.
Payment multiplier
0.9842
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.47
Baseline 21.08% · Performance 19.82% · Measure score 3.47 · Achievement 3.47 · Improvement 2.59
Healthcare-associated infections
4.16
Baseline 8.88% · Performance 7.07% · Measure score 4.16 · Achievement 2.57 · Improvement 4.16
Total nurse turnover
2.93
Baseline 55.00% · Performance 51.69% · Measure score 2.93 · Achievement 2.93 · Improvement 0.6
Adjusted total nurse staffing
0
Baseline 3.21 hours · Performance 2.99 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.75% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 98 · Observed rate 12.24% · Lower 95% interval 7.34% |
| Discharge to community | 41% |
50.57%
9.6 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 31.65% · Lower 95% interval 31% |
| Medicare spending per beneficiary | 1.24 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 64.37% |
95.27%
30.9 pts worse
|
Numerator 56 · Denominator 87 |
| Falls with major injury | 1.15% |
0.77%
0.4 pts worse
|
Numerator 1 · Denominator 87 |
| Discharge self-care score | 63.64% |
53.69%
10 pts better
|
Numerator 35 · Denominator 55 |
| Discharge mobility score | 67.27% |
50.94%
16.3 pts better
|
Numerator 37 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 1.15% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 87 · Adjusted rate 1.03% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 70 · Observed rate 8.57% · Lower 95% interval 4.16% |
| Staff COVID-19 vaccination coverage | 1.86% |
8.2%
6.3 pts worse
|
Numerator 3 · Denominator 161 |
| Staff flu vaccination coverage | 14.51% |
42%
27.5 pts worse
|
Numerator 28 · Denominator 193 |
| Discharge function score | 76.36% |
56.45%
19.9 pts better
|
Numerator 42 · Denominator 55 |
| Transfer of health information to provider | 89.47% |
95.95%
6.5 pts worse
|
Numerator 34 · Denominator 38 |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 20 · Denominator 22 |
| Resident COVID-19 vaccinations up to date | 19.15% |
25.2%
6.1 pts worse
|
Numerator 9 · Denominator 47 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.1
0.3 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.3% |
97.1%
19.8 pts worse
|
93.4%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 73.6% · Q2 77.2% · Q3 79.3% · Q4 79.3% · 4Q avg 77.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
97.9%
2.1 pts worse
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.3%
0.7 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.2% · Q3 1.2% · Q4 3.4% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.3% |
2.7%
1.6 pts worse
|
11.4%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 5.0% · Q3 1.4% · Q4 2.4% · 4Q avg 4.3% |
| Percentage of long-stay residents who lose too much weight | 1.6% |
3.3%
1.7 pts better
|
5.4%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.1% · Q3 0.0% · Q4 1.6% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
18.9%
4.6 pts better
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 10.6% · Q3 16.4% · Q4 18.5% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
10.8%
2.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.5% · Q3 10.9% · Q4 8.2% · 4Q avg 7.9% · 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 | 30.8% |
15.4%
15.4 pts worse
|
16.3%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 24.8% · Q3 38.4% · 4Q avg 30.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.2% |
16.1%
19.1 pts worse
|
14.9%
20.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 35.8% · Q3 28.0% · Q4 32.7% · 4Q avg 35.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.5%
0.3 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · 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 | 21.3% |
15.0%
6.3 pts worse
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 27.8% · Q3 13.9% · Q4 10.9% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.2%
0.3 pts worse
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 3.6% · Q3 4.4% · Q4 3.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.6% |
89.7%
26.1 pts worse
|
81.7%
18.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.9% · Q2 63.7% · Q3 83.5% · Q4 54.3% · 4Q avg 63.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
12.0%
1.6 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 16.0% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.5%
1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 2.0% · Q4 5.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.4% |
88.0%
5.6 pts worse
|
79.7%
2.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
25.9%
7.1 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 22.0% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Administration (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-06-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-21
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2025-06-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-21
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-06-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-21
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-21
Fire Safety
Have an externally vented heating system.
Corrected 2025-06-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-03-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-30
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 2024-03-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-28
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 2024-03-28
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-03-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-03-28
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-03-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-13
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-01-13
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-12-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-11-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-18
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 2025-06-18
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-06-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-18
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 2025-06-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-18
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 2025-06-18
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-09
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-27
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-03-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-27
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-04-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-03
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-03-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-27
Health
Post nurse staffing information every day.
Corrected 2024-03-27
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-02-16
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-02-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-15
Penalties and ownership
Fine · fine $8,028
Fine
Fine · fine $8,827
Fine
Fine · fine $9,009
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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1-star overall rating with 2-star inspections with $39,674 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Arlington, TX
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Arlington, TX
2-star overall rating with 1-star inspections with $236,840 in total fines with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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