Cycle 1
Health 2025-05-15 · Fire 2025-05-15
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Arlington, TX
Purehealth Transitional Care At Thr Arlington
1-star overall rating with 1-star inspections with $118,148 in total fines with 3 recent health deficiencies
800 W. Randol Mill Road, 6th Floor, Arlington, TX
(682) 276-8700
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
54
Certified beds
Average residents
35
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Purehealth
Operator or chain grouping
Approved since
2016-08-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.02
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
2.02
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
4.93
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
3.04
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
4.24
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.87
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.19
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.83
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,777
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.38
Baseline 19.51% · Performance 20.33% · Measure score 2.38 · Achievement 2.38 · Improvement 0
Healthcare-associated infections
4.06
Baseline 7.05% · Performance 6.62% · Measure score 4.06 · Achievement 4.06 · Improvement 1.59
Total nurse turnover
0.97
Baseline 72.00% · Performance 65.08% · Measure score 0.97 · Achievement 0 · Improvement 0.97
Adjusted total nurse staffing
1.62
Baseline 4.37 hours · Performance 3.54 hours · Measure score 1.62 · Achievement 1.62 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.58% |
10.72%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 331 · Observed rate 14.8% · Lower 95% interval 10.58% |
| Discharge to community | 74.65% |
50.57%
24.1 pts better
|
Better than the National Rate · Eligible stays 285 · Observed rate 68.77% · Lower 95% interval 67.25% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 91.89% |
95.27%
3.4 pts worse
|
Numerator 136 · Denominator 148 |
| Falls with major injury | 0.68% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 148 |
| Discharge self-care score | 60.16% |
53.69%
6.5 pts better
|
Numerator 77 · Denominator 128 |
| Discharge mobility score | 47.66% |
50.94%
3.3 pts worse
|
Numerator 61 · Denominator 128 |
| Pressure ulcers or injuries, new or worsened | 1.35% |
2.29%
0.9 pts better
|
Numerator 2 · Denominator 148 · Adjusted rate 1.64% |
| Healthcare-associated infections requiring hospitalization | 6.62% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 5.77% · Lower 95% interval 4.4% |
| Staff COVID-19 vaccination coverage | 2.25% |
8.2%
5.9 pts worse
|
Numerator 2 · Denominator 89 |
| Staff flu vaccination coverage | 21.84% |
42%
20.2 pts worse
|
Numerator 19 · Denominator 87 |
| Discharge function score | 55.47% |
56.45%
1 pts worse
|
Numerator 71 · Denominator 128 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 99.2% |
96.28%
2.9 pts better
|
Numerator 124 · Denominator 125 |
| Resident COVID-19 vaccinations up to date | 14.08% |
25.2%
11.1 pts worse
|
Numerator 10 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
89.7%
9.4 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 98.7% · Q3 99.7% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
12.0%
2 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.0% · Q3 1.0% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
88.0%
6 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% |
25.9%
2.7 pts worse
|
23.9%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 30.7% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-22 · Fire 2024-03-22
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-02-15 · Fire 2023-02-15
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-16
K · Immediate jeopardy
2025-04-09
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 2025-04-10
K · Immediate jeopardy
2025-04-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-10
E · Potential for more than minimal harm
2024-11-22
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 2024-11-23
K · Immediate jeopardy
2024-07-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-04
K · Immediate jeopardy
2024-07-03
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-04
D · Potential for more than minimal harm
2024-03-22
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 2024-04-12
D · Potential for more than minimal harm
2024-03-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-12
D · Potential for more than minimal harm
2024-03-22
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 2024-04-12
E · Potential for more than minimal harm
2023-02-15
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 2023-02-17
Penalties and ownership
What sits behind the stars
$60,540
2025-04-09
Fine
Fine · fine $60,540
Fine
$57,608
2024-07-03
Fine
Fine · fine $57,608
Fine
Ownership
Behnam, Soroush
Operational/Managerial Control · Individual
Bell, Kevin
5% Or Greater Indirect Ownership Interest · Individual
Bell, Kevin
Operational/Managerial Control · Individual
Bell, Kevin
Corporate Officer · Individual
Bgaf Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Campion, Robert
5% Or Greater Indirect Ownership Interest · Individual
Campion, Robert
Operational/Managerial Control · Individual
Campion, Robert
Corporate Officer · Individual
Dixon, Jeanette
Operational/Managerial Control · Individual
Dwight Mortgage Trust LLC
5% Or Greater Mortgage Interest · Organization
Fraser, Siobaughn
Operational/Managerial Control · Individual
Kccj1 Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Lbei Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Muniswamy, Harish
Operational/Managerial Control · Individual
Ph Ops Of Arlington LLC
5% Or Greater Direct Ownership Interest · Organization
Ph Ops Of Arlington LLC
Operational/Managerial Control · Organization
Tx Act Op Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Waddell, Sara
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Interlochen Health and Rehabilitation Center
Arlington, TX
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
#2
Coral Rehabilitation and Nursing of Arlington
Arlington, TX
0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $355,551 in total fines with 30 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
Greenbrier Health Care Center
Arlington, TX
1-star overall rating with 1-star inspections with $187,620 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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