Federal inspection record · CMS data as of October 1, 2026
Town Hall Estates - Arlington, Inc.
824 W Mayfield Rd, Arlington, TX · (817) 465-2222
- Certified beds
- 116
- Residents per day
- 72
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2006
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Town Hall Estates - Arlington, Inc. carries 206.25 inspection points. That is fewer than 9% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Everything else, by area of care
Resident Rights6E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Keep residents' personal and medical records private and confidential.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care4E
- E
Provide or obtain dental services for each resident.
- D
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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1E
- E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Inspection history
2025-07-03
10 health deficiencies · 14 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-06-20
9 health deficiencies · 13 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2023-05-11
13 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 48 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
3 h 48 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$231,933 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-20 | Fine | $9,113 |
| 2025-07-03 | Fine | $222,820 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts better | 0.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts worse | 92.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.5 pts worse | 29.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 0.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.7 pts worse | 19.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 5.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.1 pts better | 2.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts better | 6.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse | 2.1% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts better | 10.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 7.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts better | 5.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 85.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse | 27.6% | 25.5% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ecord, Barbara | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Ecord, Barbara | Corporate Director · Individual | 0% | 3 facilities |
| Town Hall Estates Arlington Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness9F
- F
Establish roles under a Waiver declared by secretary.
- F
Provide primary/alternate means for communication.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Egress6F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
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.
- E
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.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Electrical2F
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
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