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ARLINGTON RESIDENCE AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (ARLINGTON, Texas)

405 DUNCAN PERRY RD, ARLINGTON, Texas 76011

Phone: 8176493366

CMS Overall:1/5

Overview & Bed Count

Certified Beds
118
Avg Residents/Day
70
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Tarrant
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.560.44+0.11
Total Nurse Hours per Resident per Day3.223.42-0.19
CMS Staffing Rating3/51.9/5-
Nursing Staff Turnover44.8%50.8%-

Health Citation History

57 health citations on record

DateCategoryDescriptionSeverity
2026-04-09Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2026-04-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2026-04-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-04-09Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-04-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-04-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-04-09Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-04-09Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2026-04-09Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2026-04-09Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2025-08-29Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-05-29Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-02-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-02-06Environmental DeficienciesHave enough backup water supply for essential areas of the nursing home.F – Moderate Harm Potential
2025-02-06Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2025-02-06Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2025-02-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-02-06Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2025-02-06Nursing and Physician Services DeficienciesVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.E – Moderate Harm Potential
2025-02-06Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-02-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-02-06Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2025-02-06Environmental DeficienciesProvide bedrooms that don't allow residents to see each other when privacy is needed.E – Moderate Harm Potential
2025-02-06Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.E – Moderate Harm Potential
2025-02-06Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2024-12-13Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-11-08Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-09-12Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-09-12Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-09-12Nutrition and Dietary DeficienciesEnsure 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 – Moderate Harm Potential
2024-09-12Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.E – Moderate Harm Potential
2024-09-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-08-29Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-08-29Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2024-06-27Resident Rights DeficienciesPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D – Moderate Harm Potential
2024-06-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-14Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2024-03-29Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2024-01-11Resident Rights DeficienciesHonor 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.L – Immediate Jeopardy
2024-01-11Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-01-11Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.E – Moderate Harm Potential
2024-01-11Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-01-11Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-01-11Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-01-11Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-01-11Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-01-11Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2024-01-11Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2024-01-11Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-01-11Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential

Showing 50 of 57 citations.

Fire Safety Citation History

36 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-09Egress DeficienciesInstall proper backup exit lighting.F – Moderate Harm Potential
2026-04-09Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2026-04-09Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-04-09Smoke DeficienciesHave properly sized and located compartments to protect residents from smoke.F – Moderate Harm Potential
2026-04-09Services DeficienciesHave an externally vented heating system.F – Moderate Harm Potential
2026-04-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-04-09Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2025-02-06Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2025-02-06Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2025-02-06Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2025-02-06Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-02-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-02-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-02-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-02-06Egress DeficienciesMeet other general requirements.E – Moderate Harm Potential
2025-02-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-02-06Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-02-06Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2025-02-06Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2025-02-06Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2025-02-06Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2024-01-11Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2024-01-11Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2024-01-11Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential
2024-01-11Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-01-11Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2024-01-11Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-01-11Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-01-11Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-01-11Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-01-11Egress DeficienciesMeet other general requirements.E – Moderate Harm Potential
2024-01-11Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-01-11Egress DeficienciesAdd 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 – Moderate Harm Potential
2024-01-11Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-01-11Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2024-01-11Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential

Total Penalties & Fines

$53,066
Total Fine Amount (CMS)
5
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2025-02-06Fine$11,193-
2024-08-29Fine$10,036-
2024-06-14Fine$6,153-
2024-03-29Fine$15,843-
2024-01-11Fine$9,841-

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