Viridian Wellness & Rehabilitation
A nursing home in Arlington, Texas 76011
1112 Gibbins Rd, Arlington, Texas 76011. (817) 274-2584.
- On CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- Not rated CMS’s overall rating
- 7 health citations at the latest inspection cycle Texas average: 9.6
- 5.33 nurse hours per resident per day Texas average: 3.42
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jul 9, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jul 26, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
88 citations in 21 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 88 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 67 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 9, 2026: standard inspection4 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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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.
Jun 4, 2026: complaint inspection1 citation
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Apr 27, 2026: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 31, 2026: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 19, 2026: standard inspection6 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Sep 16, 2025: standard inspection11 citations
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Reasonably accommodate the needs and preferences of each resident.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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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.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Jul 26, 2025: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jul 3, 2025: complaint inspection9 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide activities to meet all resident’s needs.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide and implement an infection prevention and control program.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 21, 2025: complaint inspection3 citations
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 23, 2025: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 19, 2025: complaint inspection1 citation
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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.
Apr 17, 2025: complaint inspection1 citation
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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.
Mar 18, 2025: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 6, 2025: complaint inspection1 citation
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Ensure each resident receives an accurate assessment.
Feb 27, 2025: complaint inspection3 citations
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Provide safe and appropriate respiratory care for a resident when needed.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Feb 20, 2025: complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Jan 31, 2025: complaint inspection4 citations
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 2, 2025: complaint inspection2 citations
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 19, 2024: complaint inspection10 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Provide and implement an infection prevention and control program.
Oct 15, 2024: complaint inspection1 citation
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Provide safe and appropriate respiratory care for a resident when needed.
Sep 27, 2024: complaint inspection1 citation
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Provide activities to meet all resident’s needs.
Aug 14, 2024: complaint inspection13 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide activities to meet all resident’s needs.
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Provide appropriate foot care.
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Post nurse staffing information every day.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Have policies on smoking.
May 30, 2024: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 30, 2024: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Feb 29, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
Feb 16, 2024: complaint inspection1 citation
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Jan 25, 2024: complaint inspection1 citation
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Provide safe and appropriate respiratory care for a resident when needed.
Jan 17, 2024: complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Dec 13, 2023: complaint inspection1 citation
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Plan the resident’s discharge to meet the resident’s goals and needs.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 10, 1993.
- On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
- 204 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $288,092 in all.
- 2 Medicare payment denials in the last three years.
- 67 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 3, 2025 | Medicare payment denial | Not given |
| Jul 3, 2025 | Fine | $205,594 |
| Nov 19, 2024 | Fine | $28,026 |
| Aug 14, 2024 | Medicare payment denial | Not given |
| Aug 14, 2024 | Fine | $45,537 |
| Jan 17, 2024 | Fine | $8,935 |
Who does the caring?
5.33 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 5.33 | 3.42 |
| Of which registered nurses | 0.91 | 0.44 |
| At weekends | 4.77 | 2.99 |
| Nursing staff turnover | 100% | 50.8% |
| Registered nurse turnover | 100% | 49.8% |
| Administrators who left | 3 | Not given |
Who owns it?
- Chambers County Public Hospital District No. 1 owns 100% directly since Jun 1, 2024.
- Arlington Management LLC runs it.
- 10 owners or officers are people: David M Fistel (holds 5% or more of the mortgage, 50.3%); David Efroymson (holds 5% or more of the mortgage, 30.3%); Mordechai Aryeh Greenfield (holds 5% or more of the mortgage, 19.9%); Daniel Zemel (holds 5% or more of the mortgage, 9.9%); Daniel Rodriguez (additional disclosable party (controls, leases property to, or provides services to the home)); David Efroymson (runs it (operational or managerial control)); Elizabeth Ann Newton (corporate director, 0%); Elizabeth Ann Newton (on the governing body (managing control)); Olawale O Akinmerese (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Davis (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Chambers County Public Hospital District No. 1 | Owns 5% or more directly | 100% | Jun 1, 2024 |
| Tx2 Propco Holdco, LLC | Holds 5% or more of the mortgage | 100% | Jun 1, 2024 |
| 112 Gibbins Rd Realty LLC | Holds 5% or more of the mortgage | 100% | Jun 1, 2024 |
| David M Fistel TX LLC | Holds 5% or more of the mortgage | 30.3% | Jun 1, 2024 |
| Dfjl, LLC | Holds 5% or more of the mortgage | 20% | Jun 1, 2024 |
| Dz Arlington, LLC | Holds 5% or more of the mortgage | 9.9% | Jun 1, 2024 |
| Dfjl, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Tx2 Propco Holdco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| 112 Gibbins Rd Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 16, 2025 | |
| Dz Arlington, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| David M Fistel TX LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Arlington Management LLC | Runs it (operational or managerial control) | Jun 1, 2024 | |
| Arlington Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 15, 2025 |
How do residents fare?
- CMS hasn’t rated this home’s quality measures.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | Not rated |
| Health inspections | Not rated |
| Staffing | Not rated |
| Quality measures | Not rated |
How does it compare nearby?
- Among the 12 nearest homes, within 6.2 miles, this one had the 9th most health citations at the latest inspection cycle (7; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Viridian Wellness & Rehabilitation This nursing home | 7 | |
| Avir at Arlington | 0.2 | 12 |
| Purehealth Transitional Care at Thr Arlington | 1.5 | 1 |
| Interlochen Health and Rehabilitation Center | 2.0 | 12 |
| Arlington Residence and Rehabilitation Center | 4.2 | 10 |
| Town Hall Estates - Arlington, Inc. | 4.3 | 10 |
| Arbrook Plaza | 4.7 | 9 |
| Westpark Rehabilitation and Living | 5.1 | 23 |
| Parkwood Village | 5.5 | 8 |
| Hurst Plaza Nursing and Rehab | 6.0 | 4 |
| Green Oaks Nursing & Rehabilitation | 6.0 | 10 |
| Forum Parkway Health & Rehabilitation | 6.2 | 4 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.