Town Hall Estates Arlington, Inc.

824 W Mayfield Rd · Arlington, TX · 76015 · 8174652222

116 certified beds Non profit - Church related

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $231,933 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

3 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$231,933 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.85 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 30
Staffing 20% 41
Federal penalties 15% 40
Trend 10% 30
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.853.48 min · 4.1 strong
RN hours / resident-day0.170.55–0.75
Weekend hours / resident-day2.69≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)2 · $231,933

Inspection citations (31 in the current record)

  • Immediate jeopardy · J November 20, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Immediate jeopardy · J July 3, 2025

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected July 4, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · K July 3, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 4, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected August 5, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025

    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 August 5, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025

    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 August 5, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025

    Provide or obtain dental services for each resident.

    Corrected August 5, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 5, 2025 · Nutrition and Dietary

  • Potential for harm · E July 3, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 5, 2025 · Infection Control

  • Potential for harm · D August 14, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 11, 2024 · Infection Control

  • Potential for harm · E June 20, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 20, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 20, 2024 · Quality of Life and Care

  • Potential for harm · E June 20, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 20, 2024 · Pharmacy Service

  • Potential for harm · D June 20, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 20, 2024 · Pharmacy Service

  • Potential for harm · E June 20, 2024

    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.

    Corrected July 20, 2024 · Pharmacy Service

  • Potential for harm · E June 20, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 20, 2024 · Nutrition and Dietary

  • Potential for harm · E June 20, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E June 20, 2024 · found via complaint

    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.

    Corrected July 20, 2024 · Resident Rights

  • Potential for harm · D June 20, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 20, 2024 · Quality of Life and Care

  • Potential for harm · D April 17, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 8, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 5, 2024 · Resident Rights

  • Potential for harm · D March 8, 2024 · found via complaint

    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.

    Corrected April 5, 2024 · Resident Rights

  • Potential for harm · E March 8, 2024 · found via complaint

    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 April 5, 2024 · Nutrition and Dietary

  • Potential for harm · D March 8, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 13, 2023 · found via complaint

    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.

    Corrected January 9, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 20, 2025Fine$9,113
July 3, 2025Fine$222,820

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676080 · certified since January 1, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.