Matlock Place Health & Rehab: Transfer Safety Deficiency - TX
The November 2025 federal complaint inspection, conducted by the Centers for Medicare and Medicaid Services, cited the facility under tag F0689, which covers accidents and the environment around them. The specific finding involved manual transfer equipment, including gait belts, and mechanical lifting devices. Inspectors determined that the harm level was minimal, or potential for actual harm, and that few residents were affected.
That framing, "minimal harm or potential for actual harm," is the agency's way of saying something bad had not yet happened, or had not yet been documented as having happened.
Gait belts are canvas or nylon straps fastened around a resident's waist so a staff member can grip and steady them during transfers, the movements between a bed and a wheelchair, a wheelchair and a toilet, a chair and a standing position. Mechanical lifts serve the same population but do the work differently, using a sling and a motorized or hydraulic frame to hoist residents who cannot bear their own weight at all. Both exist because the alternative, staff grabbing a resident by the arm or under the armpit, is how people get dropped, how shoulders get dislocated, how someone who came in for rehabilitation leaves with a fracture they did not have before.
The report does not describe a specific incident. It does not name a resident who was dropped or a staff member who was observed skipping the belt. What it documents is a pattern, or the conditions for a pattern, sufficient for inspectors to cite the facility formally.
Matlock Place operates at 7100 Matlock Road in Arlington, a suburb between Dallas and Fort Worth. The facility offers short-term rehabilitation and long-term care. The residents who rely on gait belts and mechanical lifts are, by definition, among the most physically vulnerable in the building. They cannot transfer themselves. They are dependent on whoever is working that shift, on whether that person was trained, on whether that training held, and on whether the equipment was available and used correctly when it was needed.
The inspection was triggered by a complaint, not a routine survey. That distinction matters. Routine inspections are scheduled and anticipated. Complaint inspections follow an allegation, meaning someone, a resident, a family member, a staff member, contacted a regulatory agency and said something was wrong. The report does not identify who filed the complaint or what specifically they alleged. It identifies only what inspectors found when they arrived.
The plan of correction, if one has been submitted, is not included in the publicly available portion of this report. CMS notes that anyone seeking information on how the facility intends to fix the deficiency should contact Matlock Place directly or reach the Texas state survey agency.
A citation at this level does not carry an automatic fine. It does not trigger an immediate jeopardy designation, which is the agency's highest harm classification. What it does is enter the public record, attach to the facility's profile on the Medicare Care Compare website, and factor into the star rating system that families use when choosing where to place a parent or a spouse.
The limitation of this report is also its most honest feature. It captures a moment. Inspectors arrived, found what they found, and left. What happens in the building on the days when no one from a regulatory agency is present, on a night shift with fewer staff, when the mechanical lift has not been serviced, when a new aide is working alone and is not sure of the procedure, is not in the report. It is never in the report.
For the residents at Matlock Place who cannot stand without help, the equipment cited in this finding is not an abstraction. It is the difference between a transfer that goes safely and one that does not.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Matlock Place Health & Rehabilitation Center from 2025-11-23 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 26, 2026 · Our methodology
Matlock Place Health & Rehabilitation Center in Arlington, TX was cited for violations during a health inspection on November 23, 2025.
The specific finding involved manual transfer equipment, including gait belts, and mechanical lifting devices.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.