Matlock Place Health & Rehabilitation Center
Matlock Place Health & Rehabilitation Center in Arlington, TX — inspection on August 28, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the facility's policy, revised 06/24/24, and titled Abuse, Neglect and Exploitation reflected: Definitions: ‘Abuse' means the willful infliction of injury, unreasonable confinement, intimidation, or punishment
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Matlock Place Health & Rehabilitation Center
7100 Matlock Rd Arlington, TX 76002
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
happening and since she did not know about Resident #2's behaviors, she could not put things in place.
The Administrator said she expected staff to communicate with her when a resident showed signs of increased agitation and behaviors.
The Administrator said if she knew about the extent of Resident #2's behaviors she could have taken other steps to ensure the residents' safety, such as transferring her to be evaluated.
The Administrator said Resident #2's care plan was not updated either to reflect her behaviors because the management staff did not know about it.
The Administrator said she was the abuse coordinator for the facility, and this situation was considered physical abuse.
The Administrator said all residents had the right to be free from abuse and all staff were responsible for making sure they were.
The Administrator said if residents were not free from abuse they would be harmed or have some type of trauma happen to them up to and including death.
Phone interview on 08/28/25 at 9:32 AM with the Psych NP revealed Resident #2 was physically aggressive during moments of agitation and was difficult to redirect.
The Psych NP said staff had been communicating with him about the increase in her behaviors and he had added orders for a PRN Ativan gel and Seroquel more recently.
The Psych NP said he noticed during his meetings with her that she was uncooperative, non-compliant, and had disorganized speech and he was not sure what was causing all of these behaviors.
The Psych NP said staff also explained to him how difficult Resident #2 was to manage and control, that she had taken off the tank to the toilet and the soap dispensers from the walls, she was wheeling another resident down the hall in her wheelchair in an aggressive manner, and now she had choked another resident.
The Psych NP said Resident #2's behaviors were quite frequent and often from what he had witnessed and was told.
The Psych NP said from what he was told and understood, staff were trying to minimize her behaviors the be
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/28/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Matlock Place Health & Rehabilitation Center
7100 Matlock Rd Arlington, TX 76002
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's Psychotropic Medication Use policy, dated 2001, reflected it did not address having a diagnosis for a medication order.
Review of the manufacturer's information, dated January 2025, for Seroquel (quetiapine fumarate) reflected the following black box warning: Increased Mortality in Elderly Patients with Dementia-Related Psychosis; and Suicidal Thoughts and Behaviors Elderly patients with dementia-related psychosis treated with atypical antipsychotic drugs are at an increased risk of death.Seroquel (quetiapine) is not approved for the treatment of patients with Dementia-Related Psychosis.
Facility ID: