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Complaint Investigation

Matlock Place Health & Rehabilitation Center

November 23, 2025 · Arlington, TX · 7100 Matlock Rd
Citations 6
CMS Rating 1/5
Beds 148
Provider ID 676141
Healthcare Facility
Matlock Place Health & Rehabilitation Center
Arlington, TX  ·  View full profile →
Inspection Summary

Matlock Place Health & Rehabilitation Center in Arlington, TX — inspection on November 23, 2025.

Found 6 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.

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Inspection Findings

FF0641
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/23/2025 at 1:20 PM, the Administrator stated that it was her expectation that the MDS reflect the services, care, and treatment that the resident was receiving at the facility.

She stated that failing to code correctly could result in the resident missing individualized care.

The MDS coordinator was not interviewed nor attempted as the failure was observed on the weekend.

Record review of the facility's Maintain Minimum Data Set Assessments policy, dated 10/01/2023, reflected it did not address the accuracy of assessments.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Matlock Place Health & Rehabilitation Center

7100 Matlock Rd Arlington, TX 76002

SUMMARY STATEMENT OF DEFICIENCIES

plans timely to reflect the resident's current care and treatments.

The ADM stated that failing to document individualized treatment could result in the resident missing care.

Record review of the policy and procedure entitled Comprehensive Person-Centered Care Planning dated 3-2022; 12.2023 read in part .It is the policy of this facility that the interdisciplinary team (IDT) along with the resident, legal representative, and clinical staff develop a comprehensive person-centered care plan includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment . to provide effective and person-centered care that meet professional

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Matlock Place Health & Rehabilitation Center

7100 Matlock Rd Arlington, TX 76002

SUMMARY STATEMENT OF DEFICIENCIES

odor once it was cleaned.

She stated once the dressing becomes saturated with the drainage it will start to have an odor. In an interview with the DON on 11/23/25 at 11:15 a.m. she stated they had a Treatment Nurse who worked Monday through Friday, and the weekend nurses were responsible for their wound care.

She stated Resident #3 had chronic wounds with poor prognosis due to her debilitated state.

She stated the wound on her right foot had a lot of drainage due to the edema.

She stated the wound care physician had told them once the dressing became soaked it would start to have an odor, but the wound itself did not have an odor.

She stated they had an order to change the dressing daily or more often if it became soiled or dislodged.

She stated since it did not get changed yesterday she understood why it had an odor.

She stated she was not aware of the wound care being missed on 11/22/25 until today (11/23/25).

She stated the Treatment Nurse had not told her of any wound care not being completed on the weekends but stated if it was not completed on Saturday and done on Sunday, she would not know it was not being completed.

She stated going forward the ADON's were going to have monitor the Treatment administration records. In an interview on 11/23/25 at 11:40 a.m. with the Wound Care physician he stated he had been providing wound consultation for Resident #3. He stated her wounds were chronic and had poor chances of healing due to her debilitated state, her advanced contractures, and her bedbound status. He stated the wound on her right foot did not have any signs of infection. He stated the drainage would start to have an odor if it was left for an extended period of time, which is why he provided an order for the nurses to change it daily and anytime it became soiled and saturated. He stated it was his expectation for the wound care to be provided as ordered. He stated not keeping the wound clean could lead to more deterioration of the wound bed and the surrounding skin.

Record review of the facility's policy titled, Wound Treatment Management, dated January 2023, reflected, Wound treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change.Treatments will be documented on the Treatment Administration Record or in the electronic health record.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Matlock Place Health & Rehabilitation Center

7100 Matlock Rd Arlington, TX 76002

SUMMARY STATEMENT OF DEFICIENCIES

manual (gait/transfer belts,.) and mechanical lifting devices.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Matlock Place Health & Rehabilitation Center

7100 Matlock Rd Arlington, TX 76002

SUMMARY STATEMENT OF DEFICIENCIES

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The quality-of-care respiratory treatments policy was requested on 11/23/2025 at 12:00 PM and was not provided prior to exiting the building.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Matlock Place Health & Rehabilitation Center

7100 Matlock Rd Arlington, TX 76002

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited Matlock Place Health & Rehabilitation Center in Arlington, TX for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-11-23.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 6 deficiencies cited during this inspection of Matlock Place Health & Rehabilitation Center.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Arlington, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Matlock Place Health & Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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