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Complaint Investigation

Town Hall Estates - Arlington, Inc.

November 20, 2025 · Arlington, TX · 824 W Mayfield Rd
Citations 1
CMS Rating 2/5
Beds 116
Provider ID 676080
Healthcare Facility
Town Hall Estates - Arlington, Inc.
Arlington, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

TOWN HALL ESTATES - ARLINGTON, INC. in Arlington, TX — inspection on November 20, 2025.

Found 1 citation. 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

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

compliance with facility policies.

Definition of Elopement: Elopement occurs when a resident leaves the facility or a safe area without authorization and without necessary supervision, potentially placing themselves at risk for harm.

Key Points: Conduct elopement risk assessments upon admission and as needed.

Monitor exit doors and alarms for proper function.

Observe residents who exhibit wandering, restlessness, or confusion.

The facility implemented the following corrective actions following the incident: Record review of Resident #1's 15 Minute Monitoring Sheets, dated 11/03/25 to 11/05/25, reflected the resident was monitored every 15 minutes by staff to ensure she was safe and in the building.

Record review of the Incident/Accident report from the last three months reflected Resident #1 was the only resident to elope from the facility.

Record review of an in-service, dated 11/03/25 and 11/04/25, reflected staff were provided with in-service training regarding the facility's policy and procedures regarding elopements.

Facility ID:

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 TOWN HALL ESTATES - ARLINGTON, INC. or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.