CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4558352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Interlochen Health And Rehabilitation Center

2645 West Randol Mill Rd · Arlington, TX 76012 · Tarrant County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds122CMS provider file
Recent citation rows62current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-21132026-05-2117
Cycle 22025-03-1382025-03-1310
Cycle 32024-02-15132024-02-151
02 / CITATION DETAIL

62 rows in the current release

6 rows carry G–L scope/severity codes; 4 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-21 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · FIREE0037Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0791Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-05-22
2026-05-21 · FIREK0211Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0222Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0232Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0293Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0343Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-05-21 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-06-26
2026-01-29 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-04-24Fine$16,7290
2024-09-03Fine$28,4240
2024-03-20Fine$8,9840
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FANNIN COUNTY HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 03/31/2017
  • HOLT, ERINIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/25/2020
  • KEETON, WENDYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/29/2012
  • KISSLING, MONICAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 06/21/2017
  • MCBEAN, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/30/2021
  • SANDERSON, CLARKIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 10/29/2012
  • TROMPLER, KELLYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 02/22/2022
  • HUGGINS, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/01/2022
  • WILLIG, ZACHARYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • SANDERSON, CLARKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/29/2012
  • ARLINGTON I ENTERPRISES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2022
  • BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2022
  • BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2022
  • ARLINGTON I ENTERPRISES, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/12/2025
  • ADMASSU, KIFLEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/12/2025
  • BLAKE, GARYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2022
  • GRESKY, AARONIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/12/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.36per resident day
RN hours0.31per resident day
Weekend nurse hours2.90per resident day
Staff turnover95.9%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.