Green Oaks Nursing & Rehabilitation
3033 W Green Oaks Blvd, Arlington, TX 76016 · Tarrant County · 142 certified beds · avg 97 residents/day · certified since May 15, 2007
Part of chain: HMG HEALTHCARE (31 facilities, chain avg rating 3.1★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$83,850
Fines, last 3 years
3.59
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jan 20, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jan 21, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 4, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Feb 24, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Feb 24, 2025 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Feb 24, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jan 13, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 13, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 13, 2025 | E · Potential for harm, repeated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jan 13, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 30, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 7, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jan 20, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 3, 2024 | B · Minimal risk, repeated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 6, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Aug 6, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Aug 6, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 4 | 1 | K ▲ |
| 2025 | 9 | 0 | F |
| 2026 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $83,850.
| Date | Type | Amount / length |
|---|---|---|
| Jan 20, 2024 | Fine | $83,850 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.59 | 3.46 | 3.95 | top 30% in Texas; bottom 41% in the U.S. |
| Registered Nurse hours | 0.30 | 0.44 | 0.69 | bottom 29% in Texas; bottom 10% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.04 | 3.50 | top 32% in Texas; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.34 | 0.48 | top 43% in Texas; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 48.5 | 55.3 | 45.8 | top 41% in Texas; bottom 41% in the U.S. |
| RN turnover (%) | 50.0 | 54.6 | 42.9 | top 41% in Texas; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.61, RN 0.30, weekend 3.15. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Balsamo, Krystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/29/2021 |
| Balsamo, Krystal | Individual | ADP of the SNF | NOT APPLICABLE | 09/29/2021 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Culp, Roland | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2021 |
| Culp, Roland | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Dohn, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/27/2019 |
| Dohn, William | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2019 |
| Gary, Jonica | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Gary, Jonica | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| HMG Park Manor of Green Oaks, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| HMG Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Johanan, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/06/2024 |
| Johanan, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 05/06/2024 |
| Klag, Behtany | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2024 |
| Klag, Behtany | Individual | ADP of the SNF | NOT APPLICABLE | 10/23/2024 |
| Murrell, Edward | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2012 |
| Murrell, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Immanuel's Healthcare | 3.4 mi | Fort Worth, TX | ★★★☆☆ | 3/5 | |
| Village Creek Nursing & Rehabilitation | 3.5 mi | Fort Worth, TX | ★★★☆☆ | 4/5 | |
| Avir at Kennedale | 3.9 mi | Kennedale, TX | ★☆☆☆☆ | 2/5 | |
| Town Hall Estates - Arlington, INC. | 4.2 mi | Arlington, TX | ★★☆☆☆ | 1/5 | |
| Arbrook Plaza | 4.7 mi | Arlington, TX | ★★★☆☆ | 3/5 | |
| Interlochen Health and Rehabilitation Center | 4.8 mi | Arlington, TX | ★☆☆☆☆ | 2/5 | |
| Purehealth Transitional Care at THR Arlington | 5.2 mi | Arlington, TX | ★★☆☆☆ | 2/5 | |
| Avir at Arlington | 6.0 mi | Arlington, TX | ★☆☆☆☆ | 1/5 | |
| Viridian Wellness & Rehabilitation | 6.0 mi | Arlington, TX | —/5 | SFF | |
| Park View Care Center | 6.2 mi | Fort Worth, TX | ★☆☆☆☆ | 1/5 | |
| Tuskegee Airmen Texas State Veterans Home | 6.3 mi | Fort Worth, TX | —/5 | abuse | |
| Matlock Place Health & Rehabilitation Center | 6.4 mi | Arlington, TX | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 676139.