Serenity Spring Senior Living At Arlington

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 36 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2025Q4 — more than 66% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 50 beds and averages 41.5 residents a day — about 83% occupied, or roughly 8 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.83 hrs/resident/day on weekends vs 3.17 on weekdays — 11% thinner on weekends. RN hours go from 0.65 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · F2026-07-09 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Review of Quality Assurance Performance Improvement (QAPI) sign-in sheets, interview, and policy review, the facility failed to ensure the medical director attended the meetings quarterly. This had the potential to affect all residents. The facility census was 44.Findings include:Review of QAPI sign-in sheets revealed the medical director did not attend QAPI on 11/25, 12/25, 01/26, 02/26, and 03/26. The facility was unable to locate the sign-in sheets for 01/26 and 03/26.Interview on 07/09/26 at 11:46 A.M. with the Administrator revealed he provided all the QAPI sign-in sheets that he was able to locate. Interview on 07/09/26 at 1:14 P.M. with Interim Director of Nursing (IDON #158) revealed the medical director should have attended the meeting on 01/26 however, they were unable to locate the sign-in sheet. IDON #158 verified the dates listed above were not attended by the medical director.Review of policy titled, Quality Assurance and Performance Improvement (QAPI) Program, revised February 2020 revealed the Administrator is responsible for assuring that this facility's QAPI…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2026-07-09 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of the infection control documentation, observation, staff interview, and policy review, the facility failed to ensure infection control standards were implemented in the facility for medication administration. This affected seven residents (#43, #19, #34, #16, #25, #2, and #47) of seven residents observed for medication administration. Furthermore, the facility failed to ensure infection surveillance in the facility. This had the potential to affect all residents. The facility failed to ensure Enhanced Barrier Precautions (EBP) and Contact Precautions (CP) signs were posted per the physician orders. This affected two residents (#3 and #15). Additionally, the facility failed to wear the appropriate Personal Protective Equipment (PPE) for residents in EBP and CP. This affected two (#28 and #46). The facility census was 44. Findings include: 1. Observation on 07/07/26 beginning at 7:36 A.M. through 8:34 A.M. of medication administration completed by Licensed Practical Nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2026-07-09 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the facility infection control binder, staff interview, and policy review, the facility failed to ensure McGeer's criteria/antibiotic stewardship were followed prior to administration of antibiotics. This had the potential to affect all residents. The facility census was 44. Findings include:Review of the facility's infection control binder revealed from January 2026 through June 2026 the facility did not conduct ongoing review for antibiotic stewardship. Interview on 07/08/26 at 4:19 P.M. with Nursing Manager (NM) #121 who was the facility's Infection Preventionist (IP) revealed she was hired into the position of IP in May of 2026. Prior to her being hired in May 2026, no one had been completing McGeer's for infections and antibiotics were given per the physician orders. NM #121 stated she was trying to go back to January 2026 and fill in the infection control documentation for all of 2026 but was finding this difficult as there was no monitoring of infections or antibiotics in place. Furthermore, NM #121 stated she was asking nurses why residents were placed on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · F2026-07-09 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of personnel files and interview, the facility failed to ensure Certified Nursing Assistants (CNAs) had 12 hours of annual in-services as required. This affected three CNAs (#109, #110, and #162) of three CNA personnel files reviewed and had the potential to affect all 44 residents in the facility. The facility census was 44. Review of CNA #109's personnel file revealed a date of hire of 04/30/26. Further review of her personnel file revealed no evidence of any training hours since the last recertification survey on 04/18/24.Review of CNA #110's personnel file revealed a date of hire of 05/28/26. Further review of her personnel file revealed no evidence of any training hours since the last recertification survey on 04/18/24.Review of CNA #162's personnel file revealed a date of hire of 06/18/25. Further review of her personnel file revealed no evidence of any training hours since the last recertification survey on 04/18/24.Interview on 04/12/25 at 2:01P.M. with Human Resource Manager (HRM) #100 verified CNAs #109, #110, and #162 did not have 12 hours of annual…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · E2026-07-09 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of Resident Council minutes, interviews, and policy review, the facility failed to respond to concerns in a timely manner and report to the council the steps taken to rectify any concerns. This affected six residents (#1, #3, #6, #18, #20, and #34) of six residents who regularly attended Resident Council meetings. The facility census was 44.Findings include:Review of Resident Council minutes for January 28, 2026, revealed a concern regarding residents still being left in the bathroom on the toilet for too long.Review of Resident Council minutes for February 19, 2026, revealed a concern regarding residents still being left on the toilet for too long.Review of Resident Council minutes for March 18, 2026, revealed a concern regarding some residents still being left on the toilet here and there.Interview on 07/08/26 at 11:10 A.M. with Resident #20 revealed that the residents had concerns regarding being left on the toilet too long and call light times on night shift go on longer than they like. Resident #20 stated they had not had any department head or staff come and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, interview, and policy review, the facility failed to ensure a dignity bag was placed on a foley catheter bag. This affected one (#46) of one resident reviewed for foley catheters. The facility census was 44.Findings include:Review of the medical record for Resident #46 revealed an admission date of 09/10/21 with diagnoses including but not limited to neuromuscular dysfunction of bladder and retention of urine.Review of the care plan dated 09/10/21 revealed Resident #46 had an indwelling catheter related to neurogenic bladder. Interventions included enhanced barrier precautions per protocol and put in privacy bag and keep bag off the floor.Observation on 07/07/26 at 12:39 P.M. of Resident #46 in the dining room revealed the catheter bag hanging from the wheelchair uncovered and urine visible in the bag.Interview on 07/07/26 at 12:41 P.M. with Certified Nursing Assistant (CNA #164) revealed the facility did have privacy bags for the foley catheters. CNA #164 verified the privacy bag was not on the resident's foley and that urine was visible while…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Dcited before2026-07-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review the facility failed to ensure comprehensive care plan reflected the residents' current status. This affected three (#15, #4, and #3) of 15 residents reviewed for care plans. The facility census was 44. 1.Review of medical record for Resident #15 revealed an admission date of 07/01/24 with diagnoses including but not limited to cognitive communication deficit, cerebral infarction, acute kidney failure, and adult failure to thrive. Review of physician orders revealed enhanced barrier precautions (EBP) for Extended-Spectrum Beta-Lactamase (ESBL) and cleanse left lower extremity (LLE) wound with wound cleanser, pat dry, cover with bordered gauze every day shift and as needed. Review of care plan dated 07/01/26 revealed no care plan regarding EBP or wound to LLE. Interview on 07/09/26 at 8:29 A.M. with Minimum Data Set Nurse (MDS #106) revealed they verified there was no care plan for EBP or wound to LLE. 2. Record review for Resident #4 revealed this resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure the care plan was updated to include fall interventions. This affected one (Resident #10) of 14 residents reviewed for care plans. The facility census was 44. Findings include: Review of the medical record for Resident #10 revealed an admission date of 04/26/24 with diagnoses including but not limited to displaced fracture of medial condyle of left humerus and unspecified fracture of left femur. Review of physician orders revealed Dycem to recliner for fall prevention every shift for safety/prevention of falls. Review of the care plan dated 04/26/24 revealed the resident was at risk for falls related to confusion, deconditioning as evidenced by altered gait and balance. Interventions included ensure the resident is wearing appropriate footwear fully enclosed slip resistant shoes or gripper socks when transferring or mobilizing in wheelchair (06/18/25), avoid clothing that is fall risk (08/07/25), evaluated for and supplied wheelchair with anti-rollback device (08/12/25),…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, interview, and policy review, the facility failed to ensure palm protectors were applied as ordered. This affected one (#28) resident of one resident reviewed for splints/braces. The facility census was 44.Findings include:Review of medical record for Resident #28 revealed an admission date of 12/02/21 with diagnoses including but not limited to contracture of muscle left hand, contracture left elbow, and contracture of left wrist.Review of physician orders revealed check left hand contracture daily for skin breakdown, left heel protector while in bed, and mobility per care plan.Review of Kardex for Certified Nursing Assistants (CNAs) revealed provide left palm protector to left hand. Apply in the morning and remove at bedtime. Review of care plan dated 05/08/24 revealed the resident has potential for skin impairment related to debility and limited use of left side. Interventions included heel protector on left foot while in bed and provide left palm protector to left hand. Apply in the morning and remove at bedtime.Observation and Interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure a Peripherally Inserted Central Catheter (PICC) line dressing was changed per professional standards of practice. Furthermore, the facility failed to ensure a PICC line was flushed per professional standards of practice. This affected one resident (#3) of one resident reviewed for PICC lines. The facility census was 44. Findings include:Review of Resident #3's medical record revealed an admission date of 01/22/25. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the left dominant side, acute and chronic respiratory failure with hypoxia, hyperlipidemia, systolic heart failure, gastro-esophageal reflux disease without esophagitis, and dementia. Review of Resident #3's significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had moderately impaired cognition with a Brief Interview for Mental Status (BIMS) score of ten. Review of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$20,265 in federal fines across 5 penalties.

• $3,798 — penalty dated 2024-02-20
• $3,418 — penalty dated 2024-02-12
• $7,976 — penalty dated 2024-01-22
• $1,899 — penalty dated 2024-01-08
• $3,174 — penalty dated 2023-12-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CONTINUUM HEALTHCARE — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $582K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH