Arbor Lake Nursing & Rehabilitation, Llc
Inspection Findings
F-Tag F0567
F 0567 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
going down and he got money out as cash. For Resident #9, she stated she could purchase him some clothes and he had family that was not involved. The BOM stated that she could not release any more than $75 cash to an A/O resident monthly, so if they needed to spend down, then she would have to write them
a check to cash, which came with its own issues if they had no identification or a way to cash the money.
She stated that usually she would have the resident just take out $75 cash each month until they spend down. She stated, They get upset about it, but I can't just give them cash if over-resourced. She stated online purchases by the facility from a resident's trust fund was not allowed with the exception being two company-approved catalogs she had to purchase from online. The BOM stated Medicaid usually gave nursing facilities a six-month grace period after a large back pay was given to a resident to spend it down.
She stated Medicaid renewals were annually, so the main goal would be to make sure the residents' balances were under $2,000 sixty days before the renewal date. An interview with the SW on 09/08/25 at 11:55 AM revealed he did not handle anything related to resident trust funds or the spend down process.
He was unaware of the notification letter that was being sent to RPs that stated he was the contact for any spend down process related to Medicaid eligibility. The SW stated he was new to his position at the facility but would be happy to help with the spend down process if needed. He said he knew if a resident had over $2,000 in their account, they could lose their Medicaid coverage.An interview with the ADM on 09/08/25 at 2:30 PM revealed he was one week new to the facility and he was not aware of the nine residents who were over-resourced related to trust fund management. He stated the residents could lose their Medicaid eligibility if they had over $2,000 in their account. The ADM said he wanted to make sure going forward, that
he sat down with the BOM each week to review trust fund accounts to see how they could spend down residents who had excessive funds. An interview with C-RN A on 09/08/25 at 2:32 PM revealed the BOM was responsible to help with the spend down process and there were certain things they were allowed to purchase. She stated the AD was great for shopping trips in the community and would let the family members know and get involved when a resident's funds needed to be spent down. C-RN A stated she knew there had been a couple of residents who received a large back pay of money from Social Security and knew the nine residents were at risk for losing their eligibility if they over $2,000. C-RN A stated she would speak with the Corporate BOM over trust funds to see what could be done. 12. Review of the facility's, Resident Trust Fund (not dated) reflected, To establish uniform guidelines in the protection of personal funds managed by our facilities on behalf of its residents and to maintain a complete and accurate accounting for patient monies.The Administrator is responsible for ensuring the establishment and accurate maintenance of the Resident Trust Fund and the related Resident trust Fund Petty Cash Account.
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Arbor Lake Nursing & Rehabilitation, LLC in Fort Worth, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Fort Worth, 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 Arbor Lake Nursing & Rehabilitation, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.