Dfw Nursing & Rehab
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
so that concerns or issues that need to have interventions could be addressed. RN J stated the care plans needed to reflect the Residents current conditions and concerns. RN J stated measurable interventions and goals need to be put in place to address corns for residents' health and safety. All residents care plans were audit who signed themselves out. The DON was responsible for updating care plans daily after IDT meetings if needed and monthly after QAA meetings and as needed. In an interview on 08/22/25 at 3:30 pm the DON and Admin verbalized everything the facility had implemented. An IJ was identified on 08/21/25. The IJ template was provided to the facility on [DATE REDACTED] at 5:53 pm While the IJ was removed on 08/22/25, the facility remained out of compliance at a scope of potential for more than minimal harm that is not Immediate Jeopardy and a severity level of pattern because all staff had not been trained on 08/22/25.
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Dfw Nursing & Rehab
900 W Leuda St Fort Worth, TX 76104
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
pm with the corporate consulting nurse at 11:00 am she was able to verbalize everything that the facility had implemented. In an interview on 08/22/25 between 1:00 pm to 3:30 pm, the ADON, DON, Admin, LVN B, CNA C, CNA D, CNA E, CNA F, LVN G, LVN H, LVN I, RN J, Front desk representative, over the phone interviews RN A, stated they had been in-serviced on when a resident refused to sign out let the charge nurse know, and residents need to document the approximate time they plan on being back. If a resident stays out longer than 2 hours of the approximate time they will be back the facility will start calling around for the resident and then report to the police. If a resident returns to the facility and they appear to be under
a substance the police will be called. The facility will complete census check twice a shift to ensure residents are accounted for. In an interview on 08/22/25 at 3:30 pm the DON and Admin verbalized everything the facility had implemented. Record review of Resident#1 revised, care plan initiated on 08/21/25 reflected, Potential for disrupting continuity of care due to the resident will sign himself out of the facility and sits outside with a group of other residents and socializes . Goal reflected, The resident will understand the risk associated with signing out of the facility.The resident was educated to provide an expected time of return upon signing out of the facility. If the resident does not return within 2 hours of the expected timeframe,Attempt to contact the resident, the family members, the police, the MD, the DON and Administrator. The resident was educated on the risk of being outside during extreme heat and heat related illnesses and the potential for harm. The resident was educated on the risk of using illegal substances while out on pass. The resident will be encouraged to sign out each time they leave the facility and to give the expected time of return. During an observation on 08/22/25 at 3:45pm, residents were gathered for a special resident council meeting. The DON talking to residents about signing in and out of the facility log.
The DON stated residents must put an approximate time they will return to the facility and if they did not return in 2 hours, the facility would start a search for them. Record review of revised sign in/out sheet reflected, a return time was added to the sign out section and the destination/phone number information was deleted. An IJ was identified on 08/21/15. The IT template was provided to the facility on [DATE REDACTED] at 4:45 pm. While the IT was removed on 08/22/25, the facility remained out of compliance at a scope of potential for more than minimal harm that is not Immediate Threat and a severity level of isolated because all staff had not been trained on 08/22/25.
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Facility ID:
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DFW Nursing & Rehab 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 DFW Nursing & Rehab or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.