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Complaint Investigation

Dfw Nursing & Rehab

August 22, 2025 · Fort Worth, TX · 900 W Leuda St
Citations 2
CMS Rating 1/5
Beds 98
Provider ID 455881
Healthcare Facility
Dfw Nursing & Rehab
Fort Worth, TX  ·  View full profile →
Inspection Summary

DFW Nursing & Rehab in Fort Worth, TX — inspection on August 22, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

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] 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.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/22/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Dfw Nursing & Rehab

900 W Leuda St Fort Worth, TX 76104

SUMMARY STATEMENT OF DEFICIENCIES

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] 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.

Facility ID:

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.


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