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Complaint Investigation

Ft Worth Southwest Nursing Center

Inspection Date: November 24, 2025
Total Violations 1
Facility ID 675817
Location Fort Worth, TX
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

not used with transfers was injuries such as broken bones due to falls. In an interview on 09/24/2025 at 12:49PM with the DON revealed that his expectation was that staff used a gait belt with all transfers. He stated that the risk to the resident was fall, injury to the resident and the staff and skin issues. He stated that staff had been in-serviced on safe transfers and the use of gait belts with all transfers unless contraindicated. He stated that Resident#1 had no restrictions for gait belt use. Record review of the facility's policy, revised 06/2020, and Titled Transfer of Residents Reflected: To provide the form of transfer best suited to the residents' needs and to maintain resident safety during the procedure. i. A Licensed Nurse and/or the Director of Rehabilitation Services assess and determine lifting and transfer requirements, and the procedure used for each resident. the procedure is recorded in the residents ‘s care plan. ii.

Residents must be lifted or transferred according to the determined procedure. iii. Residents who require assistance in transferring will be transferred using a gait/transfer belt or with a lift. iv. Member of the Nursing Staff are trained to use good body mechanics, knowing the proper procedures and properly operating assistive devices. v. Mechanical lift procedures are used on any resident unable to independently pivot or transfer. B. Two-Person Assisted Transfer i. Place the chair on the convenient side of the bed with the back of the chair parallel to the foot of the bed and facing the head of the bed. ii. If using a wheelchair, make sure footrests are not in the way and wheels are locked. iii. Place appropriate pressure-reducing devices into chairs. iv. Turn residents onto their side and pivot the residents to sitting positions, with legs dangling over

the side of bed. v. Assist residents in daily attire as requested. vi. May apply gait belt (unless contraindicate) around residents' waist securely enough to prevent sliding up over ribs. vii. Each person will stand facing

the resident with one on either side of the resident. viii. Provide a broad base of support by spreading feet and placing foot farthest from the resident slightly in front of the other. ix. Each person will extend their arm closest to the resident forward between the resident side and elbow. With fingers pointing downward, grasp

the gait belt firmly. x. Instruct the residents to place their hand between your body and your arm grasping

the gait belt holding onto the back of your upper arm, if used. xi. On a verbal command, draw the resident gently but firmly forward and upward to a standing position, brace his knee with yours to prevent buckling. xii. Pivot or turn the resident so that their back is towards the chair. xiii. Remove gait belt, if used xiv. Make sure the resident is comfortable. xv. Utilize Postural support and/or positioning devices per attending Physician order and resident need. xvi. Make sure the call bell is within residents reach before leaving.

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📋 Inspection Summary

Ft Worth Southwest Nursing Center in Fort Worth, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 Ft Worth Southwest Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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