Green Valley Healthcare And Rehabilitation Center
Green Valley Healthcare and Rehabilitation Center in Fort Worth, TX — inspection on September 5, 2025.
Found 1 citation. 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.
Inspection Findings
Observation on 09/05/25 of Resident #2 revealed staff followed the facility's policy while transferring the resident using a mechanical lift.
Interviews on 09/05/25 from 12:35-3:30 PM with RPs and Residents #3, #4, #5, #6, #7, #8, and #9 revealed there were no concerns for safety or quality of care regarding transfers at the facility.
Record Reviews of Residents #2, #3, #4, #5, #6, #7, #8, and #9 care plans revealed they were all updated and included appropriate transfer procedures and interventions.
Record review of a 1:1 in-service titled Utilization of Mechanical Lift, dated 09/04/25, reflected DON was educated on transfer policy to include the utilization of a mechanical lift. DON was also educated on following MD order and what to do if resident, family or RP had concerns or refusal regarding the transfer.
Record review of an in-service titled Utilization of Mechanical Lift, dated 09/04/25, reflected all nursing staff were educated on the facility's mechanical lift policy, following MD orders and what to do in the event the resident, family or RP has concerns or refusals regarding the transfer status.
Record review of an in-service titled Transfer Residents Properly, dated 09/04/25, reflected all nursing staff were educated on properly transferring residents according to MD orders.
Staff were also educated on using two staff with mechanical lift transfers and educating resident, family, or RP on safety and following the care plan.
Record review of a document provided by the Administrator titled Audit Attestation, dated 09/04/25, reflected all residents who required transfer assistance were audited to ensure proper transfer procedures were care planned and being implemented.
Record review of a document provided by the Administrator titled QIPP QAPI Worksheet, dated 09/05/25, reflected a QAPI meeting was held regarding the correction plan for the facility's deficiency.
In a follow-up interview on 09/05/25 at 02:47 PM, DON stated she ensured nursing staff were trained on transfers.
She stated staff are to follow MD orders to ensure the safety of resident.
She also stated if there was refusal from the resident, family or RP staff are to educate, document and inform a supervisor.An Immediate Jeopardy (IJ) was identified on 09/04/25 at 04:00 PM and an IJ Template was provided to the DON at 04:41PM.
While the IJ was removed on 09/05/25, the facility remained out of compliance at a scope of isolated with the severity level of potential for more than minimal harm that was not immediate due to the facility's need to evaluate the effectiveness of the corrective systems.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.