Nursing Care Index

Fort Worth Transitional Care Center

Fort Worth, Tarrant County, Texas · CCN 676255 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates Fort Worth Transitional Care Center 1 of 5 overall as of August 2026. 136 certified beds, 93 residents a day on average. 46 citations on record from the current inspection cycles, 1 at immediate jeopardy; 3 fines totalling $51,036.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing3.09435 hours per resident per day
Registered nurses0.60243 hours per resident per day
Weekend total2.65601 hours per resident per day
Nursing staff turnover68.8% (registered nurses 65.2%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-04-08 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2026-04-09
2026-04-08 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2026-04-09
2026-04-08 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-09
2026-04-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-09
2026-04-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-09
2026-04-08 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-09
2026-04-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-09
2025-12-03
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-04
2025-09-03
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-04
2025-06-24
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2025-05-28
2025-06-24
complaint survey
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-25
2025-04-11
complaint survey
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-12
2025-02-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-02-14
2025-02-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-02-13
complaint survey
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-02-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2025-02-13 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-14
2024-12-13
complaint survey
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services Deficiencies · tag F0729
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-12-17
2024-10-30
complaint survey
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-04
2024-10-30
complaint survey
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · tag F0694
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-04
2024-10-30
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-04
2024-08-16
complaint survey
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies · tag F0624
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2024-06-26
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-19
2024-04-30
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-07
2024-04-30
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-06-07
2024-04-30
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2024-04-30
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-07
2023-12-14 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-02
2023-12-14 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-02
2023-12-14 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-14 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-14
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-14
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-12-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-02
2023-11-30
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-01
2023-09-18
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-09-19
2023-08-21
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-22
2023-08-21
complaint survey
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-08-22

Fines and payment denials

DatePenaltyAmount
2026-04-08Fine$36,040
2025-06-24Fine$8,964
2024-08-16Fine$6,032

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Decatur Hospital Authority
Organization
5% or greater direct ownership interest100%2014-07-25
850 12th Avenue, LLC
Organization
adp of the snf2018-10-01
Csv Rhea Management Holdco, LLC
Organization
adp of the snf2018-10-01
Decatur Hospital Authority
Organization
adp of the snf2026-03-04
Dwd Tx Holdings LLC
Organization
adp of the snf2018-10-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
adp of the snf2018-10-01
Reg Bridge Opco LLC
Organization
adp of the snf2018-10-01
Reg Hg Opco LLC
Organization
adp of the snf2018-10-01
Reg Operator Holdco LLC
Organization
adp of the snf2018-10-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2018-10-01
Regency Ihs Of Fort Worth LLC
Organization
adp of the snf2018-10-01
Regency Ihs Rehab LLC
Organization
adp of the snf2018-10-01
Regency Integrated Health Services LLC
Organization
adp of the snf2018-10-01
Regency Texas Holdings LLC
Organization
adp of the snf2018-10-01
Crow, Bradley
Individual
adp of the snf2025-07-14
Dekowski, Donovan
Individual
adp of the snf2018-10-01
Gessner, Bruce
Individual
adp of the snf2025-01-01
Sanchez, Christian
Individual
adp of the snf2018-10-01
Smith, Michael
Individual
adp of the snf2025-06-10
Waggoner, Debra Sue
Individual
corporate director2007-12-10
Bakker, Jeff
Individual
corporate officer2017-04-02
Cocanougher, Charles
Individual
corporate officer2010-10-24
Cook, William
Individual
corporate officer2014-01-13
Duncum, John
Individual
corporate officer2010-03-08
Forbis, Christopher
Individual
corporate officer1994-10-03
Sandford, William
Individual
corporate officer2007-12-10
Scroggins, Brian
Individual
corporate officer2014-10-03
Sicking, Jeffrey
Individual
corporate officer2015-12-15
Williams, Carey
Individual
corporate officer2015-12-15
Baird, Daniel
Individual
managing control - governing body2021-04-13
Carvajal, Antonio
Individual
managing control - governing body2024-05-16
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Gonzales, Veronica
Individual
managing control - governing body2024-05-16
Kaufman, Nicole
Individual
managing control - governing body2021-08-10
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Crow, Bradley
Individual
operational/managerial control2025-07-14
Sanchez, Christian
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Tarrant County.