{"schema_version":"1.0.0","facility":{"id":"cms-676255","ccn":"676255","name":"Fort Worth Transitional Care Center","source_name":"Fort Worth Transitional Care Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TX","address":{"line1":"850 12th Avenue","city":"Fort Worth","state":"TX","zip":"76104","county_name":"Tarrant County","county_fips":"48439","county_method":"name_match","ssa_county_code":"910","urban":true},"location":{"lat":32.7357,"lon":-97.348,"method":"cms_published_coordinates"},"phone":"8178828289","certification":{"authority":"CMS","ccn":"676255","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2010-07-22","certified_beds":136,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/676255"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":136,"avg_residents_per_day":97.3},"ownership_type":"Government - Hospital district","ownership_class":"government","legal_business_name":"DECATUR HOSPITAL AUTHORITY","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.89891,"lpn_hprd":0.8736,"rn_hprd":0.69479,"licensed_hprd":1.56839,"total_nurse_hprd":3.4673,"weekend_total_nurse_hprd":2.89749,"weekend_rn_hprd":0.44872,"pt_hprd":0.04745,"nursing_turnover_pct":67,"rn_turnover_pct":60.9,"administrators_left":2,"case_mix_index":1.57947,"case_mix_index_ratio":1.11999,"case_mix_total_nurse_hprd":4.36892,"adjusted_total_nurse_hprd":3.07154,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-04-08","cycle1_deficiencies":10,"cycle1_score":201,"cycle2_date":"2025-02-13","cycle23_deficiencies":30,"cycle23_score":184,"total_weighted_score":196.75},"cms_penalty_counts":{"fines":3,"fine_total":38422,"payment_denials":0,"total":3},"chain":{"id":"cms-chain-670","cms_chain_id":"670","name":"WELLSENTIAL HEALTH"},"operator_id":"op-decatur-hospital-authority","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/676255","provenance":[{"source_id":"cms_provider_info","source_record_id":"676255","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"676255","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":18,"health_count":15,"fire_count":3,"complaint_count":14,"latest_date":"2026-08-21","latest_standard_health":"2026-04-08","earliest_date":"2023-11-30","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":61,"health_count":45,"fire_count":16,"open_count":1,"actual_harm_count":2,"immediate_jeopardy_count":1,"serious_count":3,"complaint_count":21,"by_severity":{"potential":58,"immediate_jeopardy":1,"actual_harm":2},"by_scope_severity":{"D":28,"F":13,"E":17,"K":1,"H":1,"G":1},"by_concept":{"resident_rights":5,"administration":2,"emergency_preparedness":2,"environment_life_safety":15,"clinical_care":23,"medication":6,"food_nutrition":5,"infection_prevention":2,"staffing":1},"type_ids":["cms-f0580","cms-f0770","cms-e0006","cms-e0009","cms-k0222","cms-k0291","cms-k0344","cms-k0521","cms-k0522","cms-k0918","cms-k0211","cms-f0695","cms-f0693","cms-f0761","cms-f0655","cms-f0656","cms-f0700","cms-f0755","cms-f0677","cms-f0689","cms-k0341","cms-k0372","cms-f0692","cms-f0756","cms-f0758","cms-f0803","cms-f0809","cms-f0812","cms-f0925","cms-f0842","cms-f0880","cms-f0729","cms-f0694","cms-f0624","cms-f0690","cms-f0558","cms-f0609","cms-k0741","cms-k0351","cms-f0804","cms-f0584","cms-f0760"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":3,"fine_total":38422,"payment_denials":0,"latest_date":"2026-04-08"},"ownership_summary":{"disclosures":39,"organizations":13,"individuals":25,"not_available":false}},"row":{"id":"cms-676255","ccn":"676255","name":"Fort Worth Transitional Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TX","city":"Fort Worth","zip":"76104","county_fips":"48439","county_name":"Tarrant County","address":"850 12th Avenue","beds":136,"residents":97.3,"ownership":"government","operator_id":"op-decatur-hospital-authority","operator_name":"Decatur Hospital Authority","chain_id":"cms-chain-670","chain_name":"Wellsential Health","lat":32.7357,"lon":-97.348,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":4,"nurse_hprd":3.47,"turnover":67,"inspections":18,"last_inspection":"2026-08-21","deficiencies":61,"serious":3,"ij":1,"open":1,"penalties":3,"fines_total":38422,"deficiency_type_ids":["cms-f0580","cms-f0770","cms-e0006","cms-e0009","cms-k0222","cms-k0291","cms-k0344","cms-k0521","cms-k0522","cms-k0918","cms-k0211","cms-f0695","cms-f0693","cms-f0761","cms-f0655","cms-f0656","cms-f0700","cms-f0755","cms-f0677","cms-f0689","cms-k0341","cms-k0372","cms-f0692","cms-f0756","cms-f0758","cms-f0803","cms-f0809","cms-f0812","cms-f0925","cms-f0842","cms-f0880","cms-f0729","cms-f0694","cms-f0624","cms-f0690","cms-f0558","cms-f0609","cms-k0741","cms-k0351","cms-f0804","cms-f0584","cms-f0760"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-decatur-hospital-authority","name":"Decatur Hospital Authority","legal_name":"DECATUR HOSPITAL AUTHORITY","facility_count":10,"states":["TX"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-670","name":"Wellsential Health","cms_chain_id":"670","facility_count":67,"states":["TX"],"cms_reported":{"facility_count":67,"avg_overall_rating":2.8,"avg_health_inspection_rating":2.9,"avg_staffing_rating":1.6,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-decatur-hospital-authority","owner_type":"organization","owner_name":"Decatur Hospital Authority","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2014-07-25"},{"owner_type":"individual","owner_name":"Daniel Baird","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-13","owner_name_raw":"BAIRD, DANIEL"},{"owner_type":"individual","owner_name":"Antonio Carvajal","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-16","owner_name_raw":"CARVAJAL, ANTONIO"},{"owner_type":"individual","owner_name":"Barbara Clapp","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-01","owner_name_raw":"CLAPP, BARBARA"},{"owner_type":"individual","owner_name":"Daren Cortese","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-10","owner_name_raw":"CORTESE, DAREN"},{"owner_type":"individual","owner_name":"Patricia Gibson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-01","owner_name_raw":"GIBSON, PATRICIA"},{"owner_type":"individual","owner_name":"Veronica Gonzales","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-16","owner_name_raw":"GONZALES, VERONICA"},{"owner_type":"individual","owner_name":"Nicole Kaufman","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-10","owner_name_raw":"KAUFMAN, NICOLE"},{"owner_type":"individual","owner_name":"Elliot Mandelbaum","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"MANDELBAUM, ELLIOT"},{"owner_type":"individual","owner_name":"Bradley Crow","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-14","owner_name_raw":"CROW, BRADLEY"},{"owner_type":"individual","owner_name":"Christian Sanchez","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"SANCHEZ, CHRISTIAN"},{"owner_type":"individual","owner_name":"Debra Sue Waggoner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2007-12-10","owner_name_raw":"WAGGONER, DEBRA SUE"},{"owner_type":"individual","owner_name":"Jeff Bakker","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2017-04-02","owner_name_raw":"BAKKER, JEFF"},{"owner_type":"individual","owner_name":"Charles Cocanougher","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2010-10-24","owner_name_raw":"COCANOUGHER, CHARLES"},{"owner_type":"individual","owner_name":"William Cook","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-01-13","owner_name_raw":"COOK, WILLIAM"},{"owner_type":"individual","owner_name":"John Duncum","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2010-03-08","owner_name_raw":"DUNCUM, JOHN"},{"owner_type":"individual","owner_name":"Christopher Forbis","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1994-10-03","owner_name_raw":"FORBIS, CHRISTOPHER"},{"owner_type":"individual","owner_name":"William Sandford","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2007-12-10","owner_name_raw":"SANDFORD, WILLIAM"},{"owner_type":"individual","owner_name":"Brian Scroggins","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-10-03","owner_name_raw":"SCROGGINS, BRIAN"},{"owner_type":"individual","owner_name":"Jeffrey Sicking","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-12-15","owner_name_raw":"SICKING, JEFFREY"},{"owner_type":"individual","owner_name":"Carey Williams","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2015-12-15","owner_name_raw":"WILLIAMS, CAREY"},{"owner_id":"org-850-12th-avenue-llc","owner_type":"organization","owner_name":"850 12th Avenue, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-csv-rhea-management-holdco-llc","owner_type":"organization","owner_name":"Csv Rhea Management Holdco, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-decatur-hospital-authority","owner_type":"organization","owner_name":"Decatur Hospital Authority","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-03-04"},{"owner_id":"org-dwd-tx-holdings-llc","owner_type":"organization","owner_name":"Dwd Tx Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-jack-and-nancy-dwyer-workforce-development-center-inc","owner_type":"organization","owner_name":"Jack and Nancy Dwyer Workforce Development Center Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-bridge-opco-llc","owner_type":"organization","owner_name":"Reg Bridge Opco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-hg-opco-llc","owner_type":"organization","owner_name":"Reg Hg Opco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-operator-holdco-llc","owner_type":"organization","owner_name":"Reg Operator Holdco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-clinical-consulting-llc","owner_type":"organization","owner_name":"Regency Ihs Clinical Consulting, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-of-fort-worth-llc","owner_type":"organization","owner_name":"Regency Ihs of Fort Worth LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-rehab-llc","owner_type":"organization","owner_name":"Regency Ihs Rehab LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-integrated-health-services-llc","owner_type":"organization","owner_name":"Regency Integrated Health Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-texas-holdings-llc","owner_type":"organization","owner_name":"Regency Texas Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_type":"individual","owner_name":"Bradley Crow","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-14","owner_name_raw":"CROW, BRADLEY"},{"owner_type":"individual","owner_name":"Donovan Dekowski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01","owner_name_raw":"DEKOWSKI, DONOVAN"},{"owner_type":"individual","owner_name":"Bruce Gessner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"GESSNER, BRUCE"},{"owner_type":"individual","owner_name":"Christian Sanchez","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01","owner_name_raw":"SANCHEZ, CHRISTIAN"},{"owner_type":"individual","owner_name":"Michael Smith","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-06-10","owner_name_raw":"SMITH, MICHAEL"}],"inspections":[{"id":"cms-676255-20260821-health","ccn":"676255","date":"2026-08-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":1,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"no_plan_of_correction","cmp":1}]},{"id":"cms-676255-20260708-health","ccn":"676255","date":"2026-07-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-09","cmp":1}]},{"id":"cms-676255-20260408-fire","ccn":"676255","date":"2026-04-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0006","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-e0009","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0344","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0522","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-10","std":1,"tv":"New"}]},{"id":"cms-676255-20260408-health","ccn":"676255","date":"2026-04-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0695","ss":"K","sl":4,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0693","ss":"H","sl":3,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-09","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-09","std":1}]},{"id":"cms-676255-20251203-health","ccn":"676255","date":"2025-12-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-04","cmp":1}]},{"id":"cms-676255-20250903-health","ccn":"676255","date":"2025-09-03","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-04","cmp":1}]},{"id":"cms-676255-20250624-health","ccn":"676255","date":"2025-06-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cd":"2025-05-28","cmp":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-25","cmp":1}]},{"id":"cms-676255-20250411-health","ccn":"676255","date":"2025-04-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-12","cmp":1}]},{"id":"cms-676255-20250213-fire","ccn":"676255","date":"2025-02-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0341","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-14","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-14","std":1,"tv":"New"}]},{"id":"cms-676255-20250213-health","ccn":"676255","date":"2025-02-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","cmp":1,"std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0809","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-14","std":1},{"t":"cms-f0925","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-14","std":1}]},{"id":"cms-676255-20241213-health","ccn":"676255","date":"2024-12-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0729","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-17","cmp":1}]},{"id":"cms-676255-20241030-health","ccn":"676255","date":"2024-10-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","cmp":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-04","cmp":1}]},{"id":"cms-676255-20240816-health","ccn":"676255","date":"2024-08-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0624","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-20","cmp":1}]},{"id":"cms-676255-20240626-health","ccn":"676255","date":"2024-06-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-07-19","cmp":1}]},{"id":"cms-676255-20240430-health","ccn":"676255","date":"2024-04-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1},{"t":"cms-f0842","ss":"E","sl":2,"cs":"corrected","cd":"2024-06-07","cmp":1}]},{"id":"cms-676255-20231214-fire","ccn":"676255","date":"2023-12-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-22","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-22","std":1,"tv":"New"},{"t":"cms-k0351","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-22","std":1,"tv":"New"},{"t":"cms-k0741","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-22","std":1,"tv":"New"}]},{"id":"cms-676255-20231214-health","ccn":"676255","date":"2023-12-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-02","std":1},{"t":"cms-f0655","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-02","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-02","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-02","cmp":1,"std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-02","cmp":1,"std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-02","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-02","std":1}]},{"id":"cms-676255-20231130-health","ccn":"676255","date":"2023-11-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-01","cmp":1}]}],"deficiency_types":{"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0009":{"code":"E-0009","title":"Include a process for Emergency Preparedness collaboration.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0344":{"code":"K-0344","title":"Have an alternate power supply for its alarm system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0522":{"code":"K-0522","title":"Have an externally vented heating system.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0700":{"code":"F-0700","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0803":{"code":"F-0803","title":"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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0809":{"code":"F-0809","title":"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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0729":{"code":"F-0729","title":"Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0624":{"code":"F-0624","title":"Prepare residents for a safe transfer or discharge from the nursing home.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-676255-pen-f138376","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-04-08","amount":23426,"fine_id":"138376","evidence_class":"VERIFIED","source_record_id":"676255|Fine|138376"},{"id":"cms-676255-pen-f134442","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-06-24","amount":8964,"fine_id":"134442","evidence_class":"VERIFIED","source_record_id":"676255|Fine|134442"},{"id":"cms-676255-pen-f113172","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-08-16","amount":6032,"fine_id":"113172","evidence_class":"VERIFIED","source_record_id":"676255|Fine|113172"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676255&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TX","overall_rating":2.8,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":1.9,"avg_residents_per_day":75.9,"cycle1_health_deficiencies":9.6,"cycle1_fire_deficiencies":3.2,"nurse_aide_hprd":2.03,"lpn_hprd":0.94,"rn_hprd":0.44127,"licensed_hprd":1.39,"total_nurse_hprd":3.41615,"weekend_total_nurse_hprd":2.99221,"weekend_rn_hprd":0.35,"pt_hprd":0.07,"nursing_turnover_pct":50.8,"rn_turnover_pct":49.8,"administrators_left":0.6,"case_mix_index":1.39704,"fines":1.4,"fine_amount":42987,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TX","name":"Texas"},"county":{"fips":"48439","name":"Tarrant County"},"zip":"76104","city":"Fort Worth"},"related":{"same_operator":[{"id":"cms-455881","ccn":"455881","name":"Dfw Nursing & Rehab","address":"900 W Leuda St","city":"Fort Worth","state":"TX","zip":"76104","beds":98,"overall":1,"inspections":24,"last_inspection":"2026-02-04","deficiencies":93,"serious":13,"ij":10,"open":0,"fines_total":317302,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675128","ccn":"675128","name":"Midwestern Healthcare Center","address":"601 Midwestern Pkwy","city":"Wichita Falls","state":"TX","zip":"76302","beds":121,"overall":3,"inspections":9,"last_inspection":"2026-02-10","deficiencies":37,"serious":3,"ij":3,"open":0,"fines_total":29884,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675550","ccn":"675550","name":"Pecan Tree Rehab and Healthcare Center","address":"1900 E California St","city":"Gainesville","state":"TX","zip":"76240","beds":122,"overall":1,"inspections":8,"last_inspection":"2026-05-12","deficiencies":34,"serious":2,"ij":2,"open":0,"fines_total":16879,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675622","ccn":"675622","name":"Cityview Nursing and Rehabilitation Center","address":"5801 Bryant Irvin Rd","city":"Fort Worth","state":"TX","zip":"76132","beds":210,"overall":2,"inspections":17,"last_inspection":"2026-08-25","deficiencies":67,"serious":6,"ij":4,"open":0,"fines_total":250364,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675891","ccn":"675891","name":"Bridgeport Medical Lodge","address":"2108 15th St","city":"Bridgeport","state":"TX","zip":"76426","beds":152,"overall":1,"inspections":11,"last_inspection":"2026-08-06","deficiencies":23,"serious":2,"ij":1,"open":2,"fines_total":24704,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-676101","ccn":"676101","name":"Ridgmar Medical Lodge","address":"6600 Lands End Court","city":"Fort Worth","state":"TX","zip":"76116","beds":155,"overall":1,"inspections":14,"last_inspection":"2026-07-23","deficiencies":43,"serious":4,"ij":3,"open":1,"fines_total":29598,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-676104","ccn":"676104","name":"Grapevine Medical Lodge","address":"1005 Ira E. Woods Parkway","city":"Grapevine","state":"TX","zip":"76051","beds":132,"overall":5,"inspections":6,"last_inspection":"2026-06-18","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-676143","ccn":"676143","name":"Mansfield Medical Lodge","address":"301 N Miller Rd","city":"Mansfield","state":"TX","zip":"76063","beds":118,"overall":4,"inspections":9,"last_inspection":"2025-12-11","deficiencies":26,"serious":0,"ij":0,"open":0,"fines_total":6032,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":9,"same_chain":[{"id":"cms-455528","ccn":"455528","name":"Laredo West Nursing and Rehabilitation Center","address":"1200 E Lane St","city":"Laredo","state":"TX","zip":"78043","beds":188,"overall":3,"inspections":16,"last_inspection":"2026-07-28","deficiencies":58,"serious":3,"ij":3,"open":0,"fines_total":49719,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455575","ccn":"455575","name":"Windsor Nursing and Rehabilitation Center of Morga","address":"2322 Morgan Ave","city":"Corpus Christi","state":"TX","zip":"78405","beds":176,"overall":2,"inspections":12,"last_inspection":"2026-07-16","deficiencies":37,"serious":5,"ij":1,"open":0,"fines_total":19013,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455599","ccn":"455599","name":"Heritage Park Rehabilitation and Skilled Nursing C","address":"2806 Real St","city":"Austin","state":"TX","zip":"78722","beds":197,"overall":2,"inspections":15,"last_inspection":"2026-02-20","deficiencies":52,"serious":5,"ij":3,"open":1,"fines_total":56007,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455662","ccn":"455662","name":"Windsor Nursing and Rehabilitation Center of Mcall","address":"900 S 12th St","city":"Mcallen","state":"TX","zip":"78501","beds":110,"overall":3,"inspections":10,"last_inspection":"2025-12-03","deficiencies":21,"serious":1,"ij":0,"open":0,"fines_total":24083,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455684","ccn":"455684","name":"Longview Hill Nursing and Rehabilitation Center","address":"3201 N Fourth St","city":"Longview","state":"TX","zip":"75605","beds":198,"overall":1,"inspections":14,"last_inspection":"2026-03-18","deficiencies":68,"serious":4,"ij":3,"open":0,"fines_total":225427,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455715","ccn":"455715","name":"Monument Hill Nursing and Rehabilitation Center","address":"120 State Loop 92","city":"La Grange","state":"TX","zip":"78945","beds":104,"overall":2,"inspections":10,"last_inspection":"2026-08-06","deficiencies":31,"serious":1,"ij":1,"open":0,"fines_total":8281,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455757","ccn":"455757","name":"Spindletop Hill Nursing and Rehabilitation Center","address":"1020 S 23rd St","city":"Beaumont","state":"TX","zip":"77707","beds":148,"overall":1,"inspections":14,"last_inspection":"2026-08-05","deficiencies":44,"serious":3,"ij":3,"open":0,"fines_total":83259,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455796","ccn":"455796","name":"Town and Country Nursing and Rehabilitation Center","address":"625 N Main St","city":"Boerne","state":"TX","zip":"78006","beds":126,"overall":3,"inspections":18,"last_inspection":"2026-07-31","deficiencies":76,"serious":3,"ij":3,"open":0,"fines_total":150922,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":66,"same_site_review":[],"nearby":[{"id":"cms-455651","ccn":"455651","name":"Downtown Health and Rehabilitation Center","address":"424 South Adams Street","city":"Fort Worth","state":"TX","zip":"76104","beds":161,"overall":2,"inspections":26,"last_inspection":"2026-06-16","deficiencies":63,"serious":2,"ij":1,"open":0,"fines_total":27084,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.3},{"id":"cms-455881","ccn":"455881","name":"Dfw Nursing & Rehab","address":"900 W Leuda St","city":"Fort Worth","state":"TX","zip":"76104","beds":98,"overall":1,"inspections":24,"last_inspection":"2026-02-04","deficiencies":93,"serious":13,"ij":10,"open":0,"fines_total":317302,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.3},{"id":"cms-675034","ccn":"675034","name":"Arbor Lake Nursing & Rehabilitation, LLC","address":"901 Pennsylvania Ave","city":"Fort Worth","state":"TX","zip":"76104","beds":123,"overall":2,"inspections":16,"last_inspection":"2026-07-08","deficiencies":39,"serious":3,"ij":1,"open":0,"fines_total":14676,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.3},{"id":"cms-745019","ccn":"745019","name":"James L. West Center for Dementia Care","address":"1111 Summit Ave","city":"Fort Worth","state":"TX","zip":"76102","beds":112,"overall":3,"inspections":12,"last_inspection":"2025-06-12","deficiencies":23,"serious":8,"ij":7,"open":0,"fines_total":58298,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.4},{"id":"cms-676305","ccn":"676305","name":"The Stayton at Museum Way","address":"2501 Museum Way","city":"Fort Worth","state":"TX","zip":"76107","beds":46,"overall":5,"inspections":10,"last_inspection":"2026-07-22","deficiencies":26,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.5},{"id":"cms-675238","ccn":"675238","name":"Trinity Terrace","address":"1600 Texas Street","city":"Fort Worth","state":"TX","zip":"76102","beds":52,"overall":5,"inspections":9,"last_inspection":"2026-05-29","deficiencies":22,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.6},{"id":"cms-455819","ccn":"455819","name":"Arlington Heights Health and Rehabilitation Center","address":"4825 Wellesley Ave","city":"Fort Worth","state":"TX","zip":"76107","beds":170,"overall":2,"inspections":19,"last_inspection":"2026-07-22","deficiencies":52,"serious":3,"ij":3,"open":0,"fines_total":31539,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.3},{"id":"cms-675759","ccn":"675759","name":"Stonegate Nursing and Rehabilitation","address":"4201 Stonegate Blvd.","city":"Fort Worth","state":"TX","zip":"76109","beds":134,"overall":5,"inspections":9,"last_inspection":"2026-02-12","deficiencies":40,"serious":3,"ij":3,"open":0,"fines_total":16801,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.3}]}}