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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E9 | F8 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 29, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 29, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 27, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Dec 28, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Dec 7, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 4, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D5 | E9 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 29, 2026 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 13, 2026 | |
| May 29, 2026 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 13, 2026 | |
| May 29, 2026 | K-0342 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
10 facilities in 5 states. CMS chain ID 391.
Chain average overall rating (CMS): 4.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Retirement Services Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 1995 |
| James Austin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 18, 2001 |
| Alan Barr | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 22, 1998 |
| Brian Coulter | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2021 |
| Robert Fernandez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2014 |
| Mike Hyatt | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| James L. West Center for Dementia Care 1111 Summit Ave, Fort Worth, TX 76102 CCN 745019Abuse icon | 0.1 km | 112 | Jun 12, 2025 | 237 IJ1 harm | $58k | |
| The Stayton at Museum Way 2501 Museum Way, Fort Worth, TX 76107 CCN 676305 | 0.9 km | 46 | Jul 22, 2026 | 261 harm | — | |
| Downtown Health and Rehabilitation Center 424 South Adams Street, Fort Worth, TX 76104 CCN 455651Abuse icon | 1.1 km | 161 | Jun 16, 2026 | 631 IJ1 harm | $27k | |
| Arbor Lake Nursing & Rehabilitation, LLC 901 Pennsylvania Ave, Fort Worth, TX 76104 CCN 675034Abuse icon | 1.4 km | 123 | Jul 8, 2026 | 391 IJ2 harm | $15k | |
| Fort Worth Transitional Care Center 850 12th Avenue, Fort Worth, TX 76104 CCN 676255 | 1.6 km | 136 | Aug 21, 2026 | 611 IJ2 harm1 open | $38k | |
| Dfw Nursing & Rehab 900 W Leuda St, Fort Worth, TX 76104 CCN 455881SFF CandidateAbuse icon | 1.6 km | 98 | Feb 4, 2026 | 9310 IJ3 harm | $317k | |
| Arlington Heights Health and Rehabilitation Center 4825 Wellesley Ave, Fort Worth, TX 76107 CCN 455819 | 5.4 km | 170 | Jul 22, 2026 | 523 IJ | $32k | |
| River Oaks Health and Rehabilitation Center 2416 NW 18th St, Fort Worth, TX 76106 CCN 675018Abuse icon | 5.7 km | 120 | Jun 10, 2026 | 532 IJ1 harm | $42k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675238 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675238 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jul 13, 2026 |
| May 29, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 13, 2026 |
| May 29, 2026 | K-0379 | Have proper openings in smoke barrier doors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 13, 2026 |
| May 29, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 13, 2026 |
| May 29, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| May 29, 2026 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Jun 26, 2026 |
| May 29, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Mar 27, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 9, 2025 |
| Mar 27, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 29, 2025 |
| Mar 27, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 25, 2025 |
| Mar 27, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 15, 2025 |
| Mar 27, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 21, 2025 |
| Feb 8, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 9, 2024 |
| Feb 8, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 15, 2024 |
| Feb 8, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Feb 8, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Feb 8, 2024 | F-0761 | 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 · Medication management | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Dec 7, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 8, 2024 | Complaint |
| Dec 7, 2023 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Jan 8, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.54 (case-mix index 1.25).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Sep 27, 2010 |
| Michael Mcmahon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 25, 2011 |
| Gretchen Smith | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2010 |
| Judy Stempel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Andy Taft | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2014 |
| Karl Travis | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 18, 2007 |
| Carlela Vogel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 28, 2006 |
| James Whitton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 18, 2001 |
| Doug Wilson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 27, 2010 |
| Brian Young | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Don Mills | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 23, 2003 |
| Eric Sholty | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 27, 2018 |
| Michael Thomas | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 7, 2019 |
| US Bank, N.a | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Dec 29, 2011 |