Federal inspection record · CMS data as of October 1, 2026
Fort Worth Transitional Care Center
850 12Th Avenue, Fort Worth, TX · (817) 882-8289
- Certified beds
- 136
- Residents per day
- 97
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 22, 2010
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Fort Worth Transitional Care Center carries 196.75 inspection points. That is fewer than 11% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
K
Provide safe and appropriate respiratory care for a resident when needed.
-
H
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.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- E
Provide enough food/fluids to maintain a resident's health.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
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.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
Resident Assessment and Care Planning7E
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Nutrition and Dietary5E
- E
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.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nursing and Physician Services1E
- E
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-04-08
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-02-13
21 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2023-12-14
14 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 42 min of it from a registered nurse.
This home
3 h 28 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 61% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$38,422 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-08 | Fine | $23,426 |
| 2025-06-24 | Fine | $8,964 |
| 2024-08-16 | Fine | $6,032 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 99.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 4.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts better | 16.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts better | 8.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.1 pts better | 4.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10 pts better | 5.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better | 4.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 95.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 9.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 87.8% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse | 30.0% | 25.5% | 23.4% |
·
Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Decatur Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 9 facilities |
| 850 12th Avenue, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Bakker, Jeff | Corporate Officer · Individual | 0% | 3 facilities |
| Carvajal, Antonio | Managing Control - Governing Body · Individual | 0% | 28 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cocanougher, Charles | Corporate Officer · Individual | 0% | 3 facilities |
| Cook, William | Corporate Officer · Individual | 0% | 3 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Crow, Bradley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Crow, Bradley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Csv Rhea Management Holdco, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Decatur Hospital Authority | Adp Of The SNF · Organization | 0% | 9 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Duncum, John | Corporate Officer · Individual | 0% | 3 facilities |
| Dwd Tx Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Forbis, Christopher | Corporate Officer · Individual | 0% | 3 facilities |
| Gessner, Bruce | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Gonzales, Veronica | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Adp Of The SNF · Organization | 0% | 68 facilities |
| Kaufman, Nicole | Managing Control - Governing Body · Individual | 0% | 28 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Reg Bridge Opco LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Adp Of The SNF · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Fort Worth LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Sanchez, Christian | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sanchez, Christian | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sandford, William | Corporate Officer · Individual | 0% | 3 facilities |
| Scroggins, Brian | Corporate Officer · Individual | 0% | 10 facilities |
| Sicking, Jeffrey | Corporate Officer · Individual | 0% | 2 facilities |
| Smith, Michael | Adp Of The SNF · Individual | 0% | 18 facilities |
| Waggoner, Debra Sue | Corporate Director · Individual | 0% | 3 facilities |
| Williams, Carey | Corporate Officer · Individual | 0% | 2 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress5F
- F
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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
Smoke4F
- F
Have an alternate power supply for its alarm system.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
Emergency Preparedness2F
- F
Conduct risk assessment and an All-Hazards approach.
- F
Include a process for Emergency Preparedness collaboration.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have an externally vented heating system.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Downtown Health and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 14 min
- Fines
- $27,084
-
DFW Nursing & Rehab
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 11 min
- Fines
- $317,302
-
Arbor Lake Nursing & Rehabilitation, LLC
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 12 min
- Fines
- $14,676