Federal inspection record · CMS data as of October 1, 2026

Stonegate Nursing And Rehabilitation

4201 Stonegate Blvd., Fort Worth, TX · (817) 924-5440

CMS overall rating

5 of 5

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Certified beds
134
Residents per day
100
Ownership
For-Profit
Chain
Hmg Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 6, 1998

1

How this home got 5 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Stonegate Nursing And Rehabilitation carries 44 inspection points. That is fewer than 73% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 44 pts · 4★

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

22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 2 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 4 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. K

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 25, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected July 14, 2024

  2. K

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    October 25, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected July 14, 2024

  3. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 25, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected July 14, 2024

Everything else, by area of care

Quality of Life and Care5D
  1. D

    Provide enough food/fluids to maintain a resident's health.

    February 12, 2026 · Standard · F692 · Corrected February 13, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 25, 2024 · Standard · F677 · Corrected October 29, 2024

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    October 25, 2024 · Standard · F695 · Corrected October 29, 2024

  4. 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.

    August 31, 2023 · Standard · F693 · Corrected September 4, 2023

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 31, 2023 · Standard · F695 · Corrected September 4, 2023

Pharmacy Service4E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 20, 2025 · Complaint · F755 · Corrected February 21, 2025

  2. 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.

    January 3, 2025 · Complaint · F761 · Corrected January 4, 2025

  3. D

    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.

    October 25, 2024 · Standard · F761 · Corrected October 29, 2024

  4. 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.

    August 31, 2023 · Standard · F761 · Corrected September 4, 2023

Nutrition and Dietary4F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 3, 2025 · Complaint · F812 · Corrected January 4, 2025

  2. E

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    October 25, 2024 · Standard · F800 · Corrected October 29, 2024

  3. D

    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.

    October 25, 2024 · Standard · F803 · Corrected October 29, 2024

  4. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    October 25, 2024 · Standard · F805 · Corrected October 29, 2024

Resident Rights3D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    February 12, 2026 · Standard · F554 · Corrected February 13, 2026

  2. 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.

    February 12, 2026 · Standard · F584 · Corrected February 13, 2026

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    February 20, 2025 · Complaint · F558 · Corrected February 21, 2025

Resident Assessment and Care Planning3D
  1. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    February 12, 2026 · Standard · F638 · Corrected February 13, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 25, 2024 · Standard · F842 · Corrected October 29, 2024

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 31, 2023 · Standard · F842 · Corrected September 4, 2023

Inspection history

  1. 2026-02-12

    4 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  2. 2024-10-25

    14 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

  3. 2023-08-31

    4 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 19 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 19 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 55% of nursing staff and 46% of registered nurses left in the past year, along with 1 administrator.

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

$16,801 in federal fines on record over the past three years.

DatePenaltyAmount
2024-10-25Fine$16,801

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better1.22.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better99.3%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better1.4%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.5 pts better0.8%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.3 pts worse18.1%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.1 pts better7.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.5 pts better5.4%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better6.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts better7.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts better2.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.5 pts better4.7%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.6 pts better98.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission14.6 pts better10.9%25.5%23.4%

·

Who owns and runs it

15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Culp, RolandOperational/Managerial Control · Individual0%32 facilities
Daspit, LaurenceOperational/Managerial Control · Individual0%32 facilities
Hmg Park Manor Of Stonegate, LLCOperational/Managerial Control · Organization0%1 facilities
Murrell, EdwardCorporate Officer · Individual0%77 facilities
Pico, AnaOperational/Managerial Control · Individual0%29 facilities
Prince, DerekOperational/Managerial Control · Individual0%32 facilities
Rollo, JefferyCorporate Officer · Individual0%36 facilities
Rollo, JefferyOperational/Managerial Control · Individual0%36 facilities
Stramecki, AnthonyCorporate Director · Individual0%36 facilities
Stramecki, AnthonyOperational/Managerial Control · Individual0%36 facilities
Vratis, KaceyCorporate Director · Individual0%33 facilities
Vratis, KaceyOperational/Managerial Control · Individual0%33 facilities
Way, GeorgeCorporate Director · Individual0%36 facilities
Way, GeorgeCorporate Officer · Individual0%36 facilities
Way, GeorgeOperational/Managerial Control · Individual0%36 facilities

·

Fire safety

18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 12, 2026 · K372 · Corrected February 18, 2026

  2. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    February 12, 2026 · K374 · Corrected February 20, 2026

  3. F

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    October 25, 2024 · K343 · Corrected November 12, 2024

  4. F

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    August 31, 2023 · K343 · Corrected October 6, 2023

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 31, 2023 · K321 · Corrected October 6, 2023

  6. E

    Install corridor and hallway doors that block smoke.

    August 31, 2023 · K363 · Corrected October 6, 2023

  7. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 31, 2023 · K372 · Corrected October 6, 2023

  8. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 31, 2023 · K374 · Corrected October 6, 2023

  9. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 31, 2023 · K353 · Corrected October 6, 2023

Egress4F
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 12, 2026 · K211 · Corrected February 18, 2026

  2. F

    Have properly located and lighted "Exit" signs.

    October 25, 2024 · K293 · Corrected December 13, 2024

  3. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 31, 2023 · K211 · Corrected October 6, 2023

  4. E

    Have properly located and lighted "Exit" signs.

    August 31, 2023 · K293 · Corrected October 6, 2023

Emergency Preparedness2F
  1. F

    Include a process for Emergency Preparedness collaboration.

    February 12, 2026 · E9 · Corrected February 16, 2026

  2. F

    Establish staff and initial training requirements.

    October 25, 2024 · E37 · Corrected November 30, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 12, 2026 · K918 · Corrected February 20, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 31, 2023 · K918 · Corrected October 6, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    August 31, 2023 · K712 · Corrected October 6, 2023

·

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