Overall Rating
Address
4825 Wellesley St
Fort Worth, TX 76107
Contact
8177326608
Certification Date
1989-06-01
CMS Certification Number
455819
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
180
Average Number of Residents per Day
98.2
Provider Type
Medicare and Medicaid
Legal Business Name
FORT WORTH III ENTERPRISES, LLC
Affiliated Entity Name
CREATIVE SOLUTIONS IN HEALTHCARE
Affiliated Entity ID
169
Health Inspection Rating
3
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.84054
Reported LPN Staffing Hours per Resident per Day
0.98063
Reported RN Staffing Hours per Resident per Day
0.38687
Reported Total Nurse Staffing Hours per Resident per Day
3.20803
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.89166
Registered Nurse Hours per Resident per Day on the Weekend
0.31910
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09003
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
59.333
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Citations from Infection Control Inspections
2
Standard Health Survey Date
2023-08-22
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
9
Health Deficiency Score
88
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
88
Standard Health Survey Date
2022-07-08
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
4
Health Deficiency Score
44
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
44
Standard Health Survey Date
2021-03-31
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
0
Number of Complaint Health Deficiencies
1
Health Deficiency Score
4
Number of Health Revisits
0
Health Revisit Score
0
Total Health Score
4
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0