Overall Rating
Address
4515 Village Creek Rd
Fort Worth, TX 76119
Contact
8174518704
Certification Date
2005-05-11
CMS Certification Number
676052
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
84
Average Number of Residents per Day
64.1
Provider Type
Medicare and Medicaid
Legal Business Name
FORT WORTH SKILLED CARE LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.25708
Reported LPN Staffing Hours per Resident per Day
0.68311
Reported RN Staffing Hours per Resident per Day
0.40114
Reported Total Nurse Staffing Hours per Resident per Day
3.34133
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.05043
Registered Nurse Hours per Resident per Day on the Weekend
0.17541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05713
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
128.333
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
8
Number of Citations from Infection Control Inspections
3
Standard Health Survey Date
2023-03-23
Total Number of Health Deficiencies
2
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2021-12-08
Total Number of Health Deficiencies
17
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
13
Health Deficiency Score
343
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
343
Standard Health Survey Date
2020-09-24
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
5
Health Deficiency Score
48
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
48
Number of Fines
5
Total Amount of Fines in Dollars
58551.46
Number of Payment Denials
1
Total Number of Penalties
6