Cityview Nursing And Rehabilitation Center

Penalties

• Jul 10, 2025 — Fine ($173,713)
• Jan 31, 2025 — Fine ($11,853)
• Sep 17, 2024 — Fine ($48,448)

Inspection findings

1. Jan 29, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0584 Resident Rights Deficiencies

     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.

     Corrected Jan 30, 2026 · CMS health inspection

2. Aug 21, 2025 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0009 Emergency Preparedness Deficiencies

     Include a process for Emergency Preparedness collaboration.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0030 Emergency Preparedness Deficiencies

     List the names and contact information of those in the facility.

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0687 Quality of Life and Care Deficiencies

     Provide appropriate foot care.

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

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

     Corrected Aug 22, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Aug 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 22, 2025 · CMS fire safety

3. Jul 10, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 11, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jul 11, 2025 · CMS health inspection

4. Jun 17, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 3, 2025 · CMS health inspection

5. Jan 31, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Aug 3, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 1, 2025 · CMS health inspection

6. Sep 17, 2024 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Sep 18, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0726 Nursing and Physician Services Deficiencies

     Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

     Corrected Sep 18, 2024 · CMS health inspection

7. Jul 25, 2024 Fire Safety · 39 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0007 Emergency Preparedness Deficiencies

     Address patient/client population and determine types of services needed.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0009 Emergency Preparedness Deficiencies

     Include a process for Emergency Preparedness collaboration.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0039 Emergency Preparedness Deficiencies

     Conduct testing and exercise requirements.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity E Complaint

     F0565 Resident Rights Deficiencies

     Honor the resident's right to organize and participate in resident/family groups in the facility.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0582 Resident Rights Deficiencies

     Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     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.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0698 Quality of Life and Care Deficiencies

     Provide safe, appropriate dialysis care/services for a resident who requires such services.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0838 Administration Deficiencies

     Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0840 Administration Deficiencies

     Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0914 Environmental Deficiencies

     Provide bedrooms that don't allow residents to see each other when privacy is needed.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Aug 23, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0225 Egress Deficiencies

     Have stairways and smokeproof enclosures used as exits that meet safety requirements.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

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

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Aug 23, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Aug 23, 2024 · CMS fire safety

8. Jun 4, 2024 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0563 Resident Rights Deficiencies

     Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

     Corrected Jun 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jun 10, 2024 · CMS health inspection

9. May 10, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 11, 2024 · CMS health inspection

10. Feb 20, 2024 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0761 Pharmacy Service Deficiencies

      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.

      Corrected Feb 21, 2024 · CMS health inspection

11. Sep 15, 2023 Health · 1 finding
    • Not serious Scope/severity F Complaint

      F0925 Environmental Deficiencies

      Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      Corrected Sep 18, 2023 · CMS health inspection

12. Jun 8, 2023 Health · 3 findings
    • Not serious Scope/severity D

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Jun 9, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0640 Resident Assessment and Care Planning Deficiencies

      Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      Corrected Jun 9, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Jun 9, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• ADEDOKUN, ADE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• ADEDOKUN, ADE — adp of the snf, NOT APPLICABLE, since 10/01/2018
• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• BAKKER, JEFF — corporate officer, NOT APPLICABLE, since 04/02/2017
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• COCANOUGHER, CHARLES — corporate officer, NOT APPLICABLE, since 10/24/2010
• COOK, WILLIAM — corporate officer, NOT APPLICABLE, since 01/13/2014
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DUNCUM, JOHN — corporate officer, NOT APPLICABLE, since 03/08/2010
• FORBIS, CHRISTOPHER — corporate officer, NOT APPLICABLE, since 10/03/1994
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• HANCE, BILLIE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• HANCE, BILLIE — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 09/01/2022
• MONTGOMERY, KYNDRA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MONTGOMERY, KYNDRA — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• NORRIS, JOHN — adp of the snf, NOT APPLICABLE, since 11/18/2024
• NORRIS, JOHN — operational/managerial control, NOT APPLICABLE, since 11/18/2024
• SANDFORD, WILLIAM — corporate officer, NOT APPLICABLE, since 12/10/2007
• SCROGGINS, BRIAN — corporate officer, NOT APPLICABLE, since 10/03/2014
• SICKING, JEFFREY — corporate officer, NOT APPLICABLE, since 12/15/2015
• WAGGONER, DEBRA SUE — corporate officer, NOT APPLICABLE, since 12/10/2007
• WILLIAMS, CAREY — corporate officer, NOT APPLICABLE, since 12/15/2015
• 5801 BRYANT IRVIN ROAD, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DECATUR HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 08/31/2014
• DECATUR HOSPITAL AUTHORITY — adp of the snf, NOT APPLICABLE, since 09/10/2025
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO 1, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG MASTER TENANT II, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF CITYVIEW FORT WORTH LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018