Fort Worth Transitional Care Center

Penalties

• Apr 8, 2026 — Fine ($36,040)
• Jun 24, 2025 — Fine ($8,964)
• Aug 16, 2024 — Fine ($6,032)

Inspection findings

1. Apr 8, 2026 Fire Safety · 16 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0009 Emergency Preparedness Deficiencies

     Include a process for Emergency Preparedness collaboration.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Apr 9, 2026 · 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 Apr 9, 2026 · CMS health inspection

   • Serious Scope/severity H

     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 Apr 9, 2026 · CMS health inspection

   • Serious Scope/severity K

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Apr 9, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0700 Quality of Life and Care Deficiencies

     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.

     Corrected Apr 9, 2026 · 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 Apr 9, 2026 · CMS health inspection

   • Not serious Scope/severity E

     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 Apr 9, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0222 Egress Deficiencies

     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.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

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

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0344 Smoke Deficiencies

     Have an alternate power supply for its alarm system.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 10, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0522 Services Deficiencies

     Have an externally vented heating system.

     Corrected Apr 10, 2026 · 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 Apr 10, 2026 · CMS fire safety

2. Dec 3, 2025 Health · 1 finding
   • Not serious Scope/severity D 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 Dec 4, 2025 · CMS health inspection

3. Sep 3, 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 Sep 4, 2025 · CMS health inspection

4. Jun 24, 2025 Health · 2 findings
   • Serious Scope/severity G 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 28, 2025 · 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 Jun 25, 2025 · CMS health inspection

5. Apr 11, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0770 Administration Deficiencies

     Provide timely, quality laboratory services/tests to meet the needs of residents.

     Corrected Apr 12, 2025 · CMS health inspection

6. Feb 13, 2025 Health · 16 findings
   • Not serious Scope/severity E

     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 Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0692 Quality of Life and Care Deficiencies

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

     Corrected Feb 14, 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 Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0700 Quality of Life and Care Deficiencies

     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.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0758 Pharmacy Service Deficiencies

     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.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     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.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0809 Nutrition and Dietary Deficiencies

     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.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     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 Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

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

     Corrected Feb 14, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

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

     Corrected Feb 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

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

     Corrected Feb 14, 2025 · 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 Feb 14, 2025 · CMS fire safety

7. Dec 13, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0729 Nursing and Physician Services Deficiencies

     Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

     Corrected Dec 17, 2024 · CMS health inspection

8. Oct 30, 2024 Health · 3 findings
   • 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 Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Nov 4, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 4, 2024 · CMS health inspection

9. Aug 16, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0624 Resident Rights Deficiencies

     Prepare residents for a safe transfer or discharge from the nursing home.

     Corrected Sep 20, 2024 · CMS health inspection

10. Jun 26, 2024 Health · 1 finding
    • 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 Jul 19, 2024 · CMS health inspection

11. Apr 30, 2024 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Jun 7, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Jun 7, 2024 · CMS health inspection

    • Not serious Scope/severity E 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 Jun 7, 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 Jun 7, 2024 · CMS health inspection

12. Dec 14, 2023 Health · 11 findings
    • Not serious Scope/severity D

      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 2, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      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 Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D 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 Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected Jan 2, 2024 · 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 Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity D

      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 Jan 2, 2024 · CMS health inspection

    • Not serious Scope/severity F

      K0211 Egress Deficiencies

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

      Corrected Jan 22, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0222 Egress Deficiencies

      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.

      Corrected Jan 22, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Jan 22, 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 Jan 22, 2024 · CMS fire safety

13. Nov 30, 2023 Health · 1 finding
    • 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 Dec 1, 2023 · CMS health inspection

14. Sep 18, 2023 Health · 1 finding
    • 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 Sep 19, 2023 · CMS health inspection

15. Aug 21, 2023 Health · 2 findings
    • Not serious Scope/severity D 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 22, 2023 · CMS health inspection

    • Not serious Scope/severity D 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 Aug 22, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• 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
• CROW, BRADLEY — adp of the snf, NOT APPLICABLE, since 07/14/2025
• CROW, BRADLEY — operational/managerial control, NOT APPLICABLE, since 07/14/2025
• 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
• GESSNER, BRUCE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• SANCHEZ, CHRISTIAN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• SANCHEZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• 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
• SMITH, MICHAEL — adp of the snf, NOT APPLICABLE, since 06/10/2025
• WAGGONER, DEBRA SUE — corporate director, NOT APPLICABLE, since 12/10/2007
• WILLIAMS, CAREY — corporate officer, NOT APPLICABLE, since 12/15/2015
• 850 12TH AVENUE, 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 — adp of the snf, NOT APPLICABLE, since 03/04/2026
• DECATUR HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 07/25/2014
• 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 BRIDGE OPCO 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 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 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