Garden Terrace Healthcare Center Of Fort Worth

Penalties

• Dec 15, 2023 — Fine ($34,405)

Inspection findings

1. May 4, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected May 28, 2026 · CMS health inspection

2. Feb 12, 2026 Health · 6 findings
   • 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 Mar 5, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Mar 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Mar 29, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Mar 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Mar 29, 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 Mar 29, 2026 · CMS fire safety

3. Nov 7, 2024 Health · 19 findings
   • Not serious Scope/severity E

     F0694 Quality of Life and Care Deficiencies

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

     Corrected Nov 8, 2024 · 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 Nov 8, 2024 · 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 Nov 8, 2024 · 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 Nov 14, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Nov 8, 2024 · 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 Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 8, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0200 Egress Deficiencies

     Meet other general requirements.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

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

     Corrected Dec 15, 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 Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Dec 15, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Dec 15, 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 Nov 22, 2024 · CMS fire safety

4. Jul 18, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jul 19, 2024 · CMS health inspection

   • 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 Jul 19, 2024 · CMS health inspection

5. Apr 1, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Apr 24, 2024 · CMS health inspection

   • 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 Apr 24, 2024 · CMS health inspection

6. Feb 1, 2024 Health · 1 finding
   • 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 Feb 22, 2024 · CMS health inspection

7. Dec 15, 2023 Health · 5 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jan 5, 2024 · CMS health inspection

   • Serious Scope/severity J 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 Jan 5, 2024 · CMS health inspection

   • Serious Scope/severity J 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 Jan 5, 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 5, 2024 · 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 Jan 5, 2024 · CMS health inspection

8. Oct 12, 2023 Health · 6 findings
   • 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 Sep 30, 2023 · 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 Nov 30, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 30, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

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

     Corrected Nov 24, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Nov 24, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Nov 24, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ABUBAKAR, BARIRA — managing control - governing body, NOT APPLICABLE, since 05/02/2023
• ABUBAKAR, BARIRA — operational/managerial control, NOT APPLICABLE, since 05/02/2023
• BUTNER, NANCY — managing control - governing body, NOT APPLICABLE, since 09/16/2018
• BUTNER, NANCY — operational/managerial control, NOT APPLICABLE, since 09/16/2018
• CROSS, CINDY — corporate officer, NOT APPLICABLE, since 01/01/1997
• DAVIDSON, SARAH — adp of the snf, NOT APPLICABLE, since 03/24/2025
• DAVIDSON, SARAH — managing control - governing body, NOT APPLICABLE, since 02/24/2025
• DAVIDSON, SARAH — operational/managerial control, NOT APPLICABLE, since 02/24/2025
• FLETCHER, TODD — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• HENRY, TERRY — corporate officer, NOT APPLICABLE, since 08/16/1999
• LAY, LISA — corporate director, NOT APPLICABLE, since 04/24/2017
• LAY, LISA — corporate officer, NOT APPLICABLE, since 02/09/2018
• LE, QUANG — operational/managerial control, NOT APPLICABLE, since 10/01/2010
• LE, QUANG — adp of the snf, NOT APPLICABLE, since 03/24/2025
• PRESTON, AUBREY — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• PRESTON, FORREST — direct ownership interest, NOT APPLICABLE, since 03/10/1994
• PRESTON, FORREST — adp of the snf, NOT APPLICABLE, since 01/18/2005
• PRESTON, FORREST — indirect ownership interest, NOT APPLICABLE, since 03/10/1994
• SWANKER, RICHARD — corporate director, NOT APPLICABLE, since 01/01/2022
• SWANKER, RICHARD — corporate officer, NOT APPLICABLE, since 04/01/2011
• THURMOND, JOAN — corporate officer, NOT APPLICABLE, since 09/22/2000
• ZIEGLER, JAMES — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• DEVELOPERS INVESTMENT COMPANY INC — direct ownership interest, NOT APPLICABLE, since 03/10/1994
• DEVELOPERS INVESTMENT COMPANY INC — operational/managerial control, NOT APPLICABLE, since 06/14/2006
• LIFE CARE CENTERS OF AMERICA, INC. — adp of the snf, NOT APPLICABLE, since 02/27/2025
• LIFE CARE CENTERS OF AMERICA, INC. — operational/managerial control, NOT APPLICABLE, since 01/01/1997