Facility profile · CCN 676255
Fort Worth Transitional Care Center
52 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $33,557.
Record summary
Federal record · Q1 202652
Total citations
44
Last 3 years
3
Actual harm+
4
Federal penalties
$33,557
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
52 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 3, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jun 24, 2025 | F693 | 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. | D | Complaint |
| Jun 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 11, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Feb 13, 2025 | F700 | 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. | D | Complaint |
| Feb 13, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Feb 13, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 13, 2025 | F809 | 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. | E | Standard |
| Feb 13, 2025 | F803 | 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. | E | Standard |
| Feb 13, 2025 | F758 | 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. | E | Standard |
| Feb 13, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Feb 13, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Feb 13, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Feb 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Dec 13, 2024 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | Complaint |
| Oct 30, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 30, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Oct 30, 2024 | F693 | 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. | D | Complaint |
| Aug 16, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| Jun 26, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Apr 30, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Apr 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Apr 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 30, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Dec 14, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Dec 14, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Dec 14, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 14, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Dec 14, 2023 | F693 | 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. | D | Standard |
| Dec 14, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard |
| Dec 14, 2023 | F584 | 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. | D | Standard |
| Nov 30, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Sep 18, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 21, 2023 | F761 | 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. | D | Complaint |
| Aug 21, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 21, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jul 21, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jul 21, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 23, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| May 23, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Oct 19, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 19, 2022 | F761 | 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. | D | Standard |
| Oct 19, 2022 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Oct 19, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 19, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Oct 19, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Oct 19, 2022 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 19, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $33,557 and 1 payment-denial actions spanning 3 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 24, 2025 | Fine | $13,790 | — |
| Aug 16, 2024 | Fine | $6,032 | — |
| Jul 21, 2023 | Fine | $13,735 | — |
| Jul 21, 2023 | Payment Denial | — | Aug 19, 2023 · 3 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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