Deficiency Records for Fort Worth Wellness and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Fort Worth Wellness and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-20 | 2023-04-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-04-20 | 2023-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-20 | 2023-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-20 | 2023-04-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-20 | 2023-04-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-20 | 2023-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-08 | 2023-03-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-08 | 2023-03-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-08 | 2022-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-09-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-09-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-21 | 2022-09-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-22 | 2022-07-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-22 | 2022-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-04-22 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-28 | 2022-03-30 | N |
| Meet other general requirements. | Fire Safety | 2022-02-28 | 2022-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-28 | 2022-03-25 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-02-28 | 2022-03-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-02-28 | 2022-03-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-03-01 | 2022-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-01 | 2022-03-23 | N |
| 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. | Health | 2022-03-01 | 2022-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-01 | 2022-03-23 | N |
| Have policies on smoking. | Health | 2022-03-01 | 2022-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-31 | 2022-01-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-31 | 2022-01-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-31 | 2022-01-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-20 | Y |
| 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. | Health | 2021-05-14 | 2021-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-14 | 2021-06-14 | N |
| 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. | Health | 2021-05-14 | 2021-06-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Develop a communication plan. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-13 | 2021-06-13 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-23 | 2021-04-15 | Y |
