01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-01 | 24 | 2025-08-01 | 19 |
| Cycle 2 | 2024-06-25 | 21 | 2024-06-25 | 4 |
| Cycle 3 | 2023-03-30 | 17 | 2023-03-30 | 10 |
CMS CCN 4558812026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Dfw Nursing & Rehab
900 W Leuda St · Fort Worth, TX 76104 · Tarrant County
Certified beds98CMS provider file
Recent citation rows95current CMS citation release
Penalty rows8current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
95 rows in the current release
13 rows carry G–L scope/severity codes; 11 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-04 · HEALTHF0627Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-03-03 · complaint2025-11-20 · HEALTHF0600Severity G · isolated actual harm
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.
Correction field: Deficient, Provider has date of correction · 2026-01-13 · complaint2025-11-20 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-12-11 · complaint2025-11-20 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-12-11 · complaint2025-11-20 · HEALTHF0867Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2026-01-13 · complaint2025-10-14 · HEALTHF0600Severity K · pattern of immediate jeopardy
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.
Correction field: Deficient, Provider has date of correction · 2025-11-24 · complaint2025-10-14 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-11-24 · complaint2025-10-14 · HEALTHF0740Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2025-11-24 · complaint2025-09-10 · HEALTHF0600Severity J · isolated immediate jeopardy
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.
Correction field: Deficient, Provider has date of correction · 2025-10-05 · complaint2025-09-10 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-10-05 · complaint2025-09-10 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-10-05 · complaint2025-08-22 · HEALTHF0656Severity K · pattern of immediate jeopardy
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.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-22 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-19 · complaint2025-08-01 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-182025-08-01 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-01 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-01 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-09-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-01 | Fine | $173,025 | 0 |
| 2025-08-01 | Payment Denial | $0 | 111 |
| 2025-04-10 | Fine | $51,598 | 0 |
| 2025-02-14 | Fine | $16,859 | 0 |
| 2025-02-14 | Fine | $30,485 | 0 |
| 2025-02-14 | Payment Denial | $0 | 18 |
| 2024-02-29 | Fine | $36,020 | 0 |
| 2023-11-10 | Fine | $9,315 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAKKER, JEFFIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2017
- COCANOUGHER, CHARLESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/24/2010
- COOK, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/13/2014
- DUNCUM, JOHNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/08/2010
- FORBIS, CHRISTOPHERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/03/1994
- MANOUSHAGIAN, DANAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2014
- SANDFORD, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/10/2007
- WAGGONER, DEBRA SUEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/10/2007
- CHARLESTON DFW OPERATIONS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2015
- BENENATE, JOSEPHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/13/2022
- BROUSSARD, KENDALLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2015
- RUSSELL, WINSTONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/10/2025
- SCROGGINS, BRIANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/03/2014
- BAKKER, JEFFIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 04/01/2017
- COCANOUGHER, CHARLESIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/24/2010
- COOK, WILLIAMIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/13/2014
- DUNCUM, JOHNIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 03/08/2010
- FORBIS, CHRISTOPHERIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/03/1994
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.31per resident day
RN hours0.48per resident day
Weekend nurse hours2.93per resident day
Staff turnover17.4%CMS reported field
06 / LOCAL RECORDS
Open the Fort Worth ledger →Other published facilities nearby
Arbor Lake Nursing & Rehabilitation, Llc123 beds · CMS overall 2/538 citation rowsArlington Heights Health And Rehabilitation Center170 beds · CMS overall 1/552 citation rowsAvir At Fort Worth120 beds · CMS overall 2/568 citation rowsCityview Nursing And Rehabilitation Center210 beds · CMS overall 2/565 citation rowsDowntown Health And Rehabilitation Center161 beds · CMS overall 1/564 citation rowsEstates Healthcare And Rehabilitation Center141 beds · CMS overall 1/582 citation rowsFort Worth Transitional Care Center136 beds · CMS overall 1/562 citation rowsFort Worth Wellness & Rehabilitation104 beds · CMS overall 1/529 citation rows