01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-14 | 6 | 2025-08-14 | 3 |
| Cycle 2 | 2024-07-11 | 7 | 2024-07-11 | 18 |
| Cycle 3 | 2023-06-15 | 7 | 2023-06-15 | 3 |
CMS CCN 6759772026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Village Creek Nursing & Rehabilitation
3825 Village Creek Rd · Fort Worth, TX 76119 · Tarrant County
Certified beds100CMS provider file
Recent citation rows44current CMS citation release
Penalty rows2current 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
44 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-02 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has plan of correction · 2026-07-03 · complaint2025-12-03 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-04 · complaint2025-08-14 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-08-152025-08-14 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-08-152025-08-14 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-08-152025-08-14 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-08-152025-08-14 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-132025-08-14 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-08-132025-08-14 · FIREK0711Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2025-08-132024-07-11 · 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 · 2024-08-232024-07-11 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-11 · 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 · 2024-08-232024-07-11 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-11 · FIREE0024Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-11 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-11 · HEALTHF0584Severity D · isolated; 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 · 2024-07-122024-07-11 · 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: Past Non-Compliance · 2024-05-08 · complaint2024-07-11 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2024-08-312024-07-11 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-07-152024-07-11 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-07-122024-07-11 · HEALTHF0842Severity E · pattern; 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 · 2024-08-162024-07-11 · HEALTHF0914Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Correction field: Deficient, Provider has date of correction · 2024-07-122024-07-11 · FIREK0223Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-07-11 · FIREK0281Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2024-08-2303 / 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 |
|---|---|---|---|
| 2024-07-11 | Fine | $10,842 | 0 |
| 2024-05-25 | Fine | $8,167 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FRIO HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2024
- RUFF, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2024
- VILLAGE CREEK NURSING & REHABILITATION LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- GARETZ, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
- GURWITZ, SOLOMONIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/26/2025
- HAGINS, ELIZABETHIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/09/2025
- KAPLAN, ESTHERIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/26/2025
- KAPLAN, MORDECHAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/09/2025
- MINDLE, ADAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/09/2025
- UNGER, JEFFREYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 06/26/2025
- 3825 VILLAGE CREEK ROAD, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- ALTITUDE REALTY HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- CONTINUUM REHAB GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- GIBRALTAR TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- LARCHMONT REALTY, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- MONTGOMERY SKY TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- OPCO CA SKILLED MGMT INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- OPCO TEXAS SKILLED MGMT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
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 hours2.87per resident day
RN hours0.46per resident day
Weekend nurse hours2.59per resident day
Staff turnover51.4%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 rowsDfw Nursing & Rehab98 beds · CMS overall 1/595 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 rows