Cityview Nursing and Rehabilitation Center

5801 Bryant Irvin Rd · Fort Worth, TX · 76132 · 8173463030

210 certified beds Non profit - Corporation Chain: Wellsential Health

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $234,014 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$234,014 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 20
Serious harm & abuse 20% 22
Staffing 20% 58
Federal penalties 15% 29
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)3 · $234,014

Inspection citations (41 in the current record)

  • Potential for harm · D January 29, 2026 · found via complaint

    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.

    Corrected January 30, 2026 · Resident Rights

  • Potential for harm · D August 21, 2025

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected August 22, 2025 · Resident Rights

  • Potential for harm · D August 21, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 21, 2025

    Provide appropriate foot care.

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · E August 21, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · D August 21, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 22, 2025 · Pharmacy Service

  • Immediate jeopardy · K July 10, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 10, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 11, 2025 · Resident Rights

  • Potential for harm · D June 17, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 3, 2025 · Quality of Life and Care

  • Immediate jeopardy · K January 31, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 1, 2025 · Quality of Life and Care

  • Potential for harm · D January 31, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 3, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K September 17, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected September 18, 2024 · Quality of Life and Care

  • Immediate jeopardy · K September 17, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected September 18, 2024 · Nursing and Physician Services

  • Potential for harm · D July 25, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 25, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 25, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 23, 2024 · Nutrition and Dietary

  • Potential for harm · D July 25, 2024

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected August 23, 2024 · Administration

  • Potential for harm · E July 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 23, 2024 · Infection Control

  • Potential for harm · E July 25, 2024 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected August 23, 2024 · Resident Rights

  • Potential for harm · D July 25, 2024 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 23, 2024 · Resident Rights

  • Potential for harm · E July 25, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 23, 2024 · Quality of Life and Care

  • Potential for harm · D July 25, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 23, 2024 · Quality of Life and Care

  • Potential for harm · D July 25, 2024 · found via complaint

    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.

    Corrected August 23, 2024 · Quality of Life and Care

  • Potential for harm · E July 25, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 23, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 10, 2025Fine$173,713
January 31, 2025Fine$11,853
September 17, 2024Fine$48,448

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675622 · certified since July 30, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.