Fort Worth Transitional Care Center

850 12th Avenue · Fort Worth, TX · 76104 · 8178828289

136 certified beds Government - Hospital district Chain: Wellsential Health

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $50,216 in fines in the last 24 months.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$50,216 in federal fines in the last 24 months

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

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 82
Staffing 20% 59
Federal penalties 15% 13
Trend 10% 73
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.283.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day2.75≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)4 · $63,951

Inspection citations (50 in the current record)

  • Potential for harm · D December 3, 2025 · found via complaint

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

    Corrected December 4, 2025 · Quality of Life and Care

  • Potential for harm · D September 3, 2025 · found via complaint

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

    Corrected September 4, 2025 · Quality of Life and Care

  • Actual harm · G June 24, 2025 · found via complaint

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

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · D June 24, 2025 · 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 June 25, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected April 12, 2025 · Administration

  • Potential for harm · E February 13, 2025

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

    Corrected February 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

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

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · E February 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · E February 13, 2025

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

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · E February 13, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · E February 13, 2025

    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.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · E February 13, 2025

    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.

    Corrected February 14, 2025 · Nutrition and Dietary

  • Potential for harm · E February 13, 2025

    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.

    Corrected February 14, 2025 · Nutrition and Dietary

  • Potential for harm · E February 13, 2025

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

    Corrected February 14, 2025 · Nutrition and Dietary

  • Potential for harm · D February 13, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 14, 2025 · Infection Control

  • Potential for harm · E February 13, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected February 14, 2025 · Environmental

  • Potential for harm · D February 13, 2025 · found via complaint

    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.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · E December 13, 2024 · found via complaint

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected December 17, 2024 · Nursing and Physician Services

  • Potential for harm · D October 30, 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 November 4, 2024 · Quality of Life and Care

  • Potential for harm · D October 30, 2024 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected November 4, 2024 · Quality of Life and Care

  • Potential for harm · D October 30, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 4, 2024 · Infection Control

  • Potential for harm · D August 16, 2024 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected September 20, 2024 · Resident Rights

  • Potential for harm · D June 26, 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 July 19, 2024 · Quality of Life and Care

  • Potential for harm · D April 30, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 7, 2024 · Resident Rights

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

Federal penalties

DateTypeAmount / length
April 8, 2026Fine$35,220
June 24, 2025Fine$8,964
August 16, 2024Fine$6,032
July 21, 2023Fine$13,735
July 21, 2023Payment Denial3 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676255 · certified since July 22, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.