Stonegate Nursing and Rehabilitation
4201 Stonegate Blvd · Fort Worth, TX · 76109 · 8179245440
134 certified beds For profit - Corporation Chain: Hmg Healthcare
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (23 in the current record)
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Potential for harm · D February 12, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
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 February 13, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · E February 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · E January 3, 2025 · found via complaint
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.
Corrected January 4, 2025 · Pharmacy Service
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Potential for harm · F January 3, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2025 · Nutrition and Dietary
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Immediate jeopardy · K October 25, 2024 · 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 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 25, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J October 25, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · D October 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · D October 25, 2024
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.
Corrected October 29, 2024 · Pharmacy Service
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Potential for harm · E October 25, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected October 29, 2024 · Nutrition and Dietary
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Potential for harm · D October 25, 2024
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 October 29, 2024 · Nutrition and Dietary
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Potential for harm · D October 25, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 29, 2024 · Nutrition and Dietary
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Potential for harm · D October 25, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 31, 2023
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 September 4, 2023 · Quality of Life and Care
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Potential for harm · D August 31, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 4, 2023 · Quality of Life and Care
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Potential for harm · E August 31, 2023
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.
Corrected September 4, 2023 · Pharmacy Service
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Potential for harm · D August 31, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 17, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 21, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 25, 2024 | Fine | $16,801 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675759 · certified since August 6, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.