Dfw Nursing & Rehab in Fort Worth, Tarrant County, Texas

Fort Worth, Tarrant County, Texas 76104

Status Medicare and Medicaid certifiedMedicare CCN 455881

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 900 W Leuda ST
Fort Worth, TX 76104
Open map (OpenStreetMap)
Phone: (817) 332-7003
HHSC facility ID: 004002
License number: 144550

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 1 of 5Overall: 1 of 5 stars
Health inspection: 1 of 5Health inspection: 1 of 5 stars
Staffing: 2 of 5Staffing: 2 of 5 stars
Quality measures: 3 of 5Quality measures: 3 of 5 stars
Long-stay quality measures: 4 of 5Long-stay quality measures: 4 of 5 stars
Short-stay quality measures: 1 of 5Short-stay quality measures: 1 of 5 stars

Flags in the CMS file

Special Focus status, as published: SFF Candidate. Read the Special Focus explainer.

This home has an abuse icon in the CMS file. That is a CMS designation, not a finding we added. Read the explainer and the official complaint channels in the footer.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	3.18 hours	3.42 hours n=1,152
Registered nurse	0.42 hours	0.44 hours
LPN	0.85 hours	0.95 hours
Nurse aide	1.91 hours	2.03 hours
Weekend nurse staffing	2.89 hours	2.99 hours

0.24 hours below this site’s computed Texas average.

Total nursing staff turnover: 32% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: —
Average residents per day: 62.4
Certified beds (CMS): 98

Penalties in the CMS Provider Information file: 6 finestotaling $317,302; 2 payment denials; 8 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
Date	Type	Fine amount	Payment denial
August 1, 2025	Fine · Fine ID 135410	$173,025	—
August 1, 2025	Payment Denial	—	Start September 24, 2025; 111 days
April 10, 2025	Fine · Fine ID 113915	$51,598	—
February 14, 2025	Fine · Fine ID 113587	$16,859	—
February 14, 2025	Fine · Fine ID 113588	$30,485	—
February 14, 2025	Payment Denial	—	Start March 14, 2025; 18 days
February 29, 2024	Fine · Fine ID 112773	$36,020	—
November 10, 2023	Fine · Fine ID 111757	$9,315	—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 14.8% · Q2 13.3% · Q3 8.3% · Q4 17.3% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	13.3%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 2.5% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	1.3%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.4%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 4.2% · Q2 18.3% · Q3 20.1% · Q4 6.3% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	12.5%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 4.9% · Q2 1.8% · Q3 2.1% · Q4 6.8% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	3.9%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 0.0% · Q2 3.0% · Q3 6.3% · Q4 8.3% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	4.5%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 4.5% · Q2 6.7% · Q3 9.8% · Q4 6.8% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	6.9%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 25.4% · Q2 28.1% · Q3 21.5% · Q4 20.0% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	23.8%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 21.2% · Q2 15.0% · Q3 16.7% · Q4 14.8% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	17.1%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	9.4%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	98.7%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	— (CMS footnote 9)	No, as published by CMS

Inspection citations

60 health citations in the CMS file (42 from complaint surveys). Highest scope/severity letter in the file: K — Pattern, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 1 citation

Tag 0627E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: February 4, 2026

CMS records a correction date (March 3, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 38 citations

Tag 0867D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 20, 2025

CMS records a correction date (January 13, 2026)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 20, 2025

CMS records a correction date (December 11, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 20, 2025

CMS records a correction date (December 11, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600G

G — Isolated, actual harm

Complaint survey

Survey date: November 20, 2025

CMS records a correction date (January 13, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0740G

G — Isolated, actual harm

Complaint survey

Survey date: October 14, 2025

CMS records a correction date (November 24, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0628E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: October 14, 2025

CMS records a correction date (November 24, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: October 14, 2025

CMS records a correction date (November 24, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: September 10, 2025

CMS records a correction date (October 5, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: September 10, 2025

CMS records a correction date (October 5, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600H

H — Pattern, actual harm

Complaint survey

Survey date: September 10, 2025

CMS records a correction date (October 5, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: August 22, 2025

CMS records a correction date (September 19, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: August 22, 2025

CMS records a correction date (September 19, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0925E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0908F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0803E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0801F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

18 more 2025 citations

Tag 0609D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0584E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 1, 2025

CMS records a correction date (September 5, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0773E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: June 18, 2025

CMS records a correction date (July 25, 2025)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0607K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: May 20, 2025

CMS records a correction date (June 18, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2025

CMS records a correction date (May 23, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: April 10, 2025

CMS records a correction date (May 9, 2025)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: April 10, 2025

CMS records a correction date (May 9, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0623D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 25, 2025

CMS records a correction date (April 1, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 14, 2025

CMS records a correction date (March 10, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: February 14, 2025

Past non-compliance, as recorded by CMS (January 20, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 14, 2025

CMS records a correction date (March 10, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: February 14, 2025

CMS records a correction date (March 10, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 17 citations

Tag 0641E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: October 28, 2024

CMS records a correction date (November 22, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: June 25, 2024

CMS records a correction date (July 26, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: June 25, 2024

CMS records a correction date (July 26, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 25, 2024

CMS records a correction date (July 26, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 25, 2024

CMS records a correction date (July 26, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 25, 2024

CMS records a correction date (July 26, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: May 30, 2024

CMS records a correction date (June 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0580J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 17, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 9, 2024

CMS records a correction date (April 15, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 9, 2024

CMS records a correction date (April 15, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 9, 2024

CMS records a correction date (April 15, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0558D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 9, 2024

CMS records a correction date (April 15, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0690E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: February 29, 2024

CMS records a correction date (March 15, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0925E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 12, 2024

CMS records a correction date (February 1, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0921E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 12, 2024

CMS records a correction date (February 1, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 12, 2024

CMS records a correction date (February 1, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0584E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 12, 2024

CMS records a correction date (February 1, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 4 citations

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: November 10, 2023

CMS records a correction date (December 9, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0921F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: March 30, 2023

CMS records a correction date (June 10, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 30, 2023

CMS records a correction date (June 10, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0565E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 30, 2023

CMS records a correction date (June 10, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: January 1, 2025
License expires: January 1, 2028
Initial license date: September 1, 1971
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 98 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 19; Medicare/Medicaid 79; ICF/IID 0
Alzheimer capacity: 0
Administrator: Winston Russell
Management company: Charleston Dfw Operations LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Limited Liability company

CMS ownership records
Name	Role	Type	Share	Associated
BAKKER, JEFF	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/01/2017
COCANOUGHER, CHARLES	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/24/2010
COOK, WILLIAM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/13/2014
DUNCUM, JOHN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 03/08/2010
FORBIS, CHRISTOPHER	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/03/1994
MANOUSHAGIAN, DANA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 03/17/2014
SANDFORD, WILLIAM	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/10/2007
WAGGONER, DEBRA SUE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 12/10/2007
CHARLESTON DFW OPERATIONS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
BENENATE, JOSEPH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/13/2022
BROUSSARD, KENDALL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2015
RUSSELL, WINSTON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/10/2025

13 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
SCROGGINS, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/03/2014
BAKKER, JEFF	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2017
COCANOUGHER, CHARLES	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/24/2010
COOK, WILLIAM	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/13/2014
DUNCUM, JOHN	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 03/08/2010
FORBIS, CHRISTOPHER	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 10/03/1994
MANOUSHAGIAN, DANA	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 03/17/2014
SANDFORD, WILLIAM	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 12/10/2007
WAGGONER, DEBRA SUE	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 12/10/2007
CHARLESTON DFW OPERATIONS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2015
BENENATE, JOSEPH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/13/2022
BROUSSARD, KENDALL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/15/2013
RUSSELL, WINSTON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/10/2025

HHSC owner fields

Owner (HHSC): Decatur Hospital Authority
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.