Fort Worth Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Fort Worth Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF697Jul 17, 2025

  Based on observation, interview, and record review, the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 3 of 9 residents (Resident #33, #42, and #83) reviewed for pain management. 1. The facility failed to provide effective pain medication for Resident #33 who admitted to the facility on [DATE] and received Hydrocodone-Acetaminophen 1 oral tablet 325 mg. per order, on all three shifts, for 7-15-2025 and 7-16-2025. Resident #33's pain levels remained high without physician notification or effective intervention. 2. […]

• Immediate jeopardy, isolatedF610Dec 31, 2021

  Based on interview and record review the facility failed in response to allegations of abuse, to ensure that all alleged violations were thoroughly investigated and prevent further abuse from occurring while the investigation is in progress for one (Resident #1) of eight residents reviewed for abuse. The facility failed to identify the allegation of abuse and allowed the alleged perpetrator to remain on duty at the facility for more than 9 days after the allegation was made to the facility's Abuse Coordinator. This failure could place residents at risk for abuse. An Immediate Jeopardy (IJ) was identified on 12/30/21. […]

• No harm, potential for more than minimal, widespreadF814Jul 17, 2025

  Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly. 1. The facility failed to ensure the garbage storage area was maintained in a sanitary condition to prevent the harborage and feeding of pest by failing to ensure garbage was kept off the ground, surrounding the facilities two outside trash dumpsters, and failed to keep the facility's grease trap dumpster closed. These failures could place residents at risk of contracting disease by attracting pest and disease carrying rodents. Findings included: 1. During an observation on 7-15-2025 at 8:00 AM, it was revealed that trash (used latex gloves, paper plates, used plastic wrappers, and various other trash) were on the ground surrounding the facility's two trash dumpsters. […]

• No harm, potential for more than minimal, patternF880May 30, 2024

  Based observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for five (Resident #28, Resident #2, Resident #18, Resident #47, and Resident #60) of twelve residents observed for infection control. 1. The facility failed to ensure that CNA C and CNA D changed their gloves, perform hand hygiene, and perform proper direction of wiping while providing incontinent care to Resident #28. 2. […]

• No harm, potential for more than minimal, patternF925May 30, 2024

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program for one (hallway 100) of four hallways, one of one dining areas, and one of one kitchen observed for pest control. The facility did not maintain an effective pest control program to ensure the facility was free of gnats and flies in a hallway, kitchen, and dining room. This could place residents at risk for an unsanitary environment. Findings included: In an observation and interview on 5-28-2024 at 10:55 AM, revealed 2 flies landed on Resident #229 while he was being interviewed. Resident #229 said he has seen flies in his room since he admitted to the facility. Resident #229 stated having flies in his room made him feel like he was sleeping outside by cow manure. […]