VILLAGE CREEK NURSING & REHABILITATION
3825 VILLAGE CREEK RD, FORT WORTH, TX 76119 · CCN 675977
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 100
- Avg residents/day
- 82.0
- Phone
- 8175349933
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-14 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-07-11 | 8 | 9.4 | 9.8 | -1.4 better |
| 3 | 2023-06-15 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Pharmacy service | 3 |
| Environmental | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.15 | 50.0% |
| RN staffing (reported) | 0.34 | 37.5% |
| Total nurse staffing (adjusted) | 2.64 | — |
Fines & penalties
- Total fines
- $19,009
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- OPCO SKILLED MANAGEMENT
- Facilities in chain
- 52
- Chain avg overall
- 2.40 / 5
Inspection citations (20)1 immediate jeopardy1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-03 · Health · corrected 2025-12-04
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-08-14 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-14 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0761Ensure 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.2025-08-14 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-14 · Health · corrected 2025-08-15
Potential for more than minimal harm
- DF0584Honor 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.2024-07-11 · Health · corrected 2024-07-12
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-11 · Health · corrected 2024-05-08
Immediate jeopardy
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-07-11 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0693Ensure 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.2024-07-11 · Health · corrected 2024-07-15
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-11 · Health · corrected 2024-07-12
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-11 · Health · corrected 2024-08-16
Potential for more than minimal harm
- DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2024-07-11 · Health · corrected 2024-07-12
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-25 · Health · corrected 2024-05-26
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-15 · Health · corrected 2023-06-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-20 · Health · corrected 2023-04-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-01-01 |
| HANSEN HUNTER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| VILLAGE CREEK NURSING & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| GARETZ, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| RUFF, MICHAEL | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in FORT WORTH
| Name | Overall | Beds |
|---|---|---|
| THE STAYTON AT MUSEUM WAY | ★★★★★ | 46 |
| TRINITY TERRACE | ★★★★★ | 52 |
| IMMANUEL'S HEALTHCARE | ★★★★☆ | 84 |
| RIVER OAKS HEALTH AND REHABILITATION CENTER | ★★★★☆ | 120 |
| LIFE CARE CENTER OF HALTOM | ★★★★☆ | 127 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.