General Information: DFW NURSING & REHAB
Nursing home name DFW NURSING & REHAB
Address900 W LEUDA ST
FORT WORTH, TX 76104
Phone number (817) 332-7003
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 98
Total number of residents 58
Perc of occupied beds 59
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints7
Number of Fines2
Total Amount of Fines$23270
Total Number of Penalties0
Total Number of Penalties2
Ratings Summary: DFW NURSING & REHAB
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 1
1
Health Inspections 1
1
Quality Measures 5
5
Nursing Home Staffing Info: DFW NURSING & REHAB
National AverageTexas AverageDFW NURSING & REHAB
Overall staff rating NA NA 3
3
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 58
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 4.42 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 1.34 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 0.38 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.97 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 3.08 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.01 hours
Health Survey: DFW NURSING & REHAB
Heath Survey Summary on 2014-01-30
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Pattern/Actual harm
Heath Survey Summary on 2013-03-08
Total Number of Health Deficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2012-01-19
Total Number of Health Deficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: DFW NURSING & REHAB
Inspection Results: 01/30/2014
Corrected Deficiency Scope and Severity
02/27/2014 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
02/27/2014 Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Widespread /Minimal harm or potential for actual harm
02/27/2014 Provide written records when a resident is transferred or discharged. Widespread /Minimal harm or potential for actual harm
02/27/2014 Provide timely notification to the resident before transfer or discharge. Widespread /Minimal harm or potential for actual harm
02/27/2014 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern/Minimal harm or potential for actual harm
02/27/2014 Reasonably accommodate the needs and preferences of each resident. Pattern/Actual harm
02/27/2014 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
02/27/2014 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern/Minimal harm or potential for actual harm
02/27/2014 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
02/27/2014 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Widespread /Minimal harm or potential for actual harm
Inspection Results: 03/08/2013
Corrected Deficiency Scope and Severity
04/05/2013 Keep residents' personal and medical records private and confidential. Widespread /Minimal harm or potential for actual harm
04/05/2013 Provide activities to meet the interests and needs of each resident. Pattern/Minimal harm or potential for actual harm
04/03/2013 Ensure services provided by the nursing facility meet professional standards of quality. Widespread /Immediate jeopardy to resident health or safety
04/05/2013 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern/Minimal harm or potential for actual harm
04/01/2013 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern /Immediate jeopardy to resident health or safety
04/03/2013 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread /Immediate jeopardy to resident health or safety
04/03/2013 Have a program that investigates, controls and keeps infection from spreading. Widespread /Immediate jeopardy to resident health or safety
04/03/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
Inspection Results: 01/19/2012
Corrected Deficiency Scope and Severity
03/02/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern/Minimal harm or potential for actual harm
03/02/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread/Potential for minimal harm

Fire Safety Survey: DFW NURSING & REHAB
Fire Safety Survey Summary on 2014-01-27
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2013-02-21
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-01-18
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: DFW NURSING & REHAB
Fire Safety Survey Results: 01/27/2014
Corrected Deficiency Severity
02/27/2014 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
02/27/2014 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
02/27/2014 Emergency lighting that can last at least 1 1/2 hours. Widespread /Minimal harm or potential for actual harm
02/27/2014 Portable fire extinguishers. Widespread /Minimal harm or potential for actual harm
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
02/27/2014 Proper medical gas storage and administration areas. Widespread/Potential for minimal harm
02/27/2014 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Results: 02/21/2013
Corrected Deficiency Severity
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
02/23/2013 Restrictions on the use of portable space heaters. Pattern/Minimal harm or potential for actual harm
02/23/2013 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm
04/05/2013 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
04/05/2013 Exits that are accessible at all times. Widespread /Minimal harm or potential for actual harm
04/05/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 01/18/2012
Corrected Deficiency Severity
03/02/2012 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Pattern/Minimal harm or potential for actual harm
Exits that are accessible at all times. Widespread/Potential for minimal harm
03/02/2012 Properly located and lighted "Exit" signs. Pattern/Minimal harm or potential for actual harm
03/02/2012 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Widespread /Minimal harm or potential for actual harm
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Widespread/Potential for minimal harm
03/02/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
03/02/2012 Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm

Resident Complaints: DFW NURSING & REHAB
Date Complaint Substantiated: 07/07/2011
CorrectedCategoryDeficiencySeverity
08/01/2011Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. E
08/01/20111) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. E

Quality Measures: DFW NURSING & REHAB
Quality Measures National Average Texas Average DFW NURSING & REHAB
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% 4.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% 12.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 3.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% 0.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% 11.9%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 4.7%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% 1.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% 13.5%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% 1.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 97.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% 96.1%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% 34.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 31.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 0.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 87.8%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 89.9%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 0.0%

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