General Information: TARRANT COUNTY HOSPITAL DISTRICT
Nursing home name TARRANT COUNTY HOSPITAL DISTRICT
Address1500 S MAIN ST
FORT WORTH, TX 76104
Phone number (817) 927-4177
Located within a hospital No
Type of ownership Government - Hospital district
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare
Continue Care Retirement CommunityNo
Resident and family councils None
Certified number of beds 15
Total number of residents 15
Perc of occupied beds 100
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: TARRANT COUNTY HOSPITAL DISTRICT
Overall rating 4
4
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 5
5
Quality Measures 1
1
Nursing Home Staffing Info: TARRANT COUNTY HOSPITAL DISTRICT
National AverageTexas AverageTARRANT COUNTY HOSPITAL DISTRICT
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 15
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.79 hours 6.84 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.49 hours 4.36 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.57 hours 3.6 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.92 hours 0.76 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.3 hours 2.48 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.19 hours
Health Survey: TARRANT COUNTY HOSPITAL DISTRICT
Heath Survey Summary on 2013-05-03
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2012-04-20
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Heath Survey Summary on 2011-05-25
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: TARRANT COUNTY HOSPITAL DISTRICT
Inspection Results: 04/20/2012
Corrected Deficiency Scope and Severity
Store, cook, and serve food in a safe and clean way. Widespread/Potential for minimal harm

Fire Safety Survey: TARRANT COUNTY HOSPITAL DISTRICT
Fire Safety Survey Summary on 2013-05-01
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Widespread/Potential for minimal harm
Fire Safety Survey Summary on 2012-04-20
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-05-25
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: TARRANT COUNTY HOSPITAL DISTRICT
Fire Safety Survey Results: 05/01/2013
Corrected Deficiency Severity
Properly working alarms on sprinkler valves. Widespread/Potential for minimal harm
Weekly inspections and monthly testing of generators. Widespread/Potential for minimal harm
Fire Safety Survey Results: 05/25/2011
Corrected Deficiency Severity
05/26/2011 Corridor and hallway doors that block smoke. Widespread /Minimal harm or potential for actual harm
07/09/2011 Exits that are free from obstructions and can be used at all times. Widespread /Minimal harm or potential for actual harm
05/26/2011 Properly installed electrical wiring and equipment. Pattern/Potential for minimal harm

Resident Complaints: TARRANT COUNTY HOSPITAL DISTRICT
Not available

Quality Measures: TARRANT COUNTY HOSPITAL DISTRICT
Quality Measures National Average Texas Average TARRANT COUNTY HOSPITAL DISTRICT
Overall quality rating NA NA 1
1
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.2% %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.1% %
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% %
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.0% %
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.2% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% %
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.2% %
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 8.1% %
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.2% %
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.5% %
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% %
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 89.7% %
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 27.1% %
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 18.8% 50.2%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 2.0%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 74.3% 94.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 73.2% 93.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.6% 0.0%

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