C75

VILLAGE CREEK NURSING & REHABILITATION

Grade C 75/100 composite score

For profit - Individual

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

100

Ownership

For profit - Individual

Total Fines

$19,009

Last Survey

N/A

3825 VILLAGE CREEK RD, FORT WORTH, TX 76119
8175349933

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.29h
LPN
0.72h
CNA
1.64h
Total
2.64h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FRIO HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2024

100%

HANSEN HUNTER LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2024

VILLAGE CREEK NURSING & REHABILITATION LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

GARETZ, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2024

RUFF, MICHAEL

IndividualCORPORATE OFFICERSince Jan 2024

Penalties & Fines (2)

$19,009total fines
DateTypeDescriptionAmount
Jul 11, 2024Fine$10,842
May 25, 2024Fine$8,167

Health Inspection Deficiencies (19)

August 14, 2025Health4 deficiencies
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Aug 15, 2025
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Aug 15, 2025
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Aug 15, 2025
0925DMinimal harm, Isolated

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Aug 15, 2025
July 11, 2024Health7 deficiencies1 severe
0584DMinimal harm, Isolated

Honor 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.

Resident Rights Deficiencies

Corrected Jul 12, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Aug 31, 2024
0693DMinimal harm, Isolated

Ensure 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.

Quality of Life and Care Deficiencies

Corrected Jul 15, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jul 12, 2024
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 16, 2024
0914DMinimal harm, Isolated

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Environmental Deficiencies

Corrected Jul 12, 2024
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 8, 2024
May 25, 2024Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected May 26, 2024
June 15, 2023Health6 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 16, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 16, 2023
0727EMinimal harm, Pattern

Have 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.

Nursing and Physician Services Deficiencies

Corrected Jun 16, 2023
0756EMinimal harm, Pattern

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Jun 16, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 16, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 16, 2023
April 20, 2023Health1 deficiency
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 21, 2023

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Frequently Asked Questions

What is the CareGrader rating for VILLAGE CREEK NURSING & REHABILITATION?

VILLAGE CREEK NURSING & REHABILITATION in FORT WORTH, Texas has a CareGrader grade of C (Average), with a composite score of 74.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for VILLAGE CREEK NURSING & REHABILITATION?

VILLAGE CREEK NURSING & REHABILITATION has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does VILLAGE CREEK NURSING & REHABILITATION have?

VILLAGE CREEK NURSING & REHABILITATION has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has VILLAGE CREEK NURSING & REHABILITATION been fined?

Yes. VILLAGE CREEK NURSING & REHABILITATION has $19,009 in total fines from CMS enforcement actions across 2 penalties.

How many beds does VILLAGE CREEK NURSING & REHABILITATION have?

VILLAGE CREEK NURSING & REHABILITATION has 100 certified beds with approximately 82 current residents (82% occupancy). The facility is located at 3825 VILLAGE CREEK RD, FORT WORTH, Texas 76119. It is a for profit - individual facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.