Nursing HomeInspections

Village Creek Nursing & Rehabilitation

Nursing home in Fort Worth, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (817) 534-9933Send a messageMap ↗

Public-record details

Address
3825 Village Creek Rd, Fort Worth, TX 76119
Phone
(817) 534-9933
Listed under
For-profit
Medicare CCN
675977
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
100
Average residents per day
88
Ownership
For-profit, individual
Legal business name
Frio Hospital District
Chain
Opco Skilled Management (66 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 29, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675977. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2023 to Jul 2, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 2, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 14, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 14, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental
D
Potential for more than minimal harm, isolated
Jul 11, 2024Honor 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
D
Potential for more than minimal harm, isolated
Jul 11, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 11, 2024Ensure 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
D
Potential for more than minimal harm, isolated
Jul 11, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 11, 2024Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental
D
Potential for more than minimal harm, isolated
Jul 11, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,009 in the last three years.

Jul 11, 2024Fine: $10,842
May 25, 2024Fine: $8,167

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.87 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
1.73 hours
Total nurse staffing on weekends
2.59 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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