The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Richland Hills Nursing and Rehabilitation Center
Registered name: Richland Hills Rehabilitation and Healthcare Cente
Fort Worth, TX · Medicare-certified · 92 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Richland Hills Nursing and Rehabilitation Center in Fort Worth has a 3-star overall rating, with strong quality measures but a very low staffing rating. Reported nurse staffing is 3.02 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0242 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0242.
Staffing detail
- Registered nurses
- 0.18
- Licensed practical nurses
- 1.02
- Nurse aides
- 1.83
- Weekend nursing
- 2.57
Hours per resident per day.
Total staff turnover: 72%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
3.6%1.9%Improving
Residents with pressure ulcers (bedsores)
1.7%1.8%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
44%10.6%Improving
Residents whose ability to walk got worse
34.6%5.4%Improving
Long-stay residents on antianxiety or sleep medication
16.3%18%Worsening
Short-stay residents newly given an antipsychotic
0%3.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.3%14%No change
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.2%—
Long-stay residents given the pneumonia vaccine
98.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—90.2%—
Short-stay residents given the pneumonia vaccine
92.5%68.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited August 2023 — widespread issue, potential for harm.
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F-Tag 839 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,190 in total fines.
- $8,190
Federal fine
Nov 21, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 61.7 residents on an average day (67% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.