The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
RIVER OAKS HEALTH AND REHABILITATION CENTER
FORT WORTH, TX · Medicare-certified · 120 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
River Oaks Health and Rehabilitation Center in Fort Worth has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is below the federal benchmark (3.19 vs. 4.1 hours per resident per day). It also had $41,882 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1939 hrs/resident/day
Quality measures
Last inspection: June 10, 2026Penalties, last 24 months: $41,882recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1939.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.73
- Nurse aides
- 1.77
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 96%
Registered nurse turnover: 100%
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
7.4%17.9%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
8.1%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.8%13.5%Worsening
Residents whose ability to walk got worse
8.8%23.1%Worsening
Long-stay residents on antianxiety or sleep medication
11.4%14.3%Worsening
Short-stay residents newly given an antipsychotic
—9.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.6%15.7%Worsening
Residents with depressive symptoms
0%2.6%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
97.8%100%Improving
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — 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 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $33,823 was recorded.
- PENALTY
A federal fine of $52,036 was recorded.
- PENALTY
A federal fine of $51,756 was recorded.
- INSPECTION
Health inspection found 7 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,059 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $41,882 in total fines.
- $33,823
Federal fine
Apr 17, 2026
- $8,059
Federal fine
Dec 11, 2024
Operator & ownership
Recent ownership change · Jul 1, 2024
Now operated by Fort Worth Vi Enterprises, LLC, previously River Oaks Nursing and Rehabilitation Ltc Partners, INC..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
- Occupancy
- 47.4 residents on an average day (39% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.