The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
RIVER OAKS HEALTH AND REHABILITATION CENTER
FORT WORTH, TX · Medicare-certified · 120 beds
Needs attention
For-profitChain member
4 of 5 overall
River Oaks Health and Rehabilitation Center in Fort Worth has a 4 out of 5 overall rating, with strong quality measures but weaker staffing at 2 out of 5 and nurse staffing below the federal benchmark (3.02 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $8,059 in fines over the last 24 months, and inspection citations related to abuse prevention and food handling.
Facility ratings
Health inspections
Staffing
3.0152 hrs/resident/day
Quality measures
Last inspection: December 2, 2025Penalties, last 24 months: $8,059recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0152.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.00
- Nurse aides
- 1.64
- Weekend nursing
- 2.72
Hours per resident per day.
Total staff turnover: 93%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.6%Worsening
Residents with a fall causing major injury
0.5%Steady
Residents with pressure ulcers (bedsores)
7.8%Improving
Residents with a urinary tract infection
0.6%Improving
Residents who lost too much weight
1.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.1%Worsening
Residents whose ability to walk got worse
11.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
9.8%Worsening
Short-stay residents newly given an antipsychotic
14.8%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.5%Steady
Residents with depressive symptoms
1.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.9%Worsening
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
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 home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2024 — 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 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: 1 fine · $8,059 in total fines.
- $8,059
Federal fine
Dec 11, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 45.3 residents on an average day (38% 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.