For profit - Individual · 100 certified beds · CMS number 675977

Village Creek Nursing & Rehabilitation, Fort Worth, TX

CMS records 20 health deficiencies at Village Creek Nursing & Rehabilitation in Fort Worth, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 14, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $19,009 in the last three years.

Inspections and deficiencies

CMS findings for Village Creek Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Village Creek Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (6 deficiencies)

Standard inspection Aug 14, 2025. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.

Jul 2, 2026 · Complaint inspection

1 deficiency, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 3, 2026

Dec 3, 2025 · Complaint inspection

1 deficiency, highest D

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 4, 2025

Aug 14, 2025 · Standard inspection

4 deficiencies, highest D

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2025

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2025

F756 · Monthly pharmacist medication review

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 15, 2025
Previous cycle: 7 deficiencies (standard inspection Jul 11, 2024)

Standard inspection Jul 11, 2024. CMS counts 7 health deficiencies and 18 fire safety deficiencies in this cycle.

Jul 11, 2024 · Standard + complaint inspection

7 deficiencies, highest J

F914 · Visual privacy in bedrooms

Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2024

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 16, 2024

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2024

F693 · Feeding tube use and care

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 15, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 31, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), May 8, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 12, 2024
Earlier cycle: 7 deficiencies (standard inspection Jun 15, 2023)

Standard inspection Jun 15, 2023. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.

May 25, 2024 · Complaint inspection

1 deficiency, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date May 26, 2024

Jun 15, 2023 · Standard inspection

6 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 16, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 16, 2023

F756 · Monthly pharmacist medication review

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 16, 2023

F727 · RN coverage and director of nursing

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 16, 2023

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 16, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 16, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Village Creek Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F756 Monthly pharmacist medication review2Aug 14, 2025; Jun 15, 2023
F925 Pest control2Jul 2, 2026; Aug 14, 2025

Fines and payment denials

DateTypeAmount / length
Jul 11, 2024Fine$10,842
May 25, 2024Fine$8,167

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.87 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.46 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.59 h
Nursing staff turnover
51.4% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Village Creek Nursing & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
3825 Village Creek Rd, Fort Worth, TX 76119
Phone
(817) 534-9933
County
Tarrant
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
Opco Skilled Management
Certified beds
100
Average residents per day
87.5
In Medicare/Medicaid since
May 29, 2003
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are the pharmacist's monthly recommendations shared with the doctor and family? (F756, cited 2 times)
  • How often does a pest control service treat the building? (F925, cited 2 times)
  • How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
  • How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)

Other nursing homes in Fort Worth and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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