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River Oaks Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
2416 NW 18th St, Fort Worth, TX 76106
CCN
675018
Ownership type
For-profit, limited liability company
Certified beds
120
Residents per day
47
CMS flags
  • CMS abuse icon
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives River Oaks Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 17 Apr 2026. The latest survey cycle has 12 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $60,095 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of River Oaks Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeTarrant County medianTexas medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.03.02.8
Staffing rating12.02.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 71 homes in the county, 1,177 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of River Oaks Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)17 Apr 2026128
Cycle 230 Jan 2025118
Cycle 3No date158

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 38 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 12 citations

Standard survey of this cycle: .

Health citations of River Oaks Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
10 Jun 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation16 Jun 2026
1 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation2 May 2026
1 May 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JComplaint investigation2 May 2026
1 May 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation2 May 2026
17 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Apr 2026
17 Apr 2026F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey18 Apr 2026
17 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey18 Apr 2026
17 Apr 2026F0761Ensure 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.EStandard survey18 Apr 2026
17 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Apr 2026
17 Apr 2026F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey18 Apr 2026
17 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey18 Apr 2026
2 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation3 Dec 2025

Survey cycle 2: 11 citations

Standard survey of this cycle: .

Health citations of River Oaks Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Jun 2025F0761Ensure 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.DComplaint investigation24 Jun 2025
24 Apr 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation25 Apr 2025
24 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2025
24 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation25 Apr 2025
30 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey24 Feb 2025
30 Jan 2025F0880Provide and implement an infection prevention and control program.EStandard survey24 Feb 2025
23 Dec 2024F0584Honor 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.EComplaint investigation16 Jan 2025
23 Dec 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint investigation16 Jan 2025
23 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation16 Jan 2025
11 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation25 Nov 2024
11 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation9 Jan 2025

Survey cycle 3: 15 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of River Oaks Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation23 Feb 2024
19 Jan 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation9 Feb 2024
7 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Jan 2024
7 Dec 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation7 Jan 2024
7 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey7 Jan 2024
7 Dec 2023F0761Ensure 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.DStandard survey7 Jan 2024
7 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Jan 2024
7 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey7 Jan 2024
7 Dec 2023F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.EStandard survey7 Jan 2024
17 Oct 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EComplaint investigation15 Nov 2023
17 Oct 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation15 Nov 2023
17 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation15 Nov 2023
10 Oct 2023F0584Honor 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.DComplaint investigation15 Nov 2023
10 Oct 2023F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation15 Nov 2023
10 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation15 Nov 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of River Oaks Health and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
17 Apr 2026Fine$52,036
11 Dec 2024Fine$8,059

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at River Oaks Health and Rehabilitation Center
StaffThis homeTexas medianTexas average (CMS)
All nurse staffNo data3.303.39
Registered nurses (RN)No data0.400.43
Licensed practical nurses (LPN)No data0.95
Nurse aidesNo data2.00
All nurse staff, weekendsNo data2.902.98
Nurse staff turnover in a year
95.6%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
100.0%
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of River Oaks Health and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay9.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.5%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.1%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.6%8.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Fort Worth Vi Enterprises, LLC
Chain
Creative Solutions in Healthcare (149 homes in the CMS chain file)
Organisations in the CMS ownership record of River Oaks Health and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Fort Worth Vi Enterprises, LLC5% or greater direct ownership interest100%1 Jul 2024
Creative Solutions in Healthcare IncOperational/managerial control1 Jul 2024
Fort Worth Vi Enterprises, LLCOperational/managerial control1 Jul 2024
Creative Solutions in Healthcare IncAdp of the snf1 Jul 2024

The site shows organisations only. It does not show the names of persons.

Other homes in Tarrant County

The 12 nearest other nursing homes in Tarrant County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Fort Worth Wellness & RehabilitationFort Worth1 of 57$122,33617 Jul 2025
Marine Creek Nursing & RehabilitationFort Worth1 of 57$23,62118 Sep 2025
The Stayton at Museum WayFort Worth5 of 53$024 Nov 2025
Trinity TerraceFort Worth5 of 53$029 May 2026
James L. West Center for Dementia CareFort Worth3 of 55$63,23612 Jun 2025
Fort Worth Transitional Care CenterFort Worth1 of 59$51,0368 Apr 2026
Lake Lodge Nursing & RehabilitationLake Worth1 of 55$33,8458 Jan 2026
Downtown Health and Rehabilitation CenterFort Worth1 of 511$36,41812 Mar 2026
Arbor Lake Nursing & Rehabilitation, LLCFort Worth2 of 57$14,67625 Jul 2025
Arlington Heights Health and Rehabilitation CenterFort Worth1 of 512$31,53911 Dec 2025
DFW Nursing & RehabSpecial Focus candidateFort Worth1 of 524$317,3021 Aug 2025
Ridgmar Medical LodgeFort Worth2 of 57$29,59820 Feb 2026

All 71 nursing homes in Tarrant County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of River Oaks Health and Rehabilitation Center (CCN 675018). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/river-oaks-health-and-rehabilitation-center-fort-worth-tx-675018/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was River Oaks Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 10 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 30 Jan 2025.
Who operates River Oaks Health and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names Creative Solutions in Healthcare Inc and Fort Worth Vi Enterprises, LLC for operational or managerial control. This site does not show the names of persons.
Is River Oaks Health and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.