Village Creek Nursing & Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 60/100. Located in Fort Worth, Texas, the facility meets baseline standards across most quality metrics.
With 3.15 total nurse hours per resident per day, Village Creek Nursing & Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 20 deficiencies at Village Creek Nursing & Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.34 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.95 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.47 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0756 Severity DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoAug 13, 2025 · Pharmacy Service Deficiencies
- Tag 0757 Severity DEnsure each resident’s drug regimen must be free from unnecessary drugs.Aug 13, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 13, 2025 · Pharmacy Service Deficiencies
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Aug 13, 2025 · Environmental Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.4% | 4.5% | Better |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 14.3% | 14.5% | Average |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 8.4% | 14.0% | Better |
| Excessive weight loss | 4.3% | 7.5% | Better |
| New/worsened incontinence | 3.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $19,009
How This Grade Was Calculated
This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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