River Oaks Health and Rehabilitation Center
2416 Nw 18th St, Fort Worth, TX 76106
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Follow this homeRiver Oaks Health and Rehabilitation Center is a nursing home in Fort Worth, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionApril 17, 2026 (6 months ago)
- Health citations since October 10, 202338 (Texas average 28)
- Fines in the past three years2, $41,882 in total
- CMS flagsCMS abuse icon
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CMS flags
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from April 17, 2026 from $52,036 to $33,823.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
Fine
CMS changed the fine from April 17, 2026 from $51,756 to $52,036.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on June 10, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on June 16, 2026.
Health inspection on May 1, 2026
3 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.
Show the 3 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 2, 2026.
CMS has cited this home for F0600 2 times since 2024.
Citation F0607. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on May 2, 2026.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 2, 2026.
CMS has cited this home for F0609 2 times since 2025.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.4 to 3.0 hours per resident per day.
Health inspection on April 17, 2026
7 citationsCMS lists this as a standard inspection.
CMS fine of $33,823 on April 17, 2026.
Show the 7 citations
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for F0755 3 times since 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for F0761 3 times since 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for F0812 4 times since 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for F0656 2 times since 2025.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Try 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.
CMS lists it as corrected on April 18, 2026.
Citation F0813. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS lists it as corrected on April 18, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for F0880 3 times since 2023.
Fire safety inspection on April 17, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 18, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for K0918 3 times since 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for K0321 2 times since 2025.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for K0353 2 times since 2025.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on April 18, 2026.
CMS has cited this home for K0374 2 times since 2023.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on December 2, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on December 3, 2025.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 5 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS ownership records list new owners for this home.
CMS update of September 24, 2025
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of July 30, 2025
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
CMS update of June 25, 2025
Fine
CMS changed the fine from December 11, 2024 from $8,018 to $8,059.
Health inspection on June 17, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 24, 2025.
CMS update of May 28, 2025
Fine
CMS changed the fine from December 11, 2024 from $12,335 to $8,018.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on April 24, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on April 25, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on April 25, 2025.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on April 25, 2025.
CMS update of March 26, 2025
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on January 30, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on February 24, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on February 24, 2025.
Fire safety inspection on January 30, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on February 28, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 15, 2025.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 24, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 24, 2025.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 24, 2025.
Health inspection on December 23, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 16, 2025.
CMS has cited this home for F0584 2 times since 2023.
Citation F0676. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on January 16, 2025.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 16, 2025.
Health inspection on December 11, 2024
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
CMS fine of $8,059 on December 11, 2024.
Show the 2 citations
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on November 25, 2024.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on January 9, 2025.
CMS update of October 30, 2024
Ownership
CMS lists this home under a new chain.
CMS update of July 31, 2024
Fine
CMS changed the fine from August 14, 2021 from $85,876 to $61,640.
CMS update of March 28, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Health inspection on February 6, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 23, 2024.
Health inspection on January 19, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on February 9, 2024.
Health inspection on December 7, 2023
7 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 7, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 7, 2024.
Citation F0914. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide bedrooms that don't allow residents to see each other when privacy is needed.
CMS lists it as corrected on January 7, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on January 7, 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on January 7, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on January 7, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 7, 2024.
Fire safety inspection on December 7, 2023
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 6, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 6, 2024.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on January 6, 2024.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on January 6, 2024.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 6, 2024.
Health inspection on October 17, 2023
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure 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.
CMS lists it as corrected on November 15, 2023.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 15, 2023.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on November 15, 2023.
Health inspection on October 10, 2023
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 15, 2023.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 15, 2023.
Citation F0660. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Plan the resident's discharge to meet the resident's goals and needs.
CMS lists it as corrected on November 15, 2023.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (817) 626-5454
- Last standard health inspection
- April 17, 2026 (6 months ago)
- Certified beds
- 120
- Residents per day, on average
- 52.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Fort Worth Vi Enterprises, LLC
- Chain
- Creative Solutions in Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (38 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- FORT WORTH VI ENTERPRISES, LLC5% or greater direct ownership interest · 100% · since 07/01/2024
- CREATIVE SOLUTIONS IN HEALTHCARE INCOperational/managerial control · not applicable · since 07/01/2024
- FORT WORTH VI ENTERPRISES, LLCOperational/managerial control · not applicable · since 07/01/2024
- BLAKE, GARYOperational/managerial control · not applicable · since 07/01/2024
- BLAKE, MALISAOperational/managerial control · not applicable · since 07/01/2024
Show 4 more
- CLANTON, AUSTONOperational/managerial control · not applicable · since 07/01/2024
- EAMIGUEL, CHRISTOPHEROperational/managerial control · not applicable · since 07/01/2024
- HUGGINS, LINDAOperational/managerial control · not applicable · since 07/01/2024
- WILLIG, ZACHARYOperational/managerial control · not applicable · since 07/01/2024
Questions
When was River Oaks Health and Rehabilitation Center last inspected?
CMS lists April 17, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does River Oaks Health and Rehabilitation Center have?
CMS lists 38 health citations since October 10, 2023. CMS also calls these deficiencies.
Has River Oaks Health and Rehabilitation Center been fined?
CMS lists 2 fines in the past three years, $41,882 in total.
What is the CMS star rating of River Oaks Health and Rehabilitation Center?
Its CMS overall star rating is 1 of 5.
Is River Oaks Health and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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- Fort Worth Transitional Care Center
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