Fort Worth Transitional Care Center

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0580 · severity code D · no correction date listed

Provide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm (isolated) Administration Complaint

Tag F0770 · severity code D · corrected Jul 9, 2026

Provide safe and appropriate respiratory care for a resident when needed.

Immediate jeopardy to resident health or safety (pattern) Quality of Life and Care

Tag F0695 · severity code K · corrected Apr 9, 2026

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.

Actual harm to residents (pattern) Quality of Life and Care

Tag F0693 · severity code H · corrected Apr 9, 2026

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.

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0761 · severity code E · corrected Apr 9, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0755 · severity code D · corrected Apr 9, 2026

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.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0700 · severity code D · corrected Apr 9, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0656 · severity code D · corrected Apr 9, 2026

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0655 · severity code D · corrected Apr 9, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0677 · severity code D · corrected Dec 4, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected Sep 4, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to residents (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code G · corrected May 28, 2025

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.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0693 · severity code D · corrected Jun 25, 2025

Provide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm (isolated) Administration Complaint

Tag F0770 · severity code D · corrected Apr 12, 2025

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0758 · severity code E · corrected Feb 14, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm (pattern) Environmental

Tag F0925 · severity code E · corrected Feb 14, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0812 · severity code E · corrected Feb 14, 2025

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0809 · severity code E · corrected Feb 14, 2025

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.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0803 · severity code E · corrected Feb 14, 2025

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

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0756 · severity code E · corrected Feb 14, 2025

Provide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0692 · severity code E · corrected Feb 14, 2025

Provide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0695 · severity code E · corrected Feb 14, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0656 · severity code E · corrected Feb 14, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0689 · severity code D · corrected Feb 14, 2025

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.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0700 · severity code D · corrected Feb 14, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0842 · severity code D · corrected Feb 14, 2025

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control

Tag F0880 · severity code D · corrected Feb 14, 2025

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Potential for more than minimal harm (pattern) Nursing and Physician Services Complaint

Tag F0729 · severity code E · corrected Dec 17, 2024

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control Complaint

Tag F0880 · severity code D · corrected Nov 4, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0694 · severity code D · corrected Nov 4, 2024

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.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0693 · severity code D · corrected Nov 4, 2024

Prepare residents for a safe transfer or discharge from the nursing home.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0624 · severity code D · corrected Sep 20, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0690 · severity code D · corrected Jul 19, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning Complaint

Tag F0842 · severity code E · corrected Jun 7, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm (pattern) Quality of Life and Care Complaint

Tag F0689 · severity code E · corrected Jun 7, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected Jun 7, 2024

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0558 · severity code D · corrected Jun 7, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0804 · severity code E · corrected Jan 2, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0655 · severity code E · corrected Jan 2, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm (isolated) Nutrition and Dietary

Tag F0812 · severity code D · corrected Jan 2, 2024

Ensure that residents are free from significant medication errors.

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0760 · severity code D · corrected Jan 2, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0755 · severity code D · corrected Jan 2, 2024

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.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0693 · severity code D · corrected Jan 2, 2024

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.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0584 · severity code D · corrected Jan 2, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0842 · severity code D · corrected Dec 1, 2023