ElderGrade
F

32/100

Poor

River Oaks Health And Rehabilitation Center

2416 Nw 18Th St, Fort Worth, TX 76106

CMS 1/5 stars #54 of 70 in Tarrant County (817) 626-5454
Certified beds
120
Occupancy
40%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $60,095 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 96%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -7.1 for 37 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are.

  • No staffing hours reported — scored neutral

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 96% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $60,095 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day Not reported
Registered nurse (RN) hours Not reported

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours Not reported

The shift most families visit, and the one thinned first.

Nursing staff turnover 95.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 37 citations

Last standard health inspection: April 17, 2026 (4 months ago).

J May 1, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

J May 1, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy to resident health or safety

E May 1, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Apr 17, 2026 F0755

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

E Apr 17, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Apr 17, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 17, 2026 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 17, 2026 F0700

Quality of Life and Care Deficiencies

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) Cor...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CREATIVE SOLUTIONS IN HEALTHCARE INC Organization OPERATIONAL/MANAGERIAL CONTROL
FORT WORTH VI ENTERPRISES, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL
CLANTON, AUSTON Individual OPERATIONAL/MANAGERIAL CONTROL
EAMIGUEL, CHRISTOPHER Individual OPERATIONAL/MANAGERIAL CONTROL
HUGGINS, LINDA Individual OPERATIONAL/MANAGERIAL CONTROL
WILLIG, ZACHARY Individual OPERATIONAL/MANAGERIAL CONTROL
CREATIVE SOLUTIONS IN HEALTHCARE INC Organization ADP OF THE SNF
BASS, CHRISTOPHER Individual ADP OF THE SNF
BLAKE, GARY Individual ADP OF THE SNF
BLAKE, MALISA Individual ADP OF THE SNF

What families say

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Common questions about River Oaks Health And Rehabilitation Center

What is the ElderGrade for River Oaks Health And Rehabilitation Center? +

River Oaks Health And Rehabilitation Center holds an ElderGrade of F (32 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at River Oaks Health And Rehabilitation Center? +

This facility has not reported staffing hours to CMS in the current data release.

Has River Oaks Health And Rehabilitation Center been cited for harming residents? +

Yes. 3 of the 37 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does River Oaks Health And Rehabilitation Center accept Medicaid? +

Yes, River Oaks Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.