Richland Hills Rehabilitation and Healthcare Cente

3109 Kings Ct · Fort Worth, TX · 76118 · 8175892431

92 certified beds Government - Hospital district Chain: The Ensign Group

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 88
Staffing 20% 41
Federal penalties 15% 62
Trend 10% 66
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.963.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day2.55≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)2 · $15,633

Inspection citations (34 in the current record)

  • Potential for harm · D December 5, 2025 · found via complaint

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

    Corrected December 6, 2025 · Quality of Life and Care

  • Potential for harm · D December 5, 2025 · found via complaint

    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.

    Corrected December 6, 2025 · Pharmacy Service

  • Potential for harm · D December 5, 2025 · found via complaint

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

    Corrected December 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 6, 2025 · Infection Control

  • Potential for harm · D February 27, 2025

    Provide activities to meet all resident's needs.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

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

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

    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.

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · F February 27, 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.

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · F February 27, 2025

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

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · D February 27, 2025

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

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 28, 2025 · Infection Control

  • Potential for harm · D February 27, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected February 28, 2025 · Environmental

  • Potential for harm · D February 27, 2025 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected February 28, 2025 · Resident Rights

  • Potential for harm · D July 10, 2024 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 17, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 5, 2024 · Resident Rights

  • Potential for harm · D May 17, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected June 5, 2024 · Resident Rights

  • Potential for harm · E January 25, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · D January 25, 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.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · D January 25, 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.

    Corrected February 16, 2024 · Quality of Life and Care

  • Potential for harm · D January 25, 2024

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

    Corrected February 16, 2024 · Quality of Life and Care

  • Potential for harm · E January 25, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 16, 2024 · Pharmacy Service

  • Potential for harm · D January 25, 2024

    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.

    Corrected February 16, 2024 · Pharmacy Service

  • Potential for harm · E January 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 16, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 21, 2023Fine$8,190
July 10, 2023Fine$7,443

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455576 · certified since September 24, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.