Arbor Lake Nursing & Rehabilitation, LLC

Nursing Home · Fort Worth, TX

CMS overall rating 2/5 Abuse citation For profit - Individual

CMS certification number675034
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

901 Pennsylvania Ave
Fort Worth, TX 76104
Tarrant County
Phone
(817) 335-3030
ZIP code
76104 – all care providers

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Facility details

Certified beds
123
Residents per day
85.9 (70% occupied)
Ownership
For profit - Individual
Legal name
Frio Hospital District
Chain
Opco Skilled Management (66 facilities, avg 2.3★)
Medicare certified since
March 16, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 5/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.11 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.57 (state 0.95 · U.S. 0.86)
Nurse aides
1.92 (state 2.00 · U.S. 2.32)
Weekend total
2.76 (state 2.98 · U.S. 3.42)
Nursing staff turnover
52.7 (state 55.3 · U.S. 45.8)%
RN turnover
61.5 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
July 25, 2025
Health deficiencies (last cycle)
7.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
33 health · 5 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-19 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-20
2025-09-08 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-09
2025-07-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 G
Actual harm		 Corrected 2025-07-26
2025-07-25 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-26
2025-07-25 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-07-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-26
2025-05-24 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-25
2025-04-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-11
2025-04-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-11
2025-04-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-15 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-11
2024-08-15 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-16
2024-08-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-16
2024-06-25 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-26
2024-06-03 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-04
2024-05-09 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-05-09 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-10
2024-01-03 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-04
2024-01-03 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
F0777 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-04
2024-01-03 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-01-04
2023-11-09 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-10
2023-04-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-17
2023-04-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-17
2023-04-06 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-28
2023-04-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-20
2023-04-06 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $14,676 in fines.

DateTypeAmount
2025-07-25Fine$607
2025-04-15Payment Denial27 days payment denial
2025-04-15Fine$14,069

Ownership & management

NameRoleSince
Frio Hospital District (organization)5%+ Direct Ownership Interest · 100%
901 Pennsylvania Ave TX, LLC (organization)Administrator · NOT APPLICABLE
Continuum Rehab Group LLC (organization)Administrator · NOT APPLICABLE
Dailey, Elizabeth (individual)Administrator · NOT APPLICABLE
Gibraltar Trust (organization)Administrator · NOT APPLICABLE
Hansen Hunter LLC (organization)Administrator · NOT APPLICABLE
Larchmont Realty, LLC (organization)Administrator · NOT APPLICABLE
Lewis, Adolphus (individual)Administrator · NOT APPLICABLE
Montgomery Sky Trust (organization)Administrator · NOT APPLICABLE
Opco Ca Skilled Mgmt INC. (organization)Administrator · NOT APPLICABLE
Opco Texas Skilled Mgmt LLC (organization)Administrator · NOT APPLICABLE
Ruff, Michael (individual)Corporate Officer · NOT APPLICABLE
Gurwitz, Solomon (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Hagins, Elizabeth (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Esther (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Mordechai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Mindle, Adam (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Unger, Jeffrey (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Arbor Lake Nursing & Rehabilitation LLC (organization)Operational/managerial Control · NOT APPLICABLE
Garetz, David (individual)Operational/managerial Control · NOT APPLICABLE
Hansen Hunter LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Arbor Lake Nursing & Rehabilitation, LLC?

Arbor Lake Nursing & Rehabilitation, LLC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Arbor Lake Nursing & Rehabilitation, LLC have?

It has 123 certified beds and cares for about 86 residents per day.

Has Arbor Lake Nursing & Rehabilitation, LLC been fined?

Yes. CMS lists 3 penalties totaling $14,676 in the last three years.

Who owns Arbor Lake Nursing & Rehabilitation, LLC?

It is part of Opco Skilled Management and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Arbor Lake Nursing & Rehabilitation, LLC?

(817) 335-3030. The facility is located at 901 Pennsylvania Ave, Fort Worth, TX 76104.

Other nursing homes in Fort Worth

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.