Nursing HomeMedicaid Investigative

Arbor Lake Nursing & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

901 Pennsylvania Ave., Fort Worth, TX 76104|123 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 141 Google reviews

(817) 335-3030 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (2/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (11 vs median 8.0)

Below average in Texas · Below recommended RN staffing · $14,667 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice if you prioritize a kind, communicative, and family-oriented staff. However, because some reviewers have noted issues with odors and maintenance, you should specifically ask during your tour about their protocols for room cleanliness and odor control.

Google Reviews

141 reviews on Google

“Arbor Lake is highly regarded by many families for its exceptionally kind, professional, and communicative staff, particularly the front desk and nursing teams. While many reviewers praise the facility's cleanliness and the attentive care provided during rehab, some families have reported serious concerns regarding hygiene, odors, and responsiveness to medical emergencies. The facility is often described as having a warm, family-like atmosphere despite being an older building.”

Quality Themes

Tap a score for details

Strengths

Compassionate and professional nursing staff
Friendly and welcoming front desk/reception
Strong communication from administration and social workers
Clean and well-maintained resident areas

Concerns

Issues with facility odors (urine/mildew) (mentioned by 2 reviewers)
Staffing shortages or slow response times (mentioned by 3 reviewers)
Loss of resident personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 145 analyzed

111

How They Respond to Reviews

0%response rate

Generic

The owner relies heavily on repetitive templates that emphasize 'new ownership' and 'new management.' Responses rarely address specific allegations like discrimination or understaffing, instead focusing on requesting that reviewers rescind their ratings.

Questions for Your Tour

1We've heard great things about how welcoming the front desk and administration are; how do you typically keep families updated on their loved one's daily progress?
2With the recent focus on improving care, what specific steps is the facility taking to ensure there are enough staff members available for timely responses to call lights?
3How does the team manage the cleanliness and freshness of the resident rooms and common areas throughout the day?
4What is the current menu like, and are there ways to provide input on the dining experience to help improve meal satisfaction?
5What systems are in place to ensure that residents' personal belongings and sentimental items are kept safe and organized?
6In the event of a medical emergency during the night, what is the protocol for contacting the physician and notifying the family?

Personalized based on this facility's data

Key Review Excerpts

“The staff is friendly and competent. The residents are well cared for and treated with respect. My friend who lives here is always clean, shaved and wearing clean clothes.”

Long-term resident's friend · 2025★★★★★

“The building definitely needs updates and more staffing but the staff is TOP NOTCH. THANK YOU FOR ALL YOU DO.”

Family member of resident · 2025★★★★★

“I was honestly overwhelmed with the kindness from walking in the door to exiting the facility. I loved all the friendly smiling faces.”

New resident/Family member · 2023★★★★★

Source: 141 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.47hrs

63%

Registered nurses for medical care

Total Nursing

3.02hrs

74%

All nurses + aides combined

Staff Turnover

51%

Lower is better (< 30% = good)

RN Turnover

58%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.4%

Better than Avg

Here

0.4%

12.1%

2.5%

Tarrant

2.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility11.5%

Better than Avg

Here

11.5%

19.5%

18.4%

Tarrant

16.8%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility92.2%

Worse than Avg

Here

92.2%

95.5%

98.0%

Tarrant

98.2%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility20.2%

Worse than Avg

Here

20.2%

19.4%

14.2%

Tarrant

14.8%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility13.0%

Mixed vs Avgs

Here

13.0%

15.4%

9.4%

Tarrant

8.6%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility11.4%

Better than Avg

Here

11.4%

15.3%

14.9%

Tarrant

12.4%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility76.8%

Worse than Avg

Here

76.8%

79.7%

88.0%

Tarrant

89.9%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility82.1%

Mixed vs Avgs

Here

82.1%

81.8%

89.2%

Tarrant

91.6%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

1.6%

1.5%

Tarrant

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

3penalties

Near state avg (9.1)

21 complaint-triggered

$14,667 in fines

This facility has a concerning pattern with 21 of 37 deficiencies triggered by family complaints, indicating ongoing care issues that prompted families to file reports with authorities. The most recurring problems involve resident care planning and medical records management, daily living assistance, and infection control. While the facility corrects violations when cited, the high volume of complaint-driven deficiencies and repeat issues across multiple surveys suggests persistent quality concerns that families should investigate thoroughly before placement.

Sep 8, 2025Complaint1 finding

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

Jul 25, 2025Routine4 findings

0600Actual harm · IsolatedCorrected

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.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 25, 2025Complaint1 finding

0744Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

May 24, 2025Complaint1 finding

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Apr 15, 2025Complaint4 findings

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Aug 15, 2024Complaint2 findings

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jul 25, 2025

$607

Fine

Apr 15, 2025

$14,069

Payment Denial

Apr 15, 2025

27-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

ARBOR LAKE NURSING & REHABILITATION LLC

Administrator

ELIZABETH DAILEY

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 15 of 24

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Gurwitz, Solomon