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Nursing HomeMedicaid Investigative

Ft Worth Wellness & Rehabilitation

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

2129 Skyline Dr, Fort Worth, TX 76114104 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 322 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (51%)
  • High RN turnover (56%)

Bottom 25% in Texas · Below recommended RN staffing · Worst in OPCO SKILLED MANAGEMENT chain · $120,500 in fines

Source: Medicare data

What this means for your family

This facility offers an exceptional rehabilitation and wound care team that can significantly aid recovery. However, you must be vigilant regarding hygiene and communication; we recommend frequent, unannounced visits to ensure your loved one is being bathed and changed regularly.

Google Reviews

Google Reviews

322 reviews on Google
Families considering Fort Worth Wellness & Rehabilitation will find a facility with a highly praised rehabilitation and nursing team, particularly noted for their compassion and skill in wound care. However, there are serious, recurring reports of hygiene neglect, such as residents being left in soiled linens, and significant concerns regarding communication between medical staff and families.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean5.0Activities5.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and skilled rehabilitation/therapy team
  • Attentive wound care nursing
  • Friendly and professional nursing staff
  • Clean and well-maintained common areas

Concerns

  • Hygiene neglect and improper incontinence care (mentioned by 5 reviewers)
  • Poor communication between doctors, nurses, and families (mentioned by 3 reviewers)
  • Inconsistent cleanliness and unpleasant odors (mentioned by 3 reviewers)
  • Staffing shortages or slow response to call lights (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02023(2)4.32024(69)4.42025(118)3.62026(18)

Distribution · 207 analyzed

5
163
4
9
3
1
2
1
1
33
51 reviews posted between Feb 2, 2025Feb 8, 2025 · 40 were 5-star
10 reviews posted between Jan 21, 2024Jan 27, 2024 · 10 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your therapy team; how often will my loved one be working with the rehabilitation specialists?
  • 2What specific protocols do you have in place to ensure consistent hygiene and personal care for residents throughout the day?
  • 3How does the nursing staff ensure that doctors, families, and the care team are all communicating effectively regarding changes in health?
  • 4Could you tell me more about how medication management is handled to ensure everything is administered accurately and on schedule?
  • 5What are some of the favorite daily activities or social events that residents enjoy in the common areas?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The therapy team does amazing work — they are patient, encouraging, and truly dedicated to helping residents regain strength and confidence.

Rehab patient's family · 2026★★★★★

The wound care nurse was the absolute best and took good care of my aunt! The wound healed very fast!!

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

My loved one hasn't seen water(bath) in over a week. Why? This is the 4th time I had to call them About a bath.

Rehab patient's family · 2024☆☆☆☆
Source: 322 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
2.90hrs
71%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
56%
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

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Tarrant
2.7%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
19.4%
TX
14.2%
Tarrant
14.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
15.4%
TX
9.4%
Tarrant
8.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
TX
96.9%
Tarrant
97.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.9%
Better than Avg
Here
14.9%
US
19.5%
TX
18.4%
Tarrant
17.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Tarrant
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
81.8%
TX
89.2%
Tarrant
91.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
TX
88.0%
Tarrant
89.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
TX
1.5%
Tarrant
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (9.1)
1 complaint-triggered
$120,500 in fines

This facility shows recurring challenges with infection control and environmental maintenance appearing across multiple surveys, plus one complaint-triggered deficiency regarding privacy of medical records. The 29 deficiencies span resident care issues including pain management and wound care, safety concerns like fire alarm systems and emergency preparedness, and cleanliness problems including pest control. While all issues have correction dates, the pattern of repeated environmental and safety violations suggests ongoing operational struggles families should carefully consider.

Jul 17, 2025Routine
11
0697Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0343Potential for harm · PatternCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0917Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

Jan 13, 2025Complaint
1
0583Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

May 30, 2024Routine
10
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0584Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 20, 2023Routine
7
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

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.

0745Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Jul 17, 2025

$122,226

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

SKYLINE POST ACUTE LLC

Administrator

CANDI MIRELES

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 23 of 24 (Worst)

Ownership & Management

Owners

Coryell County Memorial Hospital Authority

Owner · Organization

100%

Gurwitz, Solomon

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Hagins, Elizabeth

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kaplan, Esther

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kaplan, Mordechai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mindle, Adam

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Unger, Jeffrey

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Byrom, DavidOfficer / DirectorHansen Hunter LLCManagerSkyline Post Acute, LLCManagerGaretz, DavidManager2129 Skyline Drive TX, LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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