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Nursing HomeMedicaid Top Rated

Stonegate Nursing and Rehabilitation

Strong Medicare quality ratings; families often praise exceptional rehabilitation and therapy teams. Still worth an in-person visit.

4201 Stonegate Blvd., Fort Worth, TX 76109134 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 112 Google reviews

5
4
3
2
1

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What this means for your family

The facility's physical therapy and rehabilitation services are frequently cited as excellent and highly effective for recovery. However, families must be extremely vigilant regarding medication accuracy and call-light response times, as multiple recent reports indicate significant lapses in basic nursing care and hygiene.

Google Reviews

Google Reviews

112 reviews on Google
Families considering Stonegate should be aware of a significant divide between the highly praised rehabilitation therapy team and serious reports of neglect. While many reviewers laud the physical and occupational therapists for excellent outcomes, multiple families have reported critical issues regarding slow call-light response times, medication errors, and inadequate hygiene care.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean6.0Activities7.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy teams
  • Clean and well-maintained facility appearance
  • Friendly and professional administrative staff
  • Compassionate nursing staff in specific wings

Concerns

  • Slow response to call lights and patient needs (mentioned by 5 reviewers)
  • Inconsistent food temperature and quality (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 3 reviewers)
  • Staffing shortages and high turnover (mentioned by 3 reviewers)
  • Issues with patient hygiene and cleanliness (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(1)'19(7)'21(7)'23(21)'25(15)'26(32)

Distribution · 116 analyzed

5
69
4
9
3
3
2
7
1
28
23 reviews posted between Jan 5, 2026Jan 10, 2026 · 20 were 5-star

How They Respond to Reviews

63%response rate
Generic

The owner uses highly templated responses that vary based on the star rating. Positive reviews receive short, repetitive gratitudes, while negative reviews are met with a standardized script directing the reviewer to call a specific administrator.

Questions for Your Tour

  • 1We've heard wonderful things about your rehabilitation and therapy teams; can you tell us more about how they work with residents to regain their independence?
  • 2With the administrative staff being so professional, how do you ensure that families are kept updated on any changes in a resident's care plan?
  • 3What specific steps are in place to ensure medication is administered accurately and on schedule every day?
  • 4How does the nursing team manage call lights during busy shifts to ensure residents' needs are met promptly?
  • 5Could you describe the dining experience, specifically how you ensure meals are served at the appropriate temperature and quality?
  • 6What is your protocol for handling medical emergencies or urgent care needs during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The therapy team is amazing and thorough. The Director of Nursing is very kind and goes above and beyond to make sure you have what you need.

Rehab patient's family · 2024★★★★★

I have actually timed it and quite often it is an hour or more between the time I push the call button until someone shows up to see what I need. This is particularly true at night.

Resident · 2024★★☆☆☆

My Mother had Dayveon as her nurse and he was the sweetest, most patient person I've ever met He made her stay there so pleasant, Stonegare is lucky to have him.

Long-term resident's family · 2026★★★★★
Source: 112 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
67%
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
5/ 5
Better Than Avg

16

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
19.4%
TX
14.2%
Tarrant
15.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
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 on antipsychotic medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.4%
TX
9.4%
Tarrant
8.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
14.4%
TX
16.1%
Tarrant
13.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
TX
96.9%
Tarrant
97.7%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Tarrant
2.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
TX
89.2%
Tarrant
91.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
TX
88.0%
Tarrant
89.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
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

4deficiencies
1penalties
Well below state avg (9.1)
12 complaint-triggered
$16,801 in fines

This facility has serious concerns with families filing nine complaints that triggered federal investigations, including recent issues with abuse protection and medication management. The most recurring problems involve medication management appearing across multiple surveys, fire safety deficiencies, and nutrition services. While most violations show correction dates, the pattern of repeated medication and safety issues, combined with significant complaint activity including abuse-related deficiencies, suggests ongoing operational challenges that warrant careful consideration during any visit.

Feb 12, 2026Routine
9
0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Feb 20, 2025Complaint
2
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jan 3, 2025Complaint
2
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0761Potential for harm · PatternCorrected

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 drugs.

Oct 25, 2024Complaint
6
0600Immediate jeopardy · PatternResolved (past non-compliance)

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.

0607Immediate jeopardy · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0600Immediate jeopardy · PatternResolved (past non-compliance)

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.

0607Immediate jeopardy · PatternResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Oct 25, 2024Routine
20
0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0842Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0842Potential for harm · IsolatedCorrected

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.

Aug 31, 2023Routine
28
0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761Potential for harm · PatternCorrected

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 drugs.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0761Potential for harm · PatternCorrected

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 drugs.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0842Potential for harm · IsolatedCorrected

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Oct 25, 2024

$16,801

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

HMG PARK MANOR OF STONEGATE, LLC

Administrator

KRISTI BLACKWELL

Chain Affiliation

Chain Name

Hmg Healthcare

Chain Size

33 facilities nationwide

Chain avg rating: 3.3/5 · Rank 20 of 31

Ownership & Management

Key personnel

Norris, SherrieW-2 Managing EmployeeSchlee, CarolynW-2 Managing EmployeeStramecki, AnthonyOfficer / DirectorVratis, KaceyOfficer / DirectorWay, GeorgeOfficer / Director
Source: Medicare provider data

Contact

References & Resources

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