Nursing homeActive

Arbor Lake Nursing & Rehabilitation, LLC

901 Pennsylvania Ave, Fort Worth, TX 761048173353030123 certified beds · 86 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
12
since 2023
Deficiencies
33
0303
Penalties · 3 yrs
$14,676
2 fines · 1 action
Last survey
2026-05-19
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-19Complaint010CMS-2567 (Care Compare)
2025-09-08Complaint010CMS-2567 (Care Compare)
2025-07-25Standard032CMS-2567 (Care Compare)
2025-05-24Complaint010CMS-2567 (Care Compare)
2025-04-15Complaint031CMS-2567 (Care Compare)
2024-08-15Complaint020CMS-2567 (Care Compare)
2024-06-25Complaint010CMS-2567 (Care Compare)
2024-06-03Complaint010CMS-2567 (Care Compare)
2024-05-09Standard080CMS-2567 (Care Compare)
2024-01-03Complaint030CMS-2567 (Care Compare)
2023-11-09Complaint010CMS-2567 (Care Compare)
2023-04-06Standard050CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-19Complaint survey · 1 deficiencyOfficial report
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 675034-20260519-F925
2025-09-08Complaint survey · 1 deficiencyOfficial report
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 675034-20250908-F567
2025-07-25Standard survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-26Record 675034-20250725-F600
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-26Record 675034-20250725-F744
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 675034-20250725-F584
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 675034-20250725-F677
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-26Record 675034-20250725-F880
2025-05-24Complaint survey · 1 deficiencyOfficial report
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-25Record 675034-20250524-F627
2025-04-15Complaint survey · 4 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-06-11Record 675034-20250415-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-11Record 675034-20250415-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 675034-20250415-F684
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-11Record 675034-20250415-F925
2024-08-15Complaint survey · 2 deficienciesOfficial report
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 675034-20240815-F694
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 675034-20240815-F880
2024-06-25Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 675034-20240625-F842
2024-06-03Complaint survey · 1 deficiencyOfficial report
F624Prepare residents for a safe transfer or discharge from the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-04Record 675034-20240603-F624
2024-05-09Standard survey · 8 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F552
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F677
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F694
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F698
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F842
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 675034-20240509-F925
2024-01-03Complaint survey · 3 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 675034-20240103-F755
F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 675034-20240103-F777
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 675034-20240103-F842
2023-11-09Complaint survey · 1 deficiencyOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 675034-20231109-F623
2023-04-06Standard survey · 5 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-28Record 675034-20230406-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-20Record 675034-20230406-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-17Record 675034-20230406-F658
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-17Record 675034-20230406-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-17Record 675034-20230406-F812

Penalties & enforcement

DateActionAmountSource
2025-07-25Civil money penalty$607CMS · Penalties
2025-04-15Civil money penalty$14,069CMS · Penalties
2025-04-15Denial of payment for new admissions
Payment denial for 27 days, from 2025-05-15
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.62
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.11
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.76
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover53%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover62%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.4%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.9%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.9%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.9%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.1%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.2%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Frio Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Arbor Lake Nursing & Rehabilitation LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garetz, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hansen Hunter LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
901 Pennsylvania Ave Tx, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Continuum Rehab Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Dailey, Elizabeth
Individual
ADP OF THE SNFNOT APPLICABLE
Gibraltar Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Gurwitz, Solomon
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Hagins, Elizabeth
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Hansen Hunter LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Kaplan, Esther
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Kaplan, Mordechai
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Larchmont Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Lewis, Adolphus
Individual
ADP OF THE SNFNOT APPLICABLE
Mindle, Adam
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Montgomery Sky Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Opco Ca Skilled Mgmt Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Opco Texas Skilled Mgmt LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ruff, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Unger, Jeffrey
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Part of a chain
Opco Skilled Management66 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Tarrant.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
DFW Nursing & Rehab
Fort Worth
0.1 mi2026-02-0404513
Downtown Health and Rehabilitation Center
Fort Worth
0.2 mi2026-06-160493
James L. West Center for Dementia Care
Fort Worth
0.8 mi2025-06-12098
Trinity Terrace
Fort Worth
0.9 mi2026-05-290100
Fort Worth Transitional Care Center
Fort Worth
0.8 mi2026-04-080413
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01