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Nursing homeFAID #13927

Arbor Lake Nursing & Rehabilitation

901 PENNSYLVANIA AVE, FORT WORTH, TX, 76104
(817) 335-3030
123 licensed beds

CMS rates Arbor Lake Nursing & Rehabilitation 2 out of 5 overall. Federal inspectors issued 39 citations across 18 inspections in the last three years, with $14,676 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of Arbor Lake Nursing & Rehabilitation, LLC
Photo via Google · Aleigha Welshan
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Bed capacity
123
CMS facility ID
675034
Care type
Nursing home
County
Tarrant
Facility name
Arbor Lake Nursing & Rehabilitation
Street address
901 PENNSYLVANIA AVE
City / state / ZIP
Fort Worth, TX 76104
Phone
(817) 335-3030

Arbor Lake Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Fort Worth, Texas. It is licensed for 123 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 137 senior care facilities in Fort Worth and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Opco Skilled Management, a group of 68 facilities on this site.

Federal inspectors have cited Arbor Lake Nursing & Rehabilitation 39 times across 18 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $14,676 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Opco Skilled Management
Ownership type
For profit - Individual

Registered owners & officers

Frio Hospital District
Direct owner — 100% stake — since 2024
901 Pennsylvania Ave Tx, Llc
Additional disclosable party — since 2024
Arbor Lake Nursing & Rehabilitation Llc
Operational control — since 2024
Continuum Rehab Group Llc
Additional disclosable party — since 2024
Dailey, Elizabeth
Additional disclosable party — since 2024
Garetz, David
Operational control — since 2024
Gibraltar Trust
Additional disclosable party — since 2024
Gurwitz, Solomon
Owner of a disclosable party — since 2025
Hagins, Elizabeth
Owner of a disclosable party — since 2025
Hansen Hunter Llc
Operational control · Additional disclosable party — since 2024
Kaplan, Esther
Owner of a disclosable party — since 2025
Kaplan, Mordechai
Owner of a disclosable party — since 2025
Larchmont Realty, Llc
Additional disclosable party — since 2024
Lewis, Adolphus
Additional disclosable party — since 1994
Mindle, Adam
Owner of a disclosable party — since 2025
Montgomery Sky Trust
Additional disclosable party — since 2024
Opco Ca Skilled Mgmt Inc.
Additional disclosable party — since 2024
Opco Texas Skilled Mgmt Llc
Additional disclosable party — since 2024
Ruff, Michael
Officer — since 2024
Unger, Jeffrey
Owner of a disclosable party — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1992-03-16
CMS overall rating
2 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$14,676 total
Last standard inspection
2025-07-25
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$215 per day (≈ $6,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
81% Medicaid · 5% Medicare · 14% private/other
Occupancy
68% (fiscal year 2023)
Vs. state median
22% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
123
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-07-08Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-07-09
2026-05-19Health inspectionComplaint-triggered1 citation
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-05-20
13 earlier / fire-safety inspections (37 citations)
2025-09-08Health inspectionComplaint-triggered1 citation
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-09-09
2025-07-25Health inspectionComplaint-triggered5 citations
F-0584
E · No harm found
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.
Corrected 2025-07-26
F-0600
G · Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-26
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-26
F-0744
G · Actual harmFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-07-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-26
2025-05-24Health inspectionComplaint-triggered1 citation
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-05-25
2025-04-15Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-11
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-16
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-11
F-0925
D · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-06-11
2024-08-15Health inspectionComplaint-triggered2 citations
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-08-16
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-08-16
2024-06-25Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-26
2024-06-03Health inspectionComplaint-triggered1 citation
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-06-04
2024-05-09Health inspectionComplaint-triggered8 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-10
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2024-05-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-05-10
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-10
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-05-10
F-0698
E · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-10
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-10
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-05-10
2024-01-03Health inspectionComplaint-triggered3 citations
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-01-04
F-0777
D · No harm foundFrom a complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-01-04
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-04
2023-11-09Health inspectionComplaint-triggered1 citation
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-10
2023-04-06Health inspection5 citations
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-04-28
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-20
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-17
F-0761
D · No harm found
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.
Corrected 2023-05-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-17
2024-05-09Fire-safety inspection3 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-10
K-0342
F · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-06-23
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-05-10
2023-04-06Fire-safety inspection2 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-04-09
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-09

Federal penalties

2025-07-25Fine$607
2025-04-15Fine$14,069
2025-04-15Medicare payment denial — 27 days
Total fines$14,676
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675034.
How it compares in Texas.
Inspection citations, 3 years
39
More than 61% of nursing homes in the state
State median: 33
Federal fines, 3 years
$14,676
More than 48% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.2
Higher than 39% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
49%
Higher than 44% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 16 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased6.7%15.8%13.5%Better than state
Lose too much weight2.1%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms1.4%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine97.4%96.4%93.7%Near state average
Ability to walk independently worsened5.4%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication11.2%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine98.8%97.0%95.3%Near state average
With pressure ulcers1.6%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence11.0%12.5%18.3%Better than state
Received an antipsychotic medication16.5%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.512.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days1.221.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine81.6%88.7%82.3%Near state average
Newly received an antipsychotic medication0.6%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine77.0%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission18.8%25.5%23.4%Better than state
Had an outpatient emergency department visit6.9%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0925 3 inspections. Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0584 2 inspections. 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.
  • F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.

What its owners also hold

  • Frio Hospital District has an ownership stake on file at 22 nursing homes, averaging 1.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Texas Health Harris Methodist Fort Worth, about 0.3 miles. CMS rating 4 of 5.
  • Cook Childrens Medical Center, about 0.5 miles.
  • Medical City Fort Worth, about 0.6 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.4143 ratings on Google
★★★★★Norman Harris · 2026-07-03 · via Google

“Receptionist Lashun Washington welcomed me with the warmest smile and a genuine, down-to-earth energy that immediately put me at ease. Her kindness and professionalism set the perfect tone from the very first hello — she is truly an asset to this team.”

★★★★★Wanda White · 2025-11-07 · via Google

“The staff is always friendly and helpful. The patients appear clean and well cared for. LaShun at the front desk is always courteous and smiling. My friend who lives there says the food is pretty good and seems to like the nurses and staff. Highly recommend.”

★★★★★Richard Hunt · 2026-05-11 · via Google

“Pleasant experience, did not wait long, Mel is a very good people person, takes great care of her patients”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered