SNF

Arbor Lake Nursing & Rehabilitation, LLC

CCN: 675034 · Fort Worth, TX 76104 · Tarrant County

⚠ Abuse citation flag

Overview

Address
901 Pennsylvania Ave, Fort Worth, TX 76104
Phone
8173353030
Certified beds
123
Avg daily residents
90 (73% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-03-16
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.95 4.08 2.80 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.41 0.71 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.73 0.90 0.70 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.81 2.46 1.71 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.15 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.05 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.52
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
2.38
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.8%
annual
RN turnover
41.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.44
higher acuity than avg
Case-Mix Index Ratio
1.05
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-07-25 11 5 7 163 1 163
Cycle 2/3 (prior) 2024-05-09 16 8 14 84 1 84
Total weighted health score
143.3
lower is better
Infection-control citations
0
last cycle

Deficiencies (32)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

29 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0567 Honor the resident's right to manage his or her financial affairs. E 2025-09-08 2025-09-09
0584 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. E 2025-07-25 2025-07-26
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-07-25 2025-07-26
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-07-25 2025-07-26
0880 Provide and implement an infection prevention and control program. E 2025-07-25 2025-07-26
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. G 2025-07-25 2025-07-26
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-05-24 2025-05-25
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-04-15 2025-06-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-04-15 2025-04-16
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-04-15 2025-06-11
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2025-04-15 2025-06-11
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2024-08-15 2024-08-16
0880 Provide and implement an infection prevention and control program. D 2024-08-15 2024-08-16
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-06-25 2024-06-26
0624 Prepare residents for a safe transfer or discharge from the nursing home. D 2024-06-03 2024-06-04
0641 Ensure each resident receives an accurate assessment. D 2024-05-09 2024-05-10
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-05-09 2024-05-10
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2024-05-09 2024-05-10
0584 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. E 2024-05-09 2024-05-10
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-05-09 2024-05-10
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2024-05-09 2024-05-10
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. E 2024-05-09 2024-05-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2024-05-09 2024-05-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-01-03 2024-01-04
0777 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. D 2024-01-03 2024-01-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-01-03 2024-01-04
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-11-09 2023-11-10
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-04-06 2023-04-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-04-06 2023-05-20
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-04-06 2023-05-17
0761 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. D 2023-04-06 2023-05-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-04-06 2023-05-17

Penalties (3)

Fines issued
2
last 3 years
Total fines
$14,667
Payment denials
1
Date Type Fine amount
2025-07-25 Fine $598
2025-04-15 Fine $14,069
2025-04-15 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 5.3% Medicaid 80.9% Other 13.8%

Operating performance

Operating Margin
-3.9%
Total Margin
2.9%
Occupancy Rate
67.9%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$6.5M
Total Costs
$721K
Net Income
$202K

Balance sheet

Total Assets
$1.8M
Total Liabilities
$1.5M
Fund Balance
$301K
Current Ratio
0.98

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: OPCO SKILLED MANAGEMENT

Chain ID
773
Facilities in chain
52
Legal business name
FRIO HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.4
Health
2.4
Staffing
1.8
QM
4.2

Owner / manager organizations (3)

Organization Role Association
FRIO HOSPITAL DISTRICT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2024
ARBOR LAKE NURSING & REHABILITATION LLC OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
HANSEN HUNTER LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2024

Owner / manager individuals (2)

Name Role Association
GARETZ, DAVID OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
RUFF, MICHAEL CORPORATE OFFICER since 01/01/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 0.98 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 80.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.3% metrics.medicare_day_share
Cost Report Net Income ($) $202,451 metrics.net_income
Cost Report Net Patient Revenue ($) $6,538,666 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 67.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.9% metrics.operating_margin
Cost Report Total Assets ($) $1,824,932 metrics.total_assets
Cost Report Total Costs ($) $721,136 metrics.total_costs
Cost Report Total Fund Balances ($) $301,278 metrics.fund_balance
Cost Report Total Liabilities ($) $1,523,654 metrics.total_liabilities
Cost Report Total Margin (%) 2.9% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.69531 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.71181 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39055 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.79767 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.38327 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 89.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.90459 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.45849 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71302 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.07610 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.59265 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.8 Chain Average Staffing Rating
Provider Information Chain ID 773 Chain ID
Provider Information Chain Name OPCO SKILLED MANAGEMENT Chain Name
Provider Information City/Town Fort Worth City/Town
Provider Information CMS Certification Number (CCN) 675034 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Tarrant County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-03-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 32.7385 Latitude
Provider Information Legal Business Name FRIO HOSPITAL DISTRICT Legal Business Name
Provider Information Location 901 Pennsylvania Ave,Fort Worth,TX,76104 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -97.334 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 123 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 52 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44398 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04815 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Individual Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 901 Pennsylvania Ave Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Arbor Lake Nursing & Rehabilitation, LLC Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 910 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 163 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 7 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-07-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 163 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 11 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-05-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 84 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 84 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.48237 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 41.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.14638 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.73406 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.80721 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05315 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.41232 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.95358 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 8173353030 Telephone Number
Provider Information Total Amount of Fines in Dollars 14667.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.51609 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 45.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 143.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 76104 ZIP Code