Green Valley Healthcare And Rehabilitation Center
6850 RUFE SNOW DR, Fort Worth, TX, 76148
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Nexion Health
- Certified beds
- 124 · avg 96 residents/day
- Total nursing staff turnover
- 28.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $106,265 total
State licensing & capacity
- License number
- 147318
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 27 Medicare-only · 97 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- August 30, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At North Richland Hills, Inc
- Administrator
- Trevor Lucas
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (9 on record)
- John Oswald
Operational/managerial Control · since 2022
- Laban Wright
Corporate Officer · since 2021
- Daniel Pierce
Operational/managerial Control · since 2021
- Brian Lee
Operational/managerial Control · since 2017
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Francis Kirley
Operational/managerial Control · since 2017
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- J0689·Sep 5, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Apr 17, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0695·Apr 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Apr 17, 2025Complaint
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.
- D0690·Apr 17, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0583·Apr 17, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0558·Apr 17, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0812·Apr 17, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20251 fine · $27K
- 20241 fine · $24K
- 20231 fine · $55K
Most recent events
- Sep 5, 2025Fine · $27K
- Sep 4, 2024Fine · $24K
- Oct 31, 2023Fine · $55K
Largest single fine on record: $55K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Apr 17, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Green Valley Healthcare And Rehabilitation Center is a 124-bed nursing home in Fort Worth (Tarrant County), managed by Nexion Health, accepting Medicare and Medicaid. CMS rates it 2 stars overall — driven by a 1-star health inspection score — despite a 5-star quality-measures rating and 3-star staffing. Three CMS fines totaling $106,265 have been assessed. The active state license runs through April 2029.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 3 in 10 nursing staff left in the past year — below the state's 25th-percentile cutoff, better than about three-quarters of nursing homes in Texas. That stability means residents are more likely to see familiar faces day to day.
Three CMS fines totaling $106,265 have been assessed against this facility. For context, the median fine among Texas nursing homes that receive any fine is roughly $20,700; this facility's total is about five times that figure. Roughly 30% of Texas nursing homes have received no fines at all.
CMS rates the quality-measures domain 5 stars — the highest tier — for both long-stay and short-stay residents. These measures track outcomes such as hospitalizations, falls, and pressure wounds, drawn from resident assessments submitted to CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection score of 1 star
CMS rates the health inspection record 1 star — the lowest tier — despite a 5-star quality-measures score; ask what specific deficiencies drove recent inspections and how they were corrected.
Over $106,000 in CMS fines
Three fines totaling $106,265 have been levied; ask which citations triggered each fine and what policy or staffing changes followed.
Staffing hours relative to resident needs
Residents here require more hands-on daily care than at a typical facility, and nursing hours run about 38 minutes per resident below the 4-star Texas threshold; ask how the facility adjusts staffing on high-acuity days.
RN coverage on nights and weekends
Reported RN hours work out to about 30 minutes per resident per day; ask what registered-nurse coverage looks like during overnight shifts and weekends specifically.
Resident Council participation
The facility has a Resident Council but no Family Council; ask how family members can raise concerns or receive updates outside of formal care conferences.
Nexion Health management oversight
Day-to-day operations are managed by Nexion Health while the licensed owner is Eastland Memorial Hospital District; ask how decisions about staffing and care standards are divided between the two entities.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.