Richland Hills Rehabilitation And Healthcare Center
3109 KINGS CT, Fort Worth, TX, 76118
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 92 · avg 59 residents/day
- Total nursing staff turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $15,633 total
State licensing & capacity
- License number
- 147657
- Service type
- Medicare/medicaid
- Licensed capacity
- 92 beds
- Bed type breakdown
- 16 Medicare-only · 76 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fossil Creek Healthcare Inc
- Administrator
- Amy Munoz
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Fossil Creek Healthcare, Inc
Adp of The Snf · since 2025
- Stephen c Taylor
Corporate Officer · since 2025
- Olutoyin o Abitoye
Operational/managerial Control · since 2024
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Amy Munoz
Operational/managerial Control · since 2012
- Caretrust gp Llc
Adp of The Snf · since 2012
+ 6 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
Recent health-deficiency citations (most recent 8 of 36)
- D0880·Dec 5, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Dec 5, 2025Complaint
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.
- D0761·Dec 5, 2025Complaint
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.
- D0689·Dec 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.
- D0622·Feb 27, 2025Complaint
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D0919·Feb 27, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D0880·Feb 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Feb 27, 2025
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.
Federal penalties
By year
- 20232 fines · $16K
Most recent events
- Nov 21, 2023Fine · $8,190
- Jul 10, 2023Fine · $7,443
Largest single fine on record: $8,190.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Feb 27, 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
Richland Hills Rehabilitation and Healthcare Center is a 92-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid residents, managed by Fossil Creek Healthcare Inc under a hospital district license. CMS rates it 2 stars overall — staffing is rated 1 star, the lowest tier — though quality-of-care measures rate 5 stars. About 64% of licensed beds are occupied. It holds two CMS fines totaling $15,633 since the current data period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest rating, shared by about 38% of Texas nursing homes. Each resident receives roughly 176 minutes of total nursing care per day, about 65 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — which means those 176 minutes stretch thinner than the raw number suggests.
Roughly 7 in 10 nursing staff left in the past year, a high turnover rate that exceeds Texas's 75th percentile of 60%. RN turnover follows the same pattern, also at 7 in 10. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS recorded 2 fines totaling $15,633 in the current data window. Texas's median fine total across penalized facilities runs about $20,699, so this dollar amount sits below that midpoint.
Occupancy runs at about 64% of licensed beds — 59 residents in a 92-bed facility. That figure lands in a range that can reflect lower-than-typical demand; it is not explained by the available data alone.
Despite 1-star staffing, CMS rates this facility 5 stars on quality measures for long-stay residents — the highest tier. Those measures cover outcomes like pressure wounds, falls, and pain management. A stable-or-high outcome score alongside low staffing hours and high turnover is an unusual pairing.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average about 152 minutes per resident per day — ask specifically how many nurses and aides are on each shift Saturday and Sunday.
How 5-star outcomes are maintained
Quality measures rate 5 stars despite 1-star staffing; ask which specific protocols or monitoring systems the facility credits for those outcomes.
Nursing staff continuity for new residents
With roughly 7 in 10 nursing staff turning over annually, ask how the facility assigns and reassigns primary caregivers when staff leave.
Current bed availability and waitlist
At 64% occupancy the facility has open beds; ask whether that reflects recent admissions changes, discharges, or a shift in the types of residents being accepted.
Management company's role day to day
Fossil Creek Healthcare Inc manages operations under an Eastland Memorial Hospital District license; ask which entity makes staffing and care-policy decisions on site.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council; ask how often the council meets and how concerns raised there are documented and followed up.
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.