Skilled nursing · Fort Worth, TX

River Oaks Health And Rehabilitation Center

2416 NW 18TH ST, Fort Worth, TX 76106

4 / 5CMS 120 bedsCapacity Apr 2026Inspected
PALMELLE

52

Below median

Federal · State

Mixed

The Palmelle read

Worth a closer look. River Oaks Health And Rehabilitation Center carries a Palmelle Clarity Score of 52 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 3-star, staffing at 2-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at 11.8 percent versus a 14 percent national median. RN coverage is 0.38 hours per resident per day. Nurse turnover 93 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.38
National
0.78

Annual nurse turnover

This
93%
National
53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This
11.8%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full record.

Federal CMS ratings

Overall★★★★4 / 5
Health inspection★★★★★3 / 5
Staffing★★★★★2 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
0.38
Nat
0.78

Total nurse hours / resident, daily

This
3.02
Nat
3.62

Annual nurse turnover

This
93%
Nat
53%

Annual RN turnover

This
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
11.8%
Nat
14%

Sedative / sleep med

This
10.8%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.5%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection current$8,059 in fines (1)

Identity & licensing

CMS ID675018
OwnershipFor profit - Corporation
ChainIndependent
Beds120
Avg residents45

Citations · last 36 months

  • Flagged by CMS data

    This facility has received 1 federal fine(s) but still shows a 4.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Annual nursing staff turnover is 93%. High turnover means residents frequently interact with unfamiliar staff, which research links to lower quality of care. Industry average is around 50-60%.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Registered nurse hours are 0.38 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for River Oaks Health And Rehabilitation Center?

River Oaks Health And Rehabilitation Center has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 of 5 on health inspection, 2 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has River Oaks Health And Rehabilitation Center been cited for resident harm?

It has $8,059 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 3 concerns on the latest reconcile. The full record for River Oaks Health And Rehabilitation Center appears in the record section above.

Does River Oaks Health And Rehabilitation Center use antipsychotic medications?

11.8 percent of long-stay residents at River Oaks Health And Rehabilitation Center are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 10.8 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is River Oaks Health And Rehabilitation Center's Palmelle Clarity Score?

River Oaks Health And Rehabilitation Center has a Palmelle Clarity Score of 52 out of 100, putting it near the national median. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact River Oaks Health And Rehabilitation Center?

River Oaks Health And Rehabilitation Center is located at 2416 NW 18TH ST, Fort Worth, TX 76106. Phone: (817) 626-5454. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is River Oaks Health And Rehabilitation Center a special focus facility?

River Oaks Health And Rehabilitation Center is not on the federal Special Focus Facility list, but it does have $8,059 in federal fines on record. See the penalties and status section above.

What does F-689 mean on River Oaks Health And Rehabilitation Center's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If River Oaks Health And Rehabilitation Center has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does River Oaks Health And Rehabilitation Center compare to other Fort Worth skilled nursing facilities?

River Oaks Health And Rehabilitation Center holds a Palmelle Clarity Score of 52. The full Fort Worth directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Fort Worth directory to compare more facilities by score, staffing, and inspection record.

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