Wedgewood Nursing Home
6621 Dan Danciger Rd, Fort Worth, TX 76133


Wedgewood Nursing Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455572. The address is 6621 Dan Danciger Rd, Fort Worth, TX 76133. The zip code is 76133. The phone number is 8172926330.


Wedgewood Nursing Home · 6621 Dan Danciger Rd, Fort Worth, TX 76133

Federal Provider Number 455572
Provider Name WEDGEWOOD NURSING HOME
Address 6621 DAN DANCIGER RD
FORT WORTH, TX 76133
Phone Number 8172926330
SSA County Code 910
County Name Tarrant
Ownership Type For profit - Corporation
Certified Beds 128
Certified Beds Residents 88
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PALO PINTO COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare Medicaid Services 07/01/1985
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.20852
Reported LPN Staffing Hours per Resident per Day 1.3358
Reported RN Staffing Hours per Resident per Day 0.38864
Reported Licensed Staffing Hours per Resident per Day 1.72443
Reported Total Nurse Staffing Hours per Resident per Day 3.93296
Expected CNA Staffing Hours per Resident per Day 2.20613
Expected LPN Staffing Hours per Resident per Day 0.66161
Expected RN Staffing Hours per Resident per Day 1.23843
Expected Total Nurse Staffing Hours per Resident per Day 4.10617
Adjusted CNA Staffing Hours per Resident per Day 2.45636
Adjusted LPN Staffing Hours per Resident per Day 1.67579
Adjusted RN Staffing Hours per Resident per Day 0.23448
Adjusted Total Nurse Staffing Hours per Resident per Day 3.86086
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 10/28/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 11/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 50.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $2639.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Wedgewood Nursing Home

Owner Name Role Association Date
BROOKS, HARRIS (Individual) DIRECTOR since 10/01/2014
BROOKS, HARRIS (Individual) MANAGING EMPLOYEE since 10/01/2014

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