Bedford Wellness & Rehabilitation
2001 Forest Ridge Dr, Bedford, TX 76021 · Tarrant County · 166 certified beds · avg 140 residents/day · certified since Apr 5, 1989
Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 13, 2024 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 14, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (18)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 22, 2026 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 11, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Mar 26, 2025 | D · Potential for harm, one-off | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Sep 13, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 15, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 4, 2023 | E · Potential for harm, repeated | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. |
| Aug 4, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 2 | 1 | J ▲ |
| 2025 | 12 | 0 | F |
| 2026 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $13,627.
| Date | Type | Amount / length |
|---|---|---|
| Sep 13, 2024 | Fine | $13,627 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.45 | 3.46 | 3.95 | bottom 2% in Texas; bottom 3% in the U.S. |
| Registered Nurse hours | 0.36 | 0.44 | 0.69 | bottom 42% in Texas; bottom 16% in the U.S. |
| Weekend total nurse staffing | 2.17 | 3.04 | 3.50 | bottom 3% in Texas; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.34 | 0.48 | bottom 28% in Texas; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 57.8 | 55.3 | 45.8 | bottom 37% in Texas; bottom 20% in the U.S. |
| RN turnover (%) | 56.5 | 54.6 | 42.9 | bottom 46% in Texas; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.85, RN 0.42, weekend 2.52. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Coryell County Memorial Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/16/2018 |
| 2001 Forest Ridge Drive TX, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Byrom, David | Individual | Corporate Officer | NOT APPLICABLE | 08/16/2018 |
| Continuum Rehab Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Forest Ridge Post Acute, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/16/2018 |
| Garetz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/16/2018 |
| Gibraltar Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Gurwitz, Solomon | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Hagins, Elizabeth | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Haider, Munawar | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2015 |
| Kaplan, Esther | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Kaplan, Mordechai | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Magnolia Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Millennial Acquisitions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Mindle, Adam | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/25/2025 |
| Montgomery Sky Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Onwukegwu, Edwin | Individual | ADP of the SNF | NOT APPLICABLE | 08/21/2023 |
| Opco Ca Skilled Mgmt INC. | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Opco Texas Skilled Mgmt LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
| Oregon Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| La Dora Nursing and Rehabilitation Center | 0.5 mi | Bedford, TX | ★★★★★ | 5/5 | |
| Parkwood Village | 1.1 mi | Bedford, TX | ★★★★☆ | 4/5 | |
| Westpark Rehabilitation and Living | 1.5 mi | Euless, TX | ★☆☆☆☆ | 1/5 | |
| Hurst Plaza Nursing and Rehab | 1.6 mi | Hurst, TX | ★★★★★ | 5/5 | |
| Forum Parkway Health & Rehabilitation | 1.7 mi | Bedford, TX | ★★★☆☆ | 3/5 | |
| Oakmont Guest Care Center | 2.8 mi | Hurst, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Emerald Hills | 4.2 mi | North Richland Hills, TX | ★★☆☆☆ | 2/5 | |
| Glenview Wellness & Rehabilitation | 4.3 mi | North Richland Hills, TX | ★☆☆☆☆ | 2/5 | |
| Bear Creek Nursing and Rehabilitation | 5.3 mi | Grapevine, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Richland Hills | 5.4 mi | Richland Hills, TX | ★★★☆☆ | 3/5 | |
| Keller Oaks Healthcare Center | 5.7 mi | Keller, TX | ★★★★☆ | 4/5 | |
| Purehealth Transitional Care at THR Arlington | 5.8 mi | Arlington, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 455798.