Mallard Creek Therapy and Living Center
6649 North Riverside Dr, Fort Worth, TX 76137 · Tarrant County · (817) 847-1860
120 certified beds · For profit - Corporation · Medicare and Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 745061 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2026, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 6 health citations since July 2026 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
July 2, 2026Standard inspection · 6 citations
- E 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable, on 1 medication carts (hall 400 Nurses cart) and 1 medication room of 4 medication carts and 1 medication room reviewed for pharmacy services. The facility failed to ensure proper storage of acidophilus 1 billion (supplements used to support gut health and maintain a healthy balance of bacteria in the digestive tract) which required refrigeration per manufacturer's guidelines. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food and nutrition services. The facility failed to ensure an opened bottle of barbecue sauce was properly refrigerated after use in accordance with manufacturer instructions. The facility failed to ensure food items stored in the freezer were properly labeled with the contents after being removed from the original packages and dated to reflect when the food items were opened. The facility failed to ensure food packages stored in the freezer were properly sealed and secured. [...]
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 6 residents (Resident#18, Resident#50, Resident#55), reviewed for infection control. 1. The facility failed to ensure MA C sanitized the blood pressure cuffs between (Resident#18, Resident#50, Resident#55), to prevent the spread of infections. 2. The facility failed to ensure a hospice aide transported clean linen by methods that ensure cleanliness. These failures could place residents at risk for healthcare associated cross contamination and infections.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (Day Room) out of 1 Day Room reviewed for accidents and hazards. The facility failed to ensure that 1 of 1 mechanical lift in the Day Room was locked, secured, and stored in a secure designated area when not in use. This failure could place residents, visitors and staff at risk of falls and/or injuries.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for two (Resident #16 and Resident #47) of five residents reviewed for respiratory care. 1.) The facility failed to ensure that Resident #16's nebulizer mouthpiece was bagged in a plastic bag and stored in a drawer, which was consistent with professional standards. 2.) The facility failed to ensure that Resident #47's nebulizer mouthpiece was bagged in a plastic bag and stored in a drawer, which was consistent with professional standards. [...]
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 1 Resident (Resident# 52) of 10 Residents reviewed for pharmacy services. The facility failed to ensure proper disposal of Resident #52's Lorazepam Oral (prescribed for the short-term relief of anxiety, trouble sleeping, or acute stress) Tablet 0.5mg (controlled medication) by taping narcotic medication and storing it in the 400-hall medication cart. These failures could place residents at risk of drug diversion, medication error, and risk of pills contamination due to broken seals.
Fire safety inspections
2 fire safety citations on file: 2 on July 2, 2026.
Every fire safety citation2 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.39 | 3.86 |
| Registered nurses | not reported | 0.43 | 0.69 |
| All nursing staff on weekends | not reported | 2.98 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Texas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 29.2 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 11.5 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.3 | 3.2 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.8 | 4.6 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Mallard Creek Therapy and Living Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Diehl, Kelsey | Managing control - governing body | Individual | 05/01/2026 | |
| Jamal, Syed | Managing control - governing body | Individual | 05/01/2026 | |
| Thompson, Johnny | Corporate director | Individual | 05/01/2026 | |
| Burnam, Soon | Corporate officer | Individual | 05/01/2026 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Caprock Canyon Healthcare LLC | Operational/managerial control | Organization | 05/01/2026 | |
| Diehl, Kelsey | Operational/managerial control | Individual | 05/01/2026 | |
| Jamal, Syed | Operational/managerial control | Individual | 05/01/2026 | |
| Caprock Canyon Healthcare LLC | Adp of the SNF | Organization | 04/27/2026 | |
| Ensign Services Inc | Adp of the SNF | Organization | 02/13/2026 | |
| Riverside Drive Health Holdings LLC | Adp of the SNF | Organization | 05/01/2026 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Organization | 05/01/2026 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 05/01/2026 | |
| Diehl, Kelsey | Adp of the SNF | Individual | 05/01/2026 | |
| Jamal, Syed | Adp of the SNF | Individual | 05/01/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 2, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on July 2, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- North Pointe Nursing and Rehabilitation Watauga, 3.1 mi · 1 of 5 stars · 25 citations
- Life Care Center of Haltom Fort Worth, 3.8 mi · 3 of 5 stars · 27 citations
- Green Valley Healthcare and Rehabilitation Center Fort Worth, 4 mi · 1 of 5 stars · 35 citations
- The Lodge of Saginaw Health and Wellness Saginaw, 4.5 mi · 1 of 5 stars · 29 citations
- The Harrison at Heritage Fort Worth, 4.7 mi · 3 of 5 stars · 31 citations
- Richland Hills Rehabilitation and Healthcare Cente Fort Worth, 4.7 mi · 3 of 5 stars · 34 citations
- Marine Creek Nursing & Rehabilitation Fort Worth, 4.8 mi · 1 of 5 stars · 45 citations
- Avir at Emerald Hills North Richland Hills, 5 mi · 2 of 5 stars · 23 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Mallard Creek Therapy and Living Center's Medicare star rating?
- CMS does not give Mallard Creek Therapy and Living Center an overall star rating in the data as of September 1, 2026.
- How many deficiencies did Mallard Creek Therapy and Living Center get at its last inspection?
- 0 health deficiencies at the standard inspection on July 2, 2026. The Texas average is 9.4.
- Has Mallard Creek Therapy and Living Center been fined?
- CMS lists no fines in the last three years.
- Does Mallard Creek Therapy and Living Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Mallard Creek Therapy and Living Center?
- CMS lists 15 owners and managers, and links the home to The Ensign Group. Legal business name: WEST WHARTON COUNTY HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.