BEDFORD WELLNESS & REHABILITATION
Open-data reference.
BEDFORD WELLNESS & REHABILITATION is a for profit - individual facility in BEDFORD, TX with 166 certified beds and a 3-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $26K.
2001 FOREST RIDGE DR, BEDFORD, TX 76021
Phone: 8175716804
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 455798
- Ownership
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Beds
- 166
- Residents
- 121
- In Hospital
- No
- County
- Tarrant
- Last Inspection
- Dec 11, 2025
Staffing Data
- RN Hours
- 0.53 (nat'l avg: 0.68)
- LPN Hours
- 0.85
- CNA Hours
- 1.85
- Total Nursing Hours
- 3.23 (nat'l avg: 3.89)
- PT Hours
- 0.04
- Nursing Turnover
- 49.6%
- RN Turnover
- 60.0%
What the CMS Record Reveals About BEDFORD WELLNESS & REHABILITATION
BEDFORD WELLNESS & REHABILITATION operates 166 certified beds in BEDFORD, TX with approximately 121 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 20 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $26K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.23 total nursing hours per resident day (national average 3.89), with RN coverage at 0.53 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, BEDFORD WELLNESS & REHABILITATION falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 49.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (20 most recent)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 12, 2025
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 12, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 12, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Nov 18, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 18, 2025
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 27, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 21, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 21, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 14, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 17, 2023
Ensure a qualified health professional conducts resident assessments.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 5, 2023
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 5, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jun 24, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 24, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 24, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.1% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.8% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.6% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.6% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 15.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 71.6% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 8.0% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | Yes |
Penalty History 2 penalties totaling $26K
| Date | Type | Amount |
|---|---|---|
| Sep 13, 2024 | Fine | $14K |
| Jun 23, 2023 | Fine | $12K |
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Frequently Asked Questions
What is the overall CMS rating for BEDFORD WELLNESS & REHABILITATION?
What are the staffing levels at BEDFORD WELLNESS & REHABILITATION?
How many beds does BEDFORD WELLNESS & REHABILITATION have?
Does BEDFORD WELLNESS & REHABILITATION have any deficiencies on record?
Has BEDFORD WELLNESS & REHABILITATION received any fines or penalties?
Who owns BEDFORD WELLNESS & REHABILITATION?
When was BEDFORD WELLNESS & REHABILITATION last inspected?
What quality measures are tracked for BEDFORD WELLNESS & REHABILITATION?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.