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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Wedgewood Nursing Home is a 128-bed skilled nursing community at 6621 Dan Danciger Rd in Fort Worth, Tarrant County, Texas, operating under private ownership by Michael Meisner and administered by Amy D Skiles. The facility has served the region for 53 years, accepting Medicare, Medicaid, and private-pay residents in a care model built primarily around long-term stays, with a reported average length of residence exceeding six months.
Regulatory oversight since 2022 has identified persistent deficiencies in multiple operational areas. Across 11 inspections, the facility documented 32 health citations; roughly double the state average annual rate, with substantiated failures in medication administration competency, clinical record documentation, infection control practices, admission procedures, and timely resident assistance. An Immediate Jeopardy finding in February 2024 involved a serious medication dosing error (corrected promptly by the facility). Federal penalties totaling $32,000 were issued in 2025.
Long-stay residents show better-than-average performance on functional decline measures, pressure ulcer prevention, hospital readmission rates, and infection indicators, running 26.6% above the Texas state benchmark.
The facility maintains staffing depth with nursing hours at 4 hours 5 minutes per resident per day, above state average, supplemented by strong RN presence (34 minutes daily, 31% above the state norm) and robust physical therapy services at 9 minutes per resident per day, roughly 125% above the state average.
Residents have access to physical therapy, occupational and speech therapy, wound care management, fine dining, and organized activities. Current occupancy stands at 65%, consistent with the state average. The facility holds an active license with full certification under CMS.
The facility suits long-term-care residents, particularly those needing sustained nursing oversight, therapy resources, or skilled wound and respiratory care in a Medicaid-supported setting.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 62nd out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▲ 22% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 11m per day | ▲ 25% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 1m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 15m per day | ▲ 9% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 78% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 30m per day | ▲ 42% State avg: 21m per day · National avg: 29m per day |
Similar to the Texas average: 63.5%Wedgewood Nursing Home is administrated by Amy D Skiles.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 6 | This facility has life safety citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Citations per year
Average citations per year since 2022.
| 1.5 | 1.5 | This facility has citations per year in line with the Texas average (1.5 vs. TX avg 1.5).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 32 citations resulted from standard inspections; 12 of 32 resulted from complaint investigations; and 2 of 32 came from combined inspections (standard and complaint).
50% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
10% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 41 CNA Staff are full-time employees. No contractors work on this role.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 0 | 41 | 11,860 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,140 | 92 | 100% | 8.5 |
| Registered Nurse | 7 | 0 | 7 | 3,510 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 8 | 0 | 8 | 3,315 | 92 | 100% | 8.6 |
| RN Director of Nursing | 5 | 0 | 5 | 1,853 | 77 | 84% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 898 | 74 | 80% | 5.5 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 61 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 476 | 65 | 71% | 7.2 |
| Physical Therapy Assistant | 2 | 0 | 2 | 431 | 62 | 67% | 6.8 |
| Physical Therapy Aide | 1 | 0 | 1 | 247 | 42 | 46% | 5.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 75 | 35 | 38% | 2.1 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
60% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jan 31, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 1, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.6
58% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.5
41% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.1%
68% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
7.0%
57% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.4%
5% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
27% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.3%
70% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.2%
37% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.4%
87% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
2.2%
73% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.84
14% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.17
92% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
8% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.6%
22% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.0%
83% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
18% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
72Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Wedgewood Nursing Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #262 / 297Payroll — State benchmarkedThis home is ranked 262nd out of 297 homes in Texas for payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
8.5 miles from city center
Estimated distance in miles from Fort Worth's city center to Wedgewood Nursing Home's address, calculated via Google Maps.
— 1.13 miles to nearest hospital (Texas Health Harris Methodist Hospital Southwest Fort Worth)
Add your location
Wedgewood Nursing Home is located in Fort Worth, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
134
TX AVG
80
Rank
#117 / 988 | 56.9% | -10% | 4.01 | +78% | +10% | $16.8k | 28 | 3.1 | 3 | 89 | A+ |
35
Facility
35
TX AVG
41
Rank
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
16
TX AVG
80
Rank
#809 / 988 | - | - | 3.32 | +32% | -8% | $0 | 17 | 5.7 | - | 83 | - |
1
Facility
1
TX AVG
41
Rank
#1346 / 1391 | - | $11.2M | $3.1M | 28% | 455929 | ||||
| Wedgewood Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Worth (Wedgwood) | 128
Facility
128
TX AVG
80
Rank
#153 / 988 | 64.8% | +2% | 4.09 | -5% | +13% | $31.8k | 32 | 2.9 | 3 | 82 | - |
29
Facility
29
TX AVG
41
Rank
#942 / 1391 | Michael Meisner | $9.5M | $3.1M | 32.7% | 455572 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
105
TX AVG
80
Rank
#342 / 988 | - | - | 3.34 | -46% | -8% | $88.0k | 34 | 2.1 | 3 | 102 | A- |
53
Facility
53
TX AVG
41
Rank
#433 / 1391 | Bryant Irvin Consulting LLC | $12.3M | $5.4M | 43.9% | 676067 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Facility
88
TX AVG
80
Rank
#441 / 988 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
41
Facility
41
TX AVG
41
Rank
#709 / 1391 | $12.9M | $7.3M | 56.4% | 455810 |
Wedgewood Nursing Home is in the Wedgwood neighborhood of Fort Worth.
The legal owner and operator of Wedgewood Nursing Home is Palo Pinto County Hospital District.
Wedgewood Nursing Home has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, Wedgewood Nursing Home's license number is 144002.
According to TX state health department records, Wedgewood Nursing Home's license expires on January 10, 2027.
Wedgewood Nursing Home's occupancy is 65%.
Amy D Skiles is the administrator of Wedgewood Nursing Home.
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