Skilled Nursing Care at Home in Fort Worth, TX — BrightStar Care of Fort Worth/Granbury

Skilled nursing at home in Fort Worth, TX is clinical care provided by a licensed Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in a patient’s residence under physician orders. BrightStar Care of Fort Worth/Granbury delivers Joint Commission–accredited skilled nursing care at home across Fort Worth, Granbury, Weatherford, and 23 cities in our five-county service territory. As the only Joint Commission–accredited home care agency in the Fort Worth/Granbury territory, we hold every nurse and every care plan to the same clinical safety standards required of hospitals and surgical centers.

Skilled nursing at home allows patients to receive complex medical care—wound care, IV therapy, medication management, catheter care, ostomy care, feeding tube management, lab draws, injections, ventilator management, and tracheostomy care—without the cost, infection risk, or emotional toll of an extended facility stay. Our Registered Nurse Director of Nursing supervises every plan of care, coordinates directly with the patient’s physician, and ensures that clinical outcomes meet or exceed the standards set by The Joint Commission.

Call or text 817-377-3420 to speak directly with our care team—never wait on hold, never press a prompt, and your plan of care is discussed on your very first call.

What Is Skilled Nursing Care at Home?

Skilled nursing care at home refers to medical services that require the clinical judgment, training, and licensure of an RN or LVN and that are delivered in the patient’s own home rather than in a hospital, skilled nursing facility, or rehabilitation center. These services are ordered by a physician and documented in a formal plan of care that is reviewed, updated, and supervised by BrightStar Care’s RN Director of Nursing. Skilled nursing is fundamentally different from personal care or companion care because it involves clinical procedures that cannot be safely performed by a non-licensed caregiver.

At BrightStar Care of Fort Worth/Granbury, skilled nursing is not an add-on service—it is the clinical backbone of our agency. Every patient who receives skilled nursing from us benefits from a Director of Nursing who personally reviews the physician’s orders, builds the care plan, selects the nurse with the right specialty experience, and conducts quality assurance supervisory visits throughout the course of care. This level of clinical oversight is what distinguishes a Joint Commission–accredited agency from agencies that rely on contractor nurses with minimal supervision.

RN vs. LVN — Scope of Practice in Texas

The difference between an RN and an LVN in Texas is defined by scope of practice under the Texas Board of Nursing. Understanding this distinction matters when you are choosing a skilled nursing provider because it determines which clinical tasks can be performed in your loved one’s home and who must supervise them.

What a Registered Nurse (RN) Can Do

A Registered Nurse in Texas holds an associate’s or bachelor’s degree in nursing and has passed the NCLEX-RN examination. RNs are authorized to perform comprehensive nursing assessments, develop and modify care plans, administer all medications (including IV push medications), initiate and manage IV therapy, perform complex wound assessments and staging, supervise LVNs, educate patients and families on disease management, and exercise independent clinical judgment in response to changes in a patient’s condition. BrightStar Care’s RN Director of Nursing serves as the clinical authority for every skilled nursing case in our territory.

What a Licensed Vocational Nurse (LVN) Can Do

A Licensed Vocational Nurse in Texas completes a practical nursing program and passes the NCLEX-PN examination. LVNs are authorized to perform routine medication administration, dressing changes, catheter care, vital sign monitoring, blood glucose checks, injections, feeding tube administration, and ostomy care. LVNs in Texas must practice under the supervision of an RN or physician. At BrightStar Care, our LVNs are W-2 employees who receive ongoing training, competency evaluations, and direct supervision from our RN Director of Nursing. They never work in isolation.

How BrightStar Care Assigns Nurses

Our Director of Nursing evaluates every new patient referral to determine whether the physician’s orders require an RN, an LVN, or a combination of both. Complex cases—IV therapy, initial wound assessments, care plan development, patient education on new diagnoses—are handled by an RN. Ongoing skilled nursing tasks—routine dressing changes, medication administration, vital signs, catheter maintenance—may be performed by an experienced LVN under RN supervision. This model ensures clinical safety while keeping care accessible and cost-effective for families.

Director of Nursing Supervision Model

Every skilled nursing case at BrightStar Care of Fort Worth/Granbury is supervised by our RN Director of Nursing. This is not a corporate checkbox—it is the defining structural advantage of our clinical model and the primary reason we hold Joint Commission accreditation when other agencies in our territory do not.

The Director of Nursing performs the following functions on every skilled nursing case:

• Reviews physician orders and confirms clinical appropriateness of the care plan
• Conducts the initial in-home nursing assessment
• Develops a written plan of care with specific, measurable goals
• Selects and assigns the nurse with the best clinical match for the patient’s diagnosis
• Conducts supervisory visits at defined intervals to evaluate care quality and patient progress
• Communicates with the patient’s physician regarding changes in condition, medication adjustments, and care plan modifications
• Provides ongoing education and competency verification for all field nurses
• Reviews clinical documentation for accuracy and compliance

This supervision model creates a layer of clinical accountability that protects patients and gives families confidence that their loved one’s care is being managed by an experienced nurse leader, not just the individual nurse at the bedside.

What Skilled Nursing Includes — Our Clinical Services

BrightStar Care of Fort Worth/Granbury provides a comprehensive range of skilled nursing services at home, each ordered by a physician and supervised by our Director of Nursing. The following sections describe our core clinical capabilities in detail.

Wound Care

Wound care at home includes assessment, staging, cleaning, debridement assistance, dressing application, wound VAC (negative pressure wound therapy) management, infection monitoring, and coordination with wound care specialists. Our nurses manage surgical wounds, pressure ulcers (stages I through IV), diabetic ulcers, venous stasis ulcers, arterial wounds, skin tears, and burns. For a comprehensive guide to our wound care capabilities, visit our wound care and wound VAC management at home in Fort Worth page. For diabetic-specific wound management, see our diabetic wound care at home in Fort Worth guide.

IV Therapy

IV therapy at home involves the intravenous administration of antibiotics, hydration fluids, total parenteral nutrition (TPN), pain medications, or other physician-ordered infusions. BrightStar Care RNs are trained in peripheral IV access, PICC line care, midline maintenance, and central venous catheter management. IV therapy at home eliminates the need for daily trips to an infusion center and allows the patient to recover in a comfortable, familiar environment. For full details, read our IV therapy at home in Fort Worth guide.

Medication Management

Medication management at home encompasses medication reconciliation, administration of oral and injectable medications, patient and caregiver education on drug interactions and side effects, blood glucose monitoring for insulin-dependent diabetics, and coordination with pharmacies and prescribing physicians. Medication errors are the leading cause of preventable hospital readmissions, and our licensed nurses serve as the clinical safeguard against these errors. Learn more in our medication management at home in Fort Worth guide.

Catheter Care

Catheter care at home includes insertion (where authorized by physician order), maintenance, irrigation, monitoring for signs of urinary tract infection, and patient/family education on catheter hygiene. Our nurses manage indwelling (Foley) catheters, suprapubic catheters, and intermittent straight catheterization. Proper catheter care prevents catheter-associated urinary tract infections (CAUTIs), which are among the most common complications for homebound patients.

Ostomy Care

Ostomy care at home includes pouching system management, stoma assessment, peristomal skin care, irrigation (for colostomies where applicable), troubleshooting leaks and skin irritation, dietary guidance, and patient education on self-care. Our nurses support patients with colostomies, ileostomies, and urostomies, and we coordinate with wound/ostomy/continence (WOC) specialists when complex stoma complications arise. For complete details, visit our ostomy care at home in Fort Worth page.

Feeding Tube Management

Feeding tube management at home covers administration of enteral nutrition through nasogastric (NG), gastrostomy (G-tube/PEG), and jejunostomy (J-tube) tubes. Our nurses manage feeding schedules, flush protocols, medication administration through the tube, stoma site care, and troubleshooting complications such as clogging, displacement, and leakage. Feeding tube management requires clinical precision—incorrect technique can lead to aspiration pneumonia, malnutrition, or infection. Read our full guide on feeding tube management at home in Fort Worth.

Lab Draws and Specimen Collection

In-home lab draws allow patients to have blood work, cultures, and other specimens collected in the comfort of their home rather than traveling to a lab facility. This is particularly valuable for patients on anticoagulant therapy requiring frequent INR monitoring, patients receiving IV antibiotics who need trough and peak levels drawn, and homebound patients who cannot safely travel. BrightStar Care nurses collect specimens according to physician orders and transport them to the designated laboratory. For more information, see our in-home lab draws in Fort Worth guide.

Injections

Injection administration at home includes subcutaneous injections (insulin, blood thinners such as enoxaparin, immunosuppressants), intramuscular injections (antibiotics, hormones, vitamin B12), and patient education on self-injection technique. Our nurses ensure proper site rotation, dosage verification, and monitoring for adverse reactions.

Ventilator and Tracheostomy Care

Ventilator and tracheostomy care at home is among the most complex forms of skilled nursing. Our nurses manage ventilator settings (as prescribed), tracheostomy suctioning, trach tube changes, humidification systems, emergency airway protocols, and communication strategies for patients with limited verbal ability. Ventilator and trach patients require nurses with specialized training and demonstrated competency—our Director of Nursing verifies these competencies before assigning any nurse to a ventilator case. Pediatric ventilator and trach care is a core strength of our agency; see our pediatric nursing and private duty nursing at home in Fort Worth page for more.

Joint Commission Accreditation — What It Means for Skilled Nursing

Joint Commission accreditation is the gold standard for health care quality and safety in the United States. BrightStar Care of Fort Worth/Granbury is the only home care agency in our 23-city, five-county territory to hold this accreditation. For skilled nursing patients, this means every clinical process—from medication administration to infection control to documentation—is measured against the same standards used to accredit hospitals, surgical centers, and rehabilitation facilities.

Joint Commission surveyors conduct unannounced on-site inspections to verify compliance with standards that include:

• Infection prevention and control protocols
• Medication management safety
• Patient rights and informed consent
• Competency verification for all clinical staff
• Emergency preparedness planning
• Performance improvement and outcome measurement
• Accurate and timely clinical documentation

When you choose BrightStar Care for skilled nursing at home in Fort Worth, you are choosing an agency that has earned and maintained the same accreditation as Texas Health Harris Methodist, JPS Health Network, Cook Children’s Medical Center, and the other hospitals in our territory. No other home care provider in this market can make that claim.

Skilled Nursing vs. Personal Care — Understanding the Difference

Skilled nursing and personal care are fundamentally different levels of service. Understanding the distinction helps families choose the right care, avoid paying for more than they need, and ensure they are not settling for less than their loved one requires.

Skilled nursing involves clinical tasks that require a licensed nurse: wound care, IV therapy, medication administration, catheter management, lab draws, ventilator care, and clinical assessments. These services require physician orders and are supervised by a Director of Nursing.

Personal care involves assistance with activities of daily living (ADLs) that do not require clinical licensure: bathing, dressing, grooming, toileting, meal preparation, mobility assistance, and light housekeeping. Personal care is provided by trained Certified Nursing Assistants (CNAs) or Home Health Aides (HHAs). Learn more about this level of service in our personal care and bathing assistance at home in Fort Worth guide.

Many patients need both. A post-surgical patient, for example, may require skilled nursing visits for wound care and medication management three times per week, plus personal care assistance with bathing and meal preparation every day. BrightStar Care of Fort Worth/Granbury provides both under one roof, coordinated by a single Director of Nursing, which eliminates the confusion and communication gaps that arise when families cobble together services from multiple agencies.

When Physician Orders Require Skilled Nursing

A physician order for skilled nursing at home is required any time the patient needs clinical services that exceed the scope of a non-licensed caregiver. Common scenarios that trigger a physician order for skilled nursing include:

• Hospital discharge with wound care, IV therapy, or catheter management orders
• Post-surgical monitoring including incision care, drain management, and pain assessment
• New diabetes diagnosis requiring insulin education and blood glucose management
• Anticoagulant therapy requiring INR monitoring and dosage adjustments
• Chronic wound that is not healing under current treatment and requires reassessment
• New ostomy requiring patient education on pouching, skin care, and daily management
• Feeding tube placement requiring instruction on administration, flushing, and stoma care
• Ventilator-dependent patient transitioning from hospital to home
• Pediatric patient requiring private duty nursing for medical fragility
• End-of-life care requiring pain management, symptom control, and family support

If your loved one’s physician has written orders for any of these services, BrightStar Care of Fort Worth/Granbury can begin providing skilled nursing in the home—often within 24 hours of the order. Call or text 817-377-3420 to discuss your situation with our care team.

Hospital Discharge and Skilled Nursing at Home

Hospital-to-home skilled nursing is one of the most common pathways into our services. When a patient is discharged from any of the nine major hospitals in our territory—Texas Health Harris Methodist Fort Worth, JPS Health Network, Cook Children’s Medical Center, Baylor Scott & White Surgical Hospital, Texas Health Harris Methodist Southwest Fort Worth, Texas Health Specialty Hospital Fort Worth, Medical City Weatherford, Lake Granbury Medical Center, or Texas Health Harris Methodist Cleburne—they often leave with orders for skilled nursing services that must begin immediately.

BrightStar Care coordinates directly with hospital discharge planners and case managers to ensure a seamless transition. Our RN Director of Nursing reviews the discharge summary, reconciles medications, and has a nurse ready to be in the home the day of discharge. This proactive coordination prevents the dangerous gaps in care that lead to complications and hospital readmissions. For a complete guide to our discharge coordination process, read our hospital-to-home transitional care in Fort Worth page.

Texas Health Specialty Hospital Fort Worth deserves special mention as a 15-bed long-term acute care hospital (LTACH) that specializes in ventilator weaning and complex wound care. Patients discharged from this facility often have the most intensive skilled nursing needs—ventilator management, tracheostomy care, advanced wound therapy—and require an agency with the clinical depth to handle these cases safely at home. BrightStar Care is that agency.

Pediatric Skilled Nursing at Home

Pediatric skilled nursing at home in Fort Worth provides medically fragile children with the clinical care they need to thrive outside of a hospital setting. BrightStar Care of Fort Worth/Granbury provides private duty nursing for children who require ventilator management, tracheostomy care, feeding tube administration, seizure monitoring, medication management, and continuous clinical observation.

Our pediatric nurses work closely with families discharged from Cook Children’s Medical Center, the region’s premier pediatric hospital, as well as with pediatricians and pediatric specialists across the territory. Pediatric skilled nursing cases demand nurses who are not only clinically competent but who also understand the emotional complexity of caring for a child with serious medical needs. Our Director of Nursing selects pediatric nurses based on specialty experience, temperament, and demonstrated ability to work as a collaborative partner with parents and family caregivers.

For families navigating the NICU-to-home transition, PICU discharge, or long-term private duty nursing for a medically complex child, BrightStar Care provides the structure, supervision, and clinical excellence that parents deserve. Read our full pediatric nursing and private duty nursing at home in Fort Worth guide for complete details.

Overnight Nursing and Extended-Shift Skilled Nursing

Overnight skilled nursing at home is essential for patients whose clinical needs do not pause when the sun goes down. Ventilator-dependent patients require continuous monitoring. Post-surgical patients may need pain medication administration at scheduled overnight intervals. Patients with seizure disorders require observation through the night. Medically fragile children often need a nurse at the bedside 24 hours a day.

BrightStar Care of Fort Worth/Granbury provides overnight nursing shifts (typically 8 to 12 hours) and can staff 24-hour care with rotating nurse teams for patients who need around-the-clock clinical coverage. Our ability to staff extended-shift and overnight nursing cases with W-2 employed nurses—not independent contractors—means consistent quality, reliable attendance, and accountability to our Director of Nursing on every shift.

Insurance Coverage for Skilled Nursing at Home

Understanding how to pay for skilled nursing at home is one of the first questions families ask. The answer depends on the patient’s insurance, diagnosis, and care needs.

Medicare Advantage

Many Medicare Advantage plans cover skilled nursing at home when ordered by a physician and deemed medically necessary. Coverage varies by plan, and some plans require pre-authorization. BrightStar Care’s team assists families in verifying benefits and obtaining authorizations to minimize delays in care start.

Long-Term Care Insurance

Long-term care (LTC) insurance policies typically cover both skilled nursing and personal care in the home after a qualifying period. BrightStar Care works directly with LTC insurance carriers to submit claims, provide required documentation, and expedite reimbursement. If your loved one has an LTC policy, our team can review the policy terms and help you understand your benefits. Visit our cost of home care in Fort Worth guide for more information on payment options.

VA Benefits

Eligible veterans may receive skilled nursing at home through VA benefits, including the Aid and Attendance benefit and community care referrals. BrightStar Care of Fort Worth/Granbury serves veterans throughout our territory and coordinates with the VA North Texas Health Care System to ensure that care aligns with VA requirements. For a detailed look at veteran-specific benefits, visit our veterans home care in Fort Worth page.

Medicaid

Texas Medicaid and Medicaid waiver programs (such as STAR+PLUS) may cover skilled nursing at home for qualifying individuals. Medicaid coverage for home-based skilled nursing typically requires physician orders, a documented plan of care, and pre-authorization through the patient’s managed care organization.

Private Pay

Families who do not have insurance coverage or who need services that exceed their plan’s authorization can pay privately for skilled nursing at home. BrightStar Care provides transparent pricing and works with families to design a care plan that meets clinical needs while respecting budget constraints.

Coordination with Physicians and Medical Teams

Physician coordination is the foundation of safe skilled nursing at home. BrightStar Care of Fort Worth/Granbury maintains direct communication with the patient’s physician, specialist team, and any other providers involved in the case. Our RN Director of Nursing reports changes in the patient’s condition, requests order modifications when clinical needs evolve, and ensures that the home care plan remains aligned with the physician’s treatment goals.

This communication is not one-directional. Our nurses are trained to advocate for the patient—if a wound is not responding to the current treatment protocol, if a medication appears to be causing adverse effects, if a patient’s pain is not adequately controlled—our RN contacts the physician with a clinical assessment and recommended course of action. This proactive, collaborative approach is a hallmark of Joint Commission–accredited care and a practical advantage for families who want a home care agency that functions as a true extension of the medical team.

Skilled Nursing Across Our 23-City Territory

BrightStar Care of Fort Worth/Granbury provides skilled nursing at home across our entire service territory spanning 23 cities and five counties in the Fort Worth metropolitan area and the communities west and southwest of the city.

Tarrant County (west): Fort Worth (west side), Benbrook, White Settlement, River Oaks, Lake Worth, Sansom Park, and Lakeside.

Parker County: Aledo, Willow Park, Hudson Oaks, Weatherford, Annetta, and Springtown.

Hood County: Granbury, Tolar, Lipan, Cresson, Pecan Plantation, DeCordova, and Oak Trail Shores.

Somervell County: Glen Rose.

Palo Pinto County: Mineral Wells.

Johnson County (partial): Godley.

Whether your loved one lives in a high-rise near downtown Fort Worth or in a rural home outside Tolar, our nurses travel to the patient. Skilled nursing at home means clinical care comes to you—on your schedule, in your environment, supervised by our Director of Nursing. For community-specific information, visit our guides to home care in Fort Worth, home care in Granbury, home care in Weatherford, home care in Benbrook, and home care in Aledo.

Why Choose BrightStar Care for Skilled Nursing at Home in Fort Worth

Families in Fort Worth have options for home health care, but BrightStar Care of Fort Worth/Granbury offers distinct advantages that matter when clinical care is at stake.

• Joint Commission accreditation — the only home care agency in our 23-city territory to hold this standard
• RN Director of Nursing supervision on every skilled nursing case, not just an intake assessment
• W-2 employed nurses with background checks, drug screening, and ongoing competency training
• Full-spectrum clinical services including wound care, IV therapy, ventilator/trach care, medication management, lab draws, catheter care, ostomy care, and feeding tube management
• Physician coordination with proactive communication and clinical advocacy
• Same-day or next-day care start for hospital discharges and urgent referrals
• Both skilled nursing and personal care under one agency, one care plan, one Director of Nursing
• Coverage across 23 cities and five counties including rural communities where other agencies may not serve

When your loved one needs a nurse at home, you should not have to wonder whether the agency will show up, whether the nurse is qualified, or whether anyone is supervising the care. BrightStar Care eliminates those concerns by design.

How to Get Started with Skilled Nursing at Home

Starting skilled nursing at home with BrightStar Care of Fort Worth/Granbury is straightforward.

Step 1: Contact us. Call or text 817-377-3420. You will speak directly with a member of our care team—never wait on hold, never press a prompt, and your plan of care is discussed on your very first call. You can also fax referrals and documentation to (972) 379-0555.

Step 2: Share the physician’s orders. If you have discharge paperwork or a physician’s order, share it with us so our RN Director of Nursing can begin reviewing clinical needs immediately.

Step 3: In-home assessment. Our RN conducts a comprehensive assessment in the patient’s home to evaluate clinical needs, home safety, medication inventory, and family support resources.

Step 4: Care plan development. Our Director of Nursing builds a detailed care plan that aligns with physician orders, addresses all clinical and personal care needs, and establishes measurable goals.

Step 5: Nurse assignment and care start. We assign the nurse with the best clinical match for the patient’s needs, and care begins—often the same day or next day.

Frequently Asked Questions

What is skilled nursing care at home?

Skilled nursing care at home is medical care provided by a licensed Registered Nurse (RN) or Licensed Vocational Nurse (LVN) in a patient’s residence under physician orders. It includes clinical services such as wound care, IV therapy, medication management, catheter care, ostomy care, feeding tube management, lab draws, injections, and ventilator/tracheostomy care. BrightStar Care of Fort Worth/Granbury delivers Joint Commission–accredited skilled nursing across Fort Worth, Granbury, Weatherford, and 23 cities in our five-county service territory.

What is the difference between skilled nursing and personal care?

Skilled nursing involves clinical procedures that require a licensed nurse, such as wound care, IV therapy, medication administration, and catheter management. Personal care involves assistance with activities of daily living such as bathing, dressing, grooming, and meal preparation, provided by trained but non-licensed caregivers. Many patients need both levels of service. BrightStar Care of Fort Worth/Granbury provides both under one agency with a single Director of Nursing overseeing all care.

What is the difference between an RN and an LVN?

A Registered Nurse (RN) has a broader scope of practice in Texas, including the ability to perform comprehensive assessments, develop care plans, administer IV push medications, and exercise independent clinical judgment. A Licensed Vocational Nurse (LVN) performs clinical tasks such as medication administration, dressing changes, and vital sign monitoring under the supervision of an RN or physician. BrightStar Care assigns the appropriate nurse level based on the complexity of each patient’s physician orders.

Does Medicare cover skilled nursing at home?

Medicare Advantage plans may cover skilled nursing at home when ordered by a physician and deemed medically necessary. Traditional Medicare Part A covers skilled nursing in a skilled nursing facility after a qualifying hospital stay, and Medicare Part B may cover intermittent skilled nursing in the home through a certified home health agency. Coverage varies by plan and diagnosis. BrightStar Care of Fort Worth/Granbury helps families verify benefits and obtain necessary authorizations.

How quickly can skilled nursing start after a hospital discharge?

BrightStar Care of Fort Worth/Granbury can often begin skilled nursing services the same day as hospital discharge. Our RN Director of Nursing coordinates with the hospital discharge planner before the patient leaves the facility so that a nurse is ready to be in the home when the patient arrives. Call or text 817-377-3420 as early as possible in the discharge process to ensure the fastest care start.

What does the Director of Nursing do?

The Director of Nursing (DON) is a Registered Nurse who supervises every skilled nursing case at BrightStar Care of Fort Worth/Granbury. The DON reviews physician orders, conducts the initial assessment, develops the care plan, assigns nurses based on clinical expertise, performs supervisory visits, communicates with the patient’s physician, and ensures that all clinical documentation meets Joint Commission standards. This supervision model creates a layer of accountability that protects patients and ensures consistent care quality.

Can you provide skilled nursing in Granbury, Weatherford, and rural areas?

Yes. BrightStar Care of Fort Worth/Granbury provides skilled nursing across our entire 23-city, five-county territory, including Granbury, Pecan Plantation, DeCordova, Oak Trail Shores, Tolar, Lipan, Glen Rose, Mineral Wells, Weatherford, Aledo, Willow Park, Hudson Oaks, Annetta, Springtown, and Godley. Patients in rural communities receive the same RN-supervised, Joint Commission–accredited skilled nursing as patients in Fort Worth.

What types of wound care can your nurses provide at home?

Our nurses provide comprehensive wound care including assessment and staging, wound cleaning and debridement assistance, dressing changes, wound VAC (negative pressure wound therapy) management, infection monitoring, and coordination with wound care specialists. We manage surgical wounds, pressure ulcers, diabetic ulcers, venous stasis ulcers, arterial wounds, skin tears, and burns. Visit our wound care and wound VAC management at home in Fort Worth page for complete details.

Do you provide pediatric skilled nursing?

Yes. BrightStar Care of Fort Worth/Granbury provides pediatric skilled nursing and private duty nursing for medically fragile children, including ventilator management, tracheostomy care, feeding tube administration, seizure monitoring, and medication management. Our pediatric nurses work closely with families discharged from Cook Children’s Medical Center and with pediatric specialists across the territory. See our pediatric nursing and private duty nursing at home in Fort Worth page.

Can your nurses provide overnight or 24-hour care?

Yes. BrightStar Care provides overnight skilled nursing shifts and can staff 24-hour care with rotating nurse teams for patients who require continuous clinical monitoring. This includes ventilator-dependent patients, post-surgical patients needing scheduled medication administration, and medically fragile children. All overnight and extended-shift nurses are W-2 employees supervised by our Director of Nursing.

What is Joint Commission accreditation and why does it matter?

Joint Commission accreditation is the gold standard for health care quality and safety in the United States. It verifies that an agency meets rigorous standards for infection prevention, medication safety, patient rights, staff competency, emergency preparedness, and performance improvement. BrightStar Care of Fort Worth/Granbury is the only home care agency in our 23-city territory to hold this accreditation, which means our skilled nursing meets the same clinical standards required of hospitals.

How do I get a physician order for skilled nursing at home?

Contact your loved one’s primary care physician, specialist, or hospital discharge planner and request an order for home-based skilled nursing services. If you are unsure whether skilled nursing is appropriate for your situation, call or text BrightStar Care at 817-377-3420—our RN Director of Nursing can discuss the clinical picture, help determine what services are needed, and coordinate with the physician to obtain the necessary orders.

Ready to start skilled nursing at home? Call or text 817-377-3420 to speak with our care team today. You will never wait on hold, never press a prompt, and your plan of care is discussed on your very first call. You can also fax referrals and documentation to (972) 379-0555.