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HomeTexasDowntown Health and Rehabilitation Center

Downtown Health and Rehabilitation Center

424 S Adams St, Fort Worth, TX 761048173355781WebsiteGoogle Maps
3.6on Google(72 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
2/5
Beds
161
certified
This facility has been flagged for abuse.
3 fine(s) totaling $36,418

How Downtown Health and Rehabilitation Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.24 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.35 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
93.6%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.35 hours per resident per day, below the state average of 0.43.
Staff turnover is 93.6%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
36
deficiency citations
Inspected Dec 19, 2024
Most recent cycle
9
deficiency citations
Inspected Mar 12, 2026
The most recent cycle recorded 27 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Tarrant County 65+
247,826
11.7% of county
County Population
2,113,854
Tarrant County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Downtown Health and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Fort Worth, Texas with 161 certified beds. It has been operating since 1986. Its overall CMS rating is 1 out of 5.

Beds
161
Avg Residents/Day
99.4
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 23, 1986
Sprinklers
Yes
Council
Resident
County
Tarrant
Last Inspection
Mar 12, 2026
Deficiencies (Cycle 1)
9
Weighted Score
99.0
Infection Citations
0

Deficiency Citations (50)

F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 7, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 7, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 7, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 12, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 12, 2026Corrected: NoCycle: 1
F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: Mar 12, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 12, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 17, 2026Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 25, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 14, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: May 14, 2025Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 8, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 8, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2025Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 4, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 1, 2025Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 1, 2025Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 11, 2025Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 23, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 19, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Dec 4, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 12, 2024Corrected: NoCycle: 2
F0687Potential for Harm

Provide appropriate foot care.

Survey: Sep 5, 2024Corrected: NoCycle: 2

+ 20 more deficiencies

Total Fines
$36,418
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineSep 26, 2023
$9,334
FineFeb 21, 2024
$10,225
FineDec 19, 2024
$16,859

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.97 hrs
National avg: 2.32 hrs
LPN0.92 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.69 hrs
Total Nursing3.24 hrs
National avg: 3.86 hrs
Weekend Total2.83 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
93.6%
RN Turnover
88.9%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (17)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 31, 2017
HOLT, ERINMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 25, 2020
KEETON, WENDYMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 29, 2012
KISSLING, MONICAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 21, 2017
MCBEAN, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 30, 2021
SANDERSON, CLARKMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 29, 2012
TROMPLER, KELLYMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 22, 2022
HUGGINS, LINDACORPORATE DIRECTORIndividualN/ANov 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012
FORT WORTH IV ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2022
FORT WORTH IV ENTERPRISES, LLCADP OF THE SNFOrganizationN/ANov 1, 2022
AKINMERESE, OLAWALEADP OF THE SNFIndividualN/AApr 14, 2025
BLAKE, GARYADP OF THE SNFIndividualN/ANov 1, 2022
FORD, CHRISTINAADP OF THE SNFIndividualN/AApr 12, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Downtown Health and Rehabilitation Center and nearby alternatives.

All Texas facilities
Downtown Health and Rehabilitation Center
Fort Worth, TXCurrent facilityAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $36,418
Arbor Lake Nursing & Rehabilitation, LLC
Fort Worth, TX1,056 ftAbuse flag
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $14,676
DFW Nursing & Rehab
Fort Worth, TX1,584 ftAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $317,302
James L West Center for Dementia Care
Fort Worth, TX3,168 ftAbuse flag
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $63,236
Trinity Terrace
Fort Worth, TX3,696 ft
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Fort Worth Transitional Care Center
Fort Worth, TX4,224 ft
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $64,771
The Stayton at Museum Way
Fort Worth, TX1.1 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Downtown Health and Rehabilitation Center
Fort Worth, TX · Current facility
—1/52/51/5$36,418
Arbor Lake Nursing & Rehabilitation, LLC
Fort Worth, TX
1,056 ft2/52/51/5$14,676
DFW Nursing & Rehab
Fort Worth, TX
1,584 ft1/51/52/5$317,302
James L West Center for Dementia Care
Fort Worth, TX
3,168 ft3/52/54/5$63,236
Trinity Terrace
Fort Worth, TX
3,696 ft5/55/55/5None recorded
Fort Worth Transitional Care Center
Fort Worth, TX
4,224 ft1/51/51/5$64,771
The Stayton at Museum Way
Fort Worth, TX
1.1 mi5/54/54/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Downtown Health and Rehabilitation Center?▾
Downtown Health and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Downtown Health and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Downtown Health and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Downtown Health and Rehabilitation Center had any health inspection violations?▾
Downtown Health and Rehabilitation Center had 9 deficiency citations in its most recent health inspection (Mar 12, 2026). The current CMS dataset records 3 fine(s) totaling $36,418.
What are the staffing levels at Downtown Health and Rehabilitation Center?▾
Downtown Health and Rehabilitation Center provides 3.24 total nursing staff hours per resident per day, including 0.35 RN hours, 0.92 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 93.6%.
How many beds does Downtown Health and Rehabilitation Center have?▾
Downtown Health and Rehabilitation Center has 161 certified beds with an average of 99.4 residents per day, resulting in approximately 62% occupancy. The facility is Government - Hospital district owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Downtown Health and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in Fort Worth. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Downtown Health and Rehabilitation Center?▾
On Google Maps, Downtown Health and Rehabilitation Center has a rating of 3.6 out of 5 based on 72 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →