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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasDowntown Health and Rehabilitation Center

Downtown Health and Rehabilitation Center

424 S Adams St, Fort Worth, TX 761048173355781
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
2/5
Beds
161
certified
This facility has been flagged for abuse.
4 fine(s) totaling $38,486

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 161 certified beds with an average of 105.7 residents per day (66% occupancy)

• Last health inspection found 17 deficiencies (inspected Dec 19, 2024)

• Has been fined a total of $38,486 across 4 fine(s)

• Total nursing staff: 3.26 hours per resident per day

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Downtown Health and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Fort Worth, Texas with 161 certified beds. It has been operating since 1986. The facility scored below average compared to Texas facilities.

Beds
161
Avg Residents/Day
105.7
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
Dec 19, 2024
Deficiencies (Cycle 1)
17
Weighted Score
137.0
Infection Citations
1

Deficiency Citations (51)

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: 1
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: 1
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: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 8, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2025Corrected: NoCycle: 1
F0692Potential for Harm

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

Survey: May 4, 2025Corrected: NoCycle: 1
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: 1
F0695Potential for Harm

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

Survey: Apr 1, 2025Corrected: NoCycle: 1
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: 1
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: 1
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: 1
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: 1
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: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 19, 2024Corrected: NoCycle: 1
F0825Potential for Harm

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

Survey: Dec 19, 2024Corrected: NoCycle: 1
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
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
F0677Potential for Harm

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

Survey: Sep 5, 2024Corrected: NoCycle: 2
F0687Potential for Harm

Provide appropriate foot care.

Survey: Sep 5, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Jul 24, 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: Jul 24, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Apr 27, 2024Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Apr 27, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 20, 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: Apr 20, 2024Corrected: NoCycle: 2
F0914Potential for Harm

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Survey: Apr 20, 2024Corrected: NoCycle: 2

+ 21 more deficiencies

Total Fines
$38,486
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineApr 26, 2023
$2,068
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 Aide1.93 hrs
National avg: 2.35 hrs
LPN0.94 hrs
National avg: 0.86 hrs
RN0.39 hrs
National avg: 0.68 hrs
Total Nursing3.26 hrs
National avg: 3.89 hrs
Weekend Total2.76 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
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 (7)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 31, 2017
FORT WORTH IV ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2022
HUGGINS, LINDACORPORATE DIRECTORIndividualN/ANov 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012

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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 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Downtown Health and Rehabilitation Center had any health inspection violations?▾
Downtown Health and Rehabilitation Center had 17 deficiency citations in its most recent health inspection (Dec 19, 2024). The facility has been fined a total of $38,486 across 4 fine(s). It also has 1 infection control citation(s).
What are the staffing levels at Downtown Health and Rehabilitation Center?▾
Downtown Health and Rehabilitation Center provides 3.26 total nursing staff hours per resident per day, including 0.39 RN hours, 0.94 LPN hours, and 1.93 nurse aide hours.
How many beds does Downtown Health and Rehabilitation Center have?▾
Downtown Health and Rehabilitation Center has 161 certified beds with an average of 105.7 residents per day, resulting in approximately 66% 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, there are 30 other nursing homes in Fort Worth, Texas with an average rating of 2.5/5. You can compare all facilities on the Fort Worth nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →