Downtown Health and Rehabilitation Center

Nursing home in Fort Worth, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (817) 335-5781 Send a message Map ↗

Public-record details

Address: 424 South Adams Street, Fort Worth, TX 76104
Phone: (817) 335-5781
Listed under: Government-owned
Medicare CCN: 455651
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 161
Average residents per day: 99
Ownership: Government, hospital district
Legal business name: Fannin County Hospital Authority
Chain: Creative Solutions in Healthcare (149 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 23, 1986
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 455651. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 12, 2026. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 26, 2023 to Jun 16, 2026): 38 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Jun 16, 2026	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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jun 16, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
May 7, 2026	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
May 7, 2026	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
May 7, 2026	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
Mar 12, 2026	Reasonably accommodate the needs and preferences of each resident. Resident Rights	D Potential for more than minimal harm, isolated
Mar 12, 2026	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Mar 12, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care	D Potential for more than minimal harm, isolated
Mar 12, 2026	Provide and implement an infection prevention and control program. Infection Control	F Potential for more than minimal harm, widespread
Feb 17, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 25, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated
May 14, 2025	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $36,418 in the last three years.

Dec 19, 2024	Fine: $16,859
Feb 21, 2024	Fine: $10,225
Sep 26, 2023	Fine: $9,334

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.24 hours
Registered nurse (RN) time per resident per day: 0.35 hours
Nurse aide time per resident per day: 1.97 hours
Total nurse staffing on weekends: 2.83 hours
Nursing staff turnover (yearly): 94%
RN turnover (yearly): 89%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Fort Worth

All 31 in Fort Worth →