Downtown Health and Rehabilitation Center
Nursing home in Fort Worth, TX
Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon
We send it to Downtown Health and Rehabilitation Center if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (817) 335-5781.
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
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 161
- Average residents per day
- 93
- Ownership
- Government, hospital district
- Legal business name
- Fannin County Hospital Authority
- Chain
- Creative Solutions in Healthcare (150 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
Inspection record
Most recent standard health inspection: Mar 12, 2026. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 15, 2023 to Jun 16, 2026): 37 from complaint inspections, 2 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… | D |
| Jun 16, 2026 | Provide and implement an infection prevention and control program. | D |
| May 7, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| May 7, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| May 7, 2026 | Respond appropriately to all alleged violations. | D |
| Mar 12, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| Mar 12, 2026 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D |
| Mar 12, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Mar 12, 2026 | Provide and implement an infection prevention and control program. | F |
| Feb 17, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Nov 25, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| May 14, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
Fines and payment denials
CMS records 2 fines totalling $27,084 in the last three years.
| Dec 19, 2024 | Fine: $16,859 |
| Feb 21, 2024 | Fine: $10,225 |
Staffing
- Total nurse staffing per resident per day
- 3.23 hours
- Registered nurse (RN) time per resident per day
- 0.34 hours
- Nurse aide time per resident per day
- 1.94 hours
- Total nurse staffing on weekends
- 2.89 hours
- Nursing staff turnover (yearly)
- 53%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 0
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
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