Downtown Health And Rehabilitation Center
424 S Adams St, Fort Worth, TX 76104 · Tarrant County
Government · 161 certified beds · 62% occupancy · (817) 335-5781
The U.S. government (CMS) rates Downtown Health And Rehabilitation Center 1 out of 5 stars overall, much below average. Its nurse staffing is 1% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 93.6% · RN turnover: 88.9%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0880 · Mar 12, 2026Corrected Apr 17, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0600 · May 7, 2026ComplaintCorrected May 8, 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 Deficiencies
- Potential for harmTag F0609 · May 7, 2026ComplaintCorrected May 8, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0610 · May 7, 2026ComplaintCorrected May 8, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0558 · Mar 12, 2026Corrected Apr 17, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0635 · Mar 12, 2026Corrected Apr 17, 2026
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0677 · Mar 12, 2026Corrected Apr 17, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0677 · Feb 17, 2026ComplaintCorrected Mar 2, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0600 · Nov 25, 2025ComplaintCorrected Nov 26, 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 Deficiencies
- Immediate jeopardyTag F0600 · Feb 11, 2025ComplaintCorrected Dec 29, 2024
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 Deficiencies
Showing the 10 most recent and serious of 50 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.2 stars.