Downtown Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 424 South Adams Street, Fort Worth, TX 76104
- CCN
- 455651
- Ownership type
- Government, hospital district
- Certified beds
- 161
- Residents per day
- 99
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Downtown Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 12 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $36,418 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Tarrant County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 71 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Mar 2026 | 11 | 8 |
| Cycle 2 | 19 Dec 2024 | 22 | 8 |
| Cycle 3 | No date | 19 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0761 | 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. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 16 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 7 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 May 2026 |
| 7 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 May 2026 |
| 7 May 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 May 2026 |
| 12 Mar 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Apr 2026 |
| 12 Mar 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 17 Apr 2026 |
| 12 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Apr 2026 |
| 12 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Apr 2026 |
| 17 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Mar 2026 |
| 25 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Nov 2025 |
Survey cycle 2: 22 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 20 May 2025 |
| 14 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 20 May 2025 |
| 8 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 May 2025 |
| 8 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 15 May 2025 |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 May 2025 |
| 4 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 5 May 2025 |
| 1 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2025 |
| 1 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 2 Apr 2025 |
| 11 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 29 Dec 2024 |
| 23 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Dec 2024 |
| 19 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0761 | 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. | E | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | Complaint investigation | 20 Dec 2024 |
| 19 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Dec 2024 |
| 4 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 17 Dec 2024 |
| 4 Dec 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 17 Dec 2024 |
| 12 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 13 Sep 2024 |
| 5 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Sep 2024 |
| 5 Sep 2024 | F0687 | Provide appropriate foot care. | E | Complaint investigation | 6 Sep 2024 |
Survey cycle 3: 19 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 26 Jul 2024 |
| 24 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 26 Jul 2024 |
| 27 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 30 Apr 2024 |
| 27 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 30 Apr 2024 |
| 20 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 23 Apr 2024 |
| 20 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 23 Apr 2024 |
| 20 Apr 2024 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Complaint investigation | 23 Apr 2024 |
| 7 Apr 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 10 Apr 2024 |
| 5 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 15 Feb 2024 |
| 21 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 23 Feb 2024 |
| 21 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 23 Feb 2024 |
| 21 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Feb 2024 |
| 19 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Dec 2023 |
| 19 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Dec 2023 |
| 15 Nov 2023 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 14 Dec 2023 |
| 15 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 14 Dec 2023 |
| 15 Nov 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 14 Dec 2023 |
| 15 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 14 Dec 2023 |
| 26 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Dec 2024 | Fine | $16,859 | |
| 21 Feb 2024 | Fine | $10,225 | |
| 26 Sep 2023 | Fine | $9,334 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.24 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.35 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.92 | 0.95 | |
| Nurse aides | 1.97 | 2.00 | |
| All nurse staff, weekends | 2.83 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 93.6%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 88.9%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Fannin County Hospital Authority
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 31 Mar 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Tarrant County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Arbor Lake Nursing & Rehabilitation, LLC | Fort Worth | 2 of 5 | 7 | $14,676 | 25 Jul 2025 | |
| DFW Nursing & RehabSpecial Focus candidate | Fort Worth | 1 of 5 | 24 | $317,302 | 1 Aug 2025 | |
| James L. West Center for Dementia Care | Fort Worth | 3 of 5 | 5 | $63,236 | 12 Jun 2025 | |
| Trinity Terrace | Fort Worth | 5 of 5 | 3 | $0 | 29 May 2026 | |
| Fort Worth Transitional Care Center | Fort Worth | 1 of 5 | 9 | $51,036 | 8 Apr 2026 | |
| The Stayton at Museum Way | Fort Worth | 5 of 5 | 3 | $0 | 24 Nov 2025 | |
| Park View Care Center | Fort Worth | 1 of 5 | 21 | $290,829 | 12 Feb 2026 | |
| Arlington Heights Health and Rehabilitation Center | Fort Worth | 1 of 5 | 12 | $31,539 | 11 Dec 2025 | |
| Stonegate Nursing and Rehabilitation | Fort Worth | 5 of 5 | 4 | $16,801 | 12 Feb 2026 | |
| River Oaks Health and Rehabilitation Center | Fort Worth | 1 of 5 | 12 | $60,095 | 17 Apr 2026 | |
| Marine Creek Nursing & Rehabilitation | Fort Worth | 1 of 5 | 7 | $23,621 | 18 Sep 2025 | |
| Fort Worth Wellness & Rehabilitation | Fort Worth | 1 of 5 | 7 | $122,336 | 17 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Downtown Health and Rehabilitation Center (CCN 455651). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/downtown-health-and-rehabilitation-center-fort-worth-tx-455651/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Downtown Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 19 Dec 2024.
- Who operates Downtown Health and Rehabilitation Center?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Downtown Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.