Downtown Health And Rehabilitation Center
424 South Adams Street, Fort Worth, TX 76104 · Tarrant County
Government · 161 certified beds · 62% occupancy · (817) 335-5781
Downtown Health And Rehabilitation Center reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.24 hrs/resident/day (-1% vs TX median)
- Antipsychotic drug use
- 6.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $36,418
- Inspection findings
- 52 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- Yes
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·What was the abuse-warning finding, and what has changed since?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Downtown Health And Rehabilitation Center
Is Downtown Health And Rehabilitation Center a good nursing home?
Downtown Health And Rehabilitation Center in Fort Worth, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Downtown Health And Rehabilitation Center staffed?
Downtown Health And Rehabilitation Center reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Downtown Health And Rehabilitation Center been fined or flagged for abuse?
Downtown Health And Rehabilitation Center has paid approximately $36,418 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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 F0761 · Jun 16, 2026Complaint
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Jun 16, 2026Complaint
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
Showing the 10 most recent and serious of 52 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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 2026-09-05. 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 2.1 stars.