Downtown Health and Rehabilitation Center
424 S Adams St · Fort Worth, TX · 76104 · 8173355781
161 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $16,859 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $36,418 |
Inspection citations (48 in the current record)
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Potential for harm · D March 12, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 17, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected April 17, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · F March 12, 2026
Provide and implement an infection prevention and control program.
Corrected April 17, 2026 · Infection Control
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Potential for harm · D February 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 14, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 20, 2025 · Pharmacy Service
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Potential for harm · D May 8, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 15, 2025 · Pharmacy Service
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Potential for harm · D May 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 15, 2025 · Infection Control
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Potential for harm · D May 4, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 5, 2025 · Quality of Life and Care
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Potential for harm · D April 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · D April 1, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 2, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 11, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · D December 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D December 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D December 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · E December 19, 2024
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.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · E December 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 20, 2024 · Nutrition and Dietary
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Potential for harm · E December 19, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · E December 19, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D December 4, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 17, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 19, 2024 | Fine | $16,859 |
| February 21, 2024 | Fine | $10,225 |
| September 26, 2023 | Fine | $9,334 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455651 · certified since April 23, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.