Nursing home
Downtown Health and Rehabilitation Center
424 S Adams St, Fort Worth, TX 76104 · Map
Government - Hospital district · Part of Creative Solutions In Healthcare (149 facilities) · 161 certified beds
Downtown Health and Rehabilitation Center is a Medicare-certified nursing home in Fort Worth, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.26 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 19, 2024 cited 16 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 4 fines totaling $38,486In CMS records: 4 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Downtown Health and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.26 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.93 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 16.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 4 fines totaling $38,486, 4 total penalties.
What inspectors found at Downtown Health and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Feb 17, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 14, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · May 4, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 424 S Adams St
Fort Worth, TX 76104 - CMS certification #
- 455651
- Ownership
- Government - Hospital district
- Certified beds
- 161
- Avg residents/day
- 105.7
- Provider type
- Medicare and Medicaid
- First certified
- 1986-04-23
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Downtown Health and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Texas Health Harris Methodist Fort Worth, Fort Worth. 0.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Arbor Lake Nursing & Rehabilitation, LLC, Fort Worth. 0.2 miles away, straight line.
- Nearest home health agency office
- Cook Childrens Home Health, Fort Worth. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76104 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Tarrant County Pd, Fort Worth, 0.1 miles away, straight line
Usrc Fort Worth, Fort Worth, 0.1 miles away, straight line (CMS rating 1 of 5 stars)
Cook Childrens Medical Center Dialysis Unit, Fort Worth, 0.4 miles away, straight line - Hospice
- 58 Medicare hospices tell CMS they serve ZIP code 76104.
Serenity Hospice, office in Fort Worth, 0.3 miles away, straight line
Halo Hospice, office in Fort Worth, 0.6 miles away, straight line
Everycare Hospice, office in Fort Worth, 0.7 miles away, straight line - Nearest geriatric medicine practice
- Premier Provider Health Pa, Fort Worth. 0.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Downtown Health and Rehabilitation Center a good nursing home?
CMS gives Downtown Health and Rehabilitation Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Downtown Health and Rehabilitation Center staffed?
Downtown Health and Rehabilitation Center reports 3.26 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Downtown Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Downtown Health and Rehabilitation Center have?
Downtown Health and Rehabilitation Center is certified for 161 beds.