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Downtown Health And Rehabilitation Center

Nursing Home Facility

424 S Adams St, Fort Worth, TX 76104

Nursing Home Care Senior Living
Downtown Health And Rehabilitation Center

Downtown Health And Rehabilitation Center is a senior care community located in Fort Worth, TX. It provides nursing home care and senior living for older adults in the Fort Worth area. To learn more or schedule a tour, call (817) 335-5781.

Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.

Employer rating 2.8 out of 5 254 reviews from their own employees on Indeed. See what they say.

With 161 beds, Downtown Health And Rehabilitation Center is smaller than most nearby options, senior care communities in Fort Worth average about 286 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Federal reporting puts occupancy at about 62% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Fort Worth average about 2.1 stars. Its most recent standard health inspection was in March 2026 and recorded 11 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 94%, which is high and can affect continuity of care.

The community is located in Tarrant County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 52 problems at Downtown Health And Rehabilitation Center. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 38 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $27,084.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected May 2026, after a complaint. Corrected by May 8, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected May 2026, after a complaint. Corrected by May 8, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected May 2026, after a complaint. Corrected by May 8, 2026.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026. Corrected by April 17, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected March 2026. Corrected by April 17, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Inspected March 2026. Corrected by April 17, 2026.

Show 3 more
  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected March 2026. Corrected by April 17, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected February 2026, after a complaint. Corrected by March 2, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected November 2025, after a complaint. Corrected by November 26, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Downtown Health And Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 161
  • Occupancy 62%
  • Nursing hours per resident/day 3.2
  • Annual staff turnover 94%
  • Last health inspection March 2026

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Resident & family reviews

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