Downtown Health And Rehabilitation Center
Nursing Home Facility
424 S Adams St, Fort Worth, TX 76104

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.
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.
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
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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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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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.
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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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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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.
Show 3 more
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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.
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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.
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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.
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.
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
Resident & family reviews
No one has shared a review of Downtown Health And Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.