Government - Hospital district · 161 certified beds · CMS number 455651
Downtown Health and Rehabilitation Center, Fort Worth, TX
CMS records 52 health deficiencies at Downtown Health and Rehabilitation Center in Fort Worth, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 12, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $36,418 in the last three years.
- 52deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $36,418fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Downtown Health and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Downtown Health and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Mar 12, 2026. CMS counts 11 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 16, 2026 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2026
May 7, 2026 · Complaint inspection
3 deficiencies, highest D
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 8, 2026
Mar 12, 2026 · Standard inspection
4 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 17, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2026
Feb 17, 2026 · Complaint inspection
1 deficiency, highest D
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 2, 2026
Nov 25, 2025 · Complaint inspection
1 deficiency, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 26, 2025
Previous cycle: 22 deficiencies (standard inspection Dec 19, 2024)
Standard inspection Dec 19, 2024. CMS counts 22 health deficiencies and 8 fire safety deficiencies in this cycle.
May 14, 2025 · Complaint inspection
2 deficiencies, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 20, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 20, 2025
May 8, 2025 · Complaint inspection
3 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 15, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2025
May 4, 2025 · Complaint inspection
1 deficiency, highest D
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 5, 2025
Apr 1, 2025 · Complaint inspection
2 deficiencies, highest D
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 2, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 2, 2025
Feb 11, 2025 · Complaint inspection
1 deficiency, highest J
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Dec 29, 2024
Dec 23, 2024 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 30, 2024
Dec 19, 2024 · Standard + complaint inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
F825 · Therapy and rehabilitation services
Requirement cited (CMS): Provide or get specialized rehabilitative services as required for a resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
Dec 4, 2024 · Complaint inspection
2 deficiencies, highest D
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 17, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 17, 2024
Sep 12, 2024 · Complaint inspection
1 deficiency, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 13, 2024
Sep 5, 2024 · Complaint inspection
2 deficiencies, highest E
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 6, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
Earlier cycle: 19 deficiencies (standard inspection Nov 15, 2023)
Standard inspection Nov 15, 2023. CMS counts 19 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 24, 2024 · Complaint inspection
2 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 26, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 26, 2024
Apr 27, 2024 · Complaint inspection
2 deficiencies, highest E
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2024
Apr 20, 2024 · Complaint inspection
3 deficiencies, highest E
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 23, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 23, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 23, 2024
Apr 7, 2024 · Complaint inspection
1 deficiency, highest D
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2024
Mar 5, 2024 · Complaint inspection
1 deficiency, highest G
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 15, 2024
Feb 21, 2024 · Complaint inspection
3 deficiencies, highest D
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2024
Dec 19, 2023 · Complaint inspection
2 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2023
Nov 15, 2023 · Standard inspection
4 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
F710 · Physician approval and supervision
Requirement cited (CMS): Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 14, 2023
Sep 26, 2023 · Complaint inspection
1 deficiency, highest G
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 16, 2023
Tags cited in more than one inspection
13 tags cited on more than one inspection date at Downtown Health and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 6 | Apr 1, 2025; Dec 19, 2024; Sep 12, 2024; Jul 24, 2024; Apr 20, 2024; Dec 19, 2023 |
| F609 Reporting suspected abuse and crimes | 4 | May 7, 2026; May 14, 2025; Apr 27, 2024; Feb 21, 2024 |
| F677 Help with daily care | 4 | Mar 12, 2026; Feb 17, 2026; Sep 5, 2024; Jul 24, 2024 |
| F880 Infection prevention and control program | 4 | Jun 16, 2026; Mar 12, 2026; May 8, 2025; Dec 19, 2024 |
| F600 Freedom from abuse and neglect | 3 | May 7, 2026; Nov 25, 2025; Feb 11, 2025 (PNC) |
| F755 Pharmacy services and a consultant pharmacist | 3 | May 14, 2025; Dec 23, 2024; Dec 19, 2024 |
| F607 Abuse prevention policies | 2 | Apr 27, 2024; Feb 21, 2024 |
| F610 Investigating and responding to allegations | 2 | May 7, 2026; Feb 21, 2024 |
| F656 Comprehensive person-centered care plan | 2 | May 8, 2025; Dec 19, 2023 |
| F684 Quality of care | 2 | Mar 5, 2024 (PNC); Sep 26, 2023 (PNC) |
| F687 Foot care | 2 | Sep 5, 2024; Apr 7, 2024 |
| F761 Drug labeling and secure storage | 2 | Jun 16, 2026; Dec 19, 2024 |
| F812 Food safety and sanitation | 2 | Dec 19, 2024; Nov 15, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Dec 19, 2024 | Fine | $16,859 |
| Feb 21, 2024 | Fine | $10,225 |
| Sep 26, 2023 | Fine | $9,334 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.24 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.35 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.83 h
- Nursing staff turnover
- 93.6% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Downtown Health and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 424 South Adams Street, Fort Worth, TX 76104
- Phone
- (817) 335-5781
- County
- Tarrant
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 161
- Average residents per day
- 99.4
- In Medicare/Medicaid since
- Apr 23, 1986
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 6 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 4 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in Fort Worth and the same chain
- Park View Care Center
Fort Worth · 64 deficiencies - DFW Nursing & Rehab
Fort Worth · 61 deficiencies - Estates Healthcare and Rehabilitation Center
Fort Worth · 57 deficiencies - Ignite Medical Resort Fort Worth, LLC
Fort Worth · 46 deficiencies - Fort Worth Transitional Care Center
Fort Worth · 45 deficiencies - Marine Creek Nursing & Rehabilitation
Fort Worth · 45 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.