DOWNTOWN HEALTH AND REHABILITATION CENTER
424 S ADAMS ST, FORT WORTH, TX 76104 · CCN 455651
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 161
- Avg residents/day
- 105.7
- Phone
- 8173355781
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-19 | 16 | 9.1 | 9.5 | +6.9 worse |
| 2 | 2023-11-15 | 20 | 9.4 | 9.8 | +10.6 worse |
| 3 | 2022-09-29 | 14 | 8.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.26 | — |
| RN staffing (reported) | 0.39 | — |
| Total nurse staffing (adjusted) | 3.91 | — |
Fines & penalties
- Total fines
- $38,486
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (50)1 immediate jeopardy3 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-25 · Health · corrected 2025-11-26
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-14 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-14 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-08 · Health · corrected 2025-05-15
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-05-08 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-05-04 · Health · corrected 2025-05-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-01 · Health · corrected 2025-04-02
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-01 · Health · corrected 2025-04-02
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-11 · Health · corrected 2024-12-29
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-23 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0761Ensure 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.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0825Provide or get specialized rehabilitative services as required for a resident.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-12-19 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-04 · Health · corrected 2024-12-17
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-04 · Health · corrected 2024-12-17
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-12 · Health · corrected 2024-09-13
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-05 · Health · corrected 2024-09-06
Potential for more than minimal harm
- EF0687Provide appropriate foot care.2024-09-05 · Health · corrected 2024-09-06
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-24 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-24 · Health · corrected 2024-07-26
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-04-27 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-27 · Health · corrected 2024-04-30
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-20 · Health · corrected 2024-04-23
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-20 · Health · corrected 2024-04-23
Potential for more than minimal harm
- DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2024-04-20 · Health · corrected 2024-04-23
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2024-04-07 · Health · corrected 2024-04-10
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-05 · Health · corrected 2024-02-15
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-21 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-21 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-02-21 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-19 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-19 · Health · corrected 2023-12-20
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2023-11-15 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-15 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2023-11-15 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-15 · Health · corrected 2023-12-14
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-26 · Health · corrected 2023-09-16
Actual harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-06-27 · Health · corrected 2023-07-24
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-26 · Health · corrected 2023-04-27
Actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-26 · Health · corrected 2023-04-27
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-29 · Health · corrected 2022-10-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-29 · Health · corrected 2022-10-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-29 · Health · corrected 2022-10-07
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-29 · Health · corrected 2022-10-07
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-09-29 · Health · corrected 2022-10-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 |
| FORT WORTH IV ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-11-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| SANDERSON, CLARK | Individual | CORPORATE OFFICER | — | 2012-10-29 |
Other facilities in FORT WORTH
| Name | Overall | Beds |
|---|---|---|
| TRINITY TERRACE | ★★★★★ | 52 |
| THE STAYTON AT MUSEUM WAY | ★★★★★ | 46 |
| VILLAGE CREEK NURSING & REHABILITATION | ★★★★☆ | 100 |
| RIVER OAKS HEALTH AND REHABILITATION CENTER | ★★★★☆ | 120 |
| LIFE CARE CENTER OF HALTOM | ★★★★☆ | 127 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.