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Nursing homeFAID #12141

Downtown Health and Rehabilitation Center

424 South Adams Street, FORT WORTH, TX, 76104
(817) 335-5781
downtownhealthfw.com
161 licensed beds

CMS rates Downtown Health and Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 63 citations across 27 inspections in the last three years, with $27,084 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of DOWNTOWN HEALTH AND REHABILITATION CENTER
Photo via Google · Downtown Health and Rehabilitation Center

Address

424 South Adams Street
Fort Worth, TX 76104
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Public record summary

What we can show you for free.
Bed capacity
161
CMS facility ID
455651
Care type
Nursing home
County
Tarrant
Facility name
Downtown Health and Rehabilitation Center
Street address
424 South Adams Street
City / state / ZIP
Fort Worth, TX 76104
Phone
(817) 335-5781
Website
downtownhealthfw.com

About this facility — Downtown Health and Rehabilitation Center

Downtown Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Fort Worth, Texas. It is licensed for 161 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 137 senior care facilities in Fort Worth and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Downtown Health and Rehabilitation Center 63 times across 27 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $27,084 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2017
Akinmerese, Olawale
Additional disclosable party — since 2025
Blake, Gary
Operational control · Additional disclosable party — since 2022
Blake, Malisa
Operational control — since 2022
Ford, Christina
Additional disclosable party — since 2025
Fort Worth Iv Enterprises, Llc
Operational control · Additional disclosable party — since 2022
Holt, Erin
Governing body — since 2020
Huggins, Linda
Director — since 2022
Keeton, Wendy
Governing body — since 2012
Kissling, Monica
Governing body — since 2017
Mcbean, Patricia
Governing body — since 2021
Sanderson, Clark
Governing body · Officer — since 2012
Trompler, Kelly
Governing body — since 2022
Willig, Zachary
Director — since 2025

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1986-04-23
CMS overall rating
2 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$27,084 total
Last standard inspection
2026-03-12
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$205 per day (≈ $6,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
87% Medicaid · 3% Medicare · 10% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
26% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
161
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-16Health inspectionComplaint-triggered2 citations
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2026-06-17
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-17
2026-05-07Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-08
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-05-08
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-05-08
24 earlier / fire-safety inspections (58 citations)
2026-03-12Health inspection4 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-04-17
F-0635
D · No harm found
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2026-04-17
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-17
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-17
2026-02-17Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-03-02
2025-11-25Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-26
2025-05-14Health inspectionComplaint-triggered2 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-20
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-20
2025-05-08Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-15
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-05-15
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-15
2025-05-04Health inspectionComplaint-triggered1 citation
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-05
2025-04-01Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-02
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-02
2025-02-11Health inspectionComplaint-triggered1 citation
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-29
2024-12-23Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-30
2024-12-19Health inspectionComplaint-triggered7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-20
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-20
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-20
F-0761
E · No harm found
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.
Corrected 2024-12-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-20
F-0825
E · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-12-20
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
2024-12-04Health inspectionComplaint-triggered2 citations
F-0645
D · No harm foundFrom a complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-12-17
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-17
2024-09-12Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-13
2024-09-05Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-06
F-0687
E · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-09-06
2024-07-24Health inspectionComplaint-triggered2 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-26
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
2024-04-27Health inspectionComplaint-triggered2 citations
F-0607
E · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-04-30
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-30
2024-04-20Health inspectionComplaint-triggered3 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-23
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-23
F-0914
D · No harm foundFrom a complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2024-04-23
2024-04-07Health inspectionComplaint-triggered1 citation
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-04-10
2024-03-05Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-15
2024-02-21Health inspectionComplaint-triggered3 citations
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-02-23
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-23
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-02-23
2023-12-19Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-20
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-20
2023-11-15Health inspection4 citations
F-0710
D · No harm found
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-12-14
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-14
F-0814
D · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-12-14
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-12-14
2026-03-12Fire-safety inspection1 citation
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-04-03
2024-12-19Fire-safety inspection8 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-18
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-01-18
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-01-18
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-01-31
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-01-17
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-17
K-0901
F · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-01-17
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-31
2023-11-15Fire-safety inspection3 citations
E-0004
C · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-14
K-0321
C · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-14
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-14

Federal penalties

2024-12-19Fine$16,859
2024-02-21Fine$10,225
Total fines$27,084
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455651.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
63
More than 91% of nursing homes in the state
State median: 33
Federal fines, 3 years
$27,084
More than 62% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.2
Higher than 42% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
53%
Higher than 57% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 10 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased15.2%15.8%13.5%Near state average
Lose too much weight3.6%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms1.7%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.5%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine92.4%96.4%93.7%Near state average
Ability to walk independently worsened9.9%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication13.1%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.5%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence11.2%12.5%18.3%Better than state
Received an antipsychotic medication3.6%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine39.0%88.7%82.3%Worse than state
Newly received an antipsychotic medication2.1%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine42.9%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission24.2%25.5%23.4%Near state average
Had an outpatient emergency department visit18.3%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 6 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0609 4 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-0677 4 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • F-0600 3 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

  • Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Texas Health Harris Methodist Fort Worth, about 0.2 miles. CMS rating 4 of 5.
  • Cook Childrens Medical Center, about 0.4 miles.
  • Medical City Fort Worth, about 0.6 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
3.784 ratings on Google
★★★★★Donnabelle Logan · 2026-04-08 · via Google

“I’ve had the opportunity to interact with the team at this skilled nursing facility, and their people truly stand out. The staff is compassionate, attentive, and consistently goes above and beyond to ensure residents feel cared for and respected. You can see the teamwork and dedication in the way they support both residents and families. It’s a team that leads with both skill and heart, and it re…”

★★★★★Ann MacQueenette · 2026-04-20 · via Google

“I recently visited this facility and the staff were very friendly and kind. I took a personal tour with the SW Althea. I never knew this facility was so big on the inside. After the tour I met with the administrator Christy and was able to learn alot more about the facility. I would recommend this facility. It was clean and the residents looked happy.”

★b w · 2026-07-09 · via Google

“My family member lives in memory care unit-about a year. Lots of sad looking, sedentary or wandering folks & highly medicated. VERY disorganized way w laundry! 🧺 They wash, store & hang all clothes in 1 room on 1 clothes rack! They give residents other people’s clothes-which don’t fit w many food stains. They don’t use residents own closets for safekeeping. Even if residents’ clothes are labele…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 63 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered