Nursing homeActive
Downtown Health and Rehabilitation Center
424 South Adams Street, Fort Worth, TX 761048173355781161 certified beds · 99 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
24
since 2023
Deficiencies
52
● 0● 49● 3
Penalties · 3 yrs
$36,418
3 fines
Last survey
2026-06-16
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-16 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-05-07 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2026-03-12 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2026-02-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-14 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-05-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-01 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-11 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-12-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-19 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-12-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-05 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-24 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-27 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-20 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-04-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-05 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-02-21 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-12-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-11-15 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455651-20260616-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455651-20260616-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 455651-20260507-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 455651-20260507-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-08Record 455651-20260507-F610
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455651-20260312-F558
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455651-20260312-F635
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455651-20260312-F677
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 455651-20260312-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-02Record 455651-20260217-F677
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-26Record 455651-20251125-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 455651-20250514-F609
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 455651-20250514-F755
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 455651-20250508-F656
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 455651-20250508-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 455651-20250508-F880
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-05Record 455651-20250504-F692
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-02Record 455651-20250401-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-02Record 455651-20250401-F695
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-29Record 455651-20250211-F600
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 455651-20241223-F755
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F825
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 455651-20241219-F880
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-17Record 455651-20241204-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-17Record 455651-20241204-F655
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 455651-20240912-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 455651-20240905-F677
F687Provide appropriate foot care.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 455651-20240905-F687
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 455651-20240724-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 455651-20240724-F689
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 455651-20240427-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 455651-20240427-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-23Record 455651-20240420-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-23Record 455651-20240420-F689
F914Provide bedrooms that don't allow residents to see each other when privacy is needed.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-23Record 455651-20240420-F914
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-10Record 455651-20240407-F687
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-15Record 455651-20240305-F684
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 455651-20240221-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 455651-20240221-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 455651-20240221-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 455651-20231219-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-20Record 455651-20231219-F689
F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 455651-20231115-F710
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 455651-20231115-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 455651-20231115-F814
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-14Record 455651-20231115-F921
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-16Record 455651-20230926-F684
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-12-19 | Civil money penalty | $16,859 | CMS · Penalties |
| 2024-02-21 | Civil money penalty | $10,225 | CMS · Penalties |
| 2023-09-26 | Civil money penalty | $9,334 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.35
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.24
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.83
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover94%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover89%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.5% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 6.3% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 12.6% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Blake, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fort Worth IV Enterprises, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Akinmerese, Olawale Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blake, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ford, Christina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fort Worth IV Enterprises, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holt, Erin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Keeton, Wendy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kissling, Monica Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcbean, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Trompler, Kelly Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Willig, Zachary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Creative Solutions In Healthcare — 149 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Tarrant.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Arbor Lake Nursing & Rehabilitation, LLC Fort Worth | 0.2 mi | 2026-05-19 | 0253 |
| DFW Nursing & Rehab Fort Worth | 0.3 mi | 2026-02-04 | 04513 |
| James L. West Center for Dementia Care Fort Worth | 0.6 mi | 2025-06-12 | 098 |
| Trinity Terrace Fort Worth | 0.7 mi | 2026-05-29 | 0100 |
| Fort Worth Transitional Care Center Fort Worth | 0.8 mi | 2026-04-08 | 0413 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |