NursingHomes.io
    Back to listings
    Nursing home · Fort Worth, TX

    Downtown Health and Rehabilitation Center

    424 South Adams Street, Fort Worth, TX 76104

    CMS certification number: 455651 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance8173355781Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    161

    Residents / day

    93.2

    Ownership

    Government - Hospital district

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Government - Hospital district
    County
    Tarrant
    Certified beds
    161
    Average residents per day
    93.2
    First certified
    April 23, 1986

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    2 / 5
    Staffing
    2 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Tarrant, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    2.54
    n=69
    State peers
    2.76

    Nurse hours / resident / day

    This home
    3.23
    County peers
    3.48
    n=68
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.89
    County peers
    3.07
    n=68
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    52.70
    County peers
    50.05
    n=66
    State peers
    50.80
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 10.5% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 52.7% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    12
    Health citations
    51
    Resident measures
    17
    Ownership records
    17
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.22690
    Reported RN Staffing Hours per Resident per Day
    0.33783
    Reported LPN Staffing Hours per Resident per Day
    0.95011
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.93896
    Total number of nurse staff hours per resident per day on the weekend
    2.88711
    Registered Nurse hours per resident per day on the weekend
    0.14332
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03043
    Total nursing staff turnover
    52.7
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    Number of Facilities in Chain
    150
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    169
    Latitude
    32.7408
    Location
    424 South Adams Street,Fort Worth,TX,76104
    ZIP Code
    76104
    City/Town
    Fort Worth
    Longitude
    -97.336
    QM Rating
    3
    Abuse Icon
    Y
    Chain Name
    CREATIVE SOLUTIONS IN HEALTHCARE
    County/Parish
    Tarrant
    Provider Name
    Downtown Health and Rehabilitation Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    Government - Hospital district
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    424 South Adams Street
    Telephone Number
    8173355781
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    FANNIN COUNTY HOSPITAL AUTHORITY
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    1
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.18737
    Chain Average QM Rating
    3.4
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    161
    Provider SSA County Code
    910
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.84195
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    52.7
    Chain Average Staffing Rating
    1.4
    Number of Facilities in Chain
    150
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    455651
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    27084.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    56
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    100.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    93.2
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    232
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.7
    Rating Cycle 1 Health Deficiency Score
    56
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    232
    Rating Cycle 1 Standard Survey Health Date
    2026-03-12
    Rating Cycle 2 Standard Health Survey Date
    2024-12-19
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.39810
    Case-Mix RN Staffing Hours per Resident per Day
    0.58233
    Reported RN Staffing Hours per Resident per Day
    0.33783
    Adjusted LPN Staffing Hours per Resident per Day
    1.11960
    Case-Mix LPN Staffing Hours per Resident per Day
    0.72565
    Reported LPN Staffing Hours per Resident per Day
    0.95011
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    35
    Rating Cycle 1 Number of Standard Health Deficiencies
    4
    Rating Cycle 2 Number of Standard Health Deficiencies
    7
    Reported Licensed Staffing Hours per Resident per Day
    1.28794
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    7
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.28486
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.97636
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.93896
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.80256
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.28433
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    30
    Reported Total Nurse Staffing Hours per Resident per Day
    3.22690
    Registered Nurse hours per resident per day on the weekend
    0.14332
    Date First Approved to Provide Medicare and Medicaid Services
    1986-04-23
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03043
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.40216
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.89045
    Total number of nurse staff hours per resident per day on the weekend
    2.88711

    COMMUNITY EXPERIENCE

    Reviews of Downtown Health and Rehabilitation Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

    Find Google reviewsFind Yelp reviewsFind Reddit discussions

    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

    Apply for work at this facility

    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026