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Public Record

Downtown Health and Rehabilitation Center

Nursing HomeFort Worth, TXCMS 455651
55 citations on record

Operated by Creative Solutions In Healthcare

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
161

*CMS

Avg. residents per day
104.9

*CMS

Inspection record

On record from CMS

Health citations
55

*CMS

Fire safety findings
13

*CMS

Inspections on file
29

*CMS

Last inspection
2026-03-12

*CMS

Citations

55 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0635Generalpotential for harm

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0600Generalpotential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0600Seriousimmediate jeopardy

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0550Generalpotential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0761Generalpotential for harm

    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.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0825Generalpotential for harm

    Provide or get specialized rehabilitative services as required for a resident.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0655Generalpotential for harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0687Generalpotential for harm

    Provide appropriate foot care.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0914Generalpotential for harm

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

  • 0687Generalpotential for harm

    Provide appropriate foot care.

  • 0684Seriousactual harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0921Generalpotential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0710Generalpotential for harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  • 0814Generalpotential for harm

    Dispose of garbage and refuse properly.

  • 0684Seriousactual harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0584Generalpotential for harm

    Honor 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.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0684Seriousactual harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0791Generalpotential for harm

    Provide or obtain dental services for each resident.

  • 0644Generalpotential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • InspectionFire Safety1 deficiency
    View inspection report
  • Inspection4 deficiencies
    View inspection report
  • Inspection1 deficiency

    455651 02/17/2026 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455651 11/25/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    455651 05/14/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    455651 05/08/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455651 05/04/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0692 Provide enough food/fluids to maintain a resident's health. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    455651 04/01/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455651 02/11/2025 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0600 Level of Harm - Immediate jeopardy to resident health or safety Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455651 12/23/2024 Downtown Health and Rehabilitation Center 424 S Adams St Fort Worth, TX 76104 F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a…

    Read full statement of deficiencies

Showing the 10 most recent inspections. 19 earlier inspections are also on record.

Ownership

Creative Solutions In Healthcare

149nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is Downtown Health and Rehabilitation Center?
Downtown Health and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Fort Worth, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 455651.
What is the CMS rating for Downtown Health and Rehabilitation Center?
Downtown Health and Rehabilitation Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Downtown Health and Rehabilitation Center have?
Downtown Health and Rehabilitation Center is certified for 161 beds. It serves an average of 104.9 residents per day.
How many citations does Downtown Health and Rehabilitation Center have?
Downtown Health and Rehabilitation Center has 55 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Downtown Health and Rehabilitation Center last inspected?
Downtown Health and Rehabilitation Center was last inspected on March 12, 2026. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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