Nursing Home
Downtown Health and Rehabilitation Center
Certified beds
161
Avg. 99 residents a day
Ownership
Government
Hospital district
Medicare
Certified
Since Apr 1986
Medicaid
Certified
Since Apr 1986
CMS rating
1
Much below average
CMS star ratings
Staffing
| Role | This homeHome | Texas avgTX | U.S. avgU.S. | |
|---|---|---|---|---|
| Total nurse staffing | 3.24 | 3.39 | 3.86 | |
| Registered nurse (RN) | 0.35 | 0.43 | 0.68 | |
| Licensed practical nurse (LPN) | 0.92 | 0.95 | 0.86 | |
| Nurse aide | 1.97 | 2.01 | 2.32 | |
| Total nurse staffing, weekends | 2.83 | 2.98 | 3.42 | |
| Physical therapist | 0.03 | 0.07 | 0.07 |
This homeU.S. average
Staff turnover
| Measure | This homeHome | Texas avgTX | U.S. avgU.S. |
|---|---|---|---|
| Total nursing staff turnover | 93.6% | 55.3% | 45.8% |
| Registered nurse turnover | 88.9% | 54.6% | 42.9% |
Staffing is reported by the facility to CMS through payroll-based journal data. Texas and U.S. averages are calculated by WeFoundCare from the same CMS file (1,177 Texas and 14,680 U.S. facilities).
Inspections and penalties
Most recent inspection
11health deficiencies
Mar 12, 2026 · 4 standard, 7 complaint
Texas average: 9.4 · U.S. average: 9.2
Texas average: 9.4 · U.S. average: 9.2
Prior inspection
36health deficiencies
Dec 19, 2024 · standard and complaint surveys combined
Fines3 fines · $36,418
Payment denials0
Abuse citation flagFlagged
Special Focus FacilityNo
Care types offered
Nursing home
Skilled nursing, 161 Medicare-certified beds
Memory care
No Alzheimer certification on file
Location
424 S Adams St, Fort Worth, TX 76104
Tarrant County · 3.0 mi from the center of Fort Worth
Facility details
Legal business nameFannin County Hospital Authority
OperatorCreative Solutions in Healthcare
OwnershipHospital district government
Facilities in chain149
Medicare approvedApr 23, 1986
Chain average rating2.1 of 5
Resident and family councilResident council
Ownership change, last 12 monthsNo
Sprinklers in all required areasYes
CMS Certification Number455651
Source: CMS Care Compare, Nursing Home Provider Information, processed Sep 1, 2026.
Last updated on WeFoundCare: Oct 20, 2026.
Suggest a correctionLast updated on WeFoundCare: Oct 20, 2026.