Texas nursing homes › Fort Worth › Downtown Health And Rehabilitation Center
Downtown Health And Rehabilitation Center
424 South Adams Street, Fort Worth, TX 76104 · Tarrant County · (817) 335-5781
⚠ Abuse icon — cited for abuse/neglect
Fewer inspection deficiencies (11) than 29% of nursing homes in Texas. Rated #20 of 32 nursing homes in Fort Worth by overall CMS stars. Nursing hours per resident day: 3.2 — below the Texas average of 3.39.
Quality details (CMS data, Oct 2026 release)
| Certified beds | 161 |
| Average residents per day | 99.4 |
| Ownership | Government |
| Participation | Medicare and Medicaid |
| Provider chain | CREATIVE SOLUTIONS IN HEALTHCARE |
| Nursing hours per resident per day | 3.24 (Texas average: 3.39) |
| — of which RN hours | 0.35 |
| — of which nurse aide hours | 1.97 |
| Staff turnover | 94% |
| RN turnover | 89% |
| Most recent health inspection | Mar 12, 2026 |
| Deficiencies cited (latest cycle) | 11 (Texas average: 9.4) |
| Weighted inspection score (lower is better) | 105 |
| Federal fines in past 3 years | 3 fine(s) totaling $36,418 |
| Payment denials / penalties | 3 |
Compare homes before you choose
Ratings change with every inspection cycle. Compare Downtown Health And Rehabilitation Center side by side with other homes in Fort Worth and check the latest red flags:
See all nursing homes in Fort Worth →More nursing homes in Fort Worth
Plan the cost of care in Texas
What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.
Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.