Downtown Health and Rehabilitation Center
Nursing home in Fort Worth, Texas, CMS certification number 455651
424 South Adams Street, Fort Worth, TX 76104 · Tarrant County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 161
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 12, 2026
- Deficiencies at that inspection
- 11
- Fines in 3 years
- $27,084 (2)
Does Downtown Health and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Downtown Health and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Downtown Health and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.23
- Registered nurse hours
- 0.34
- Licensed practical nurse hours
- 0.95
- Nurse aide hours
- 1.94
- Weekend total hours
- 2.89
- Nursing staff turnover
- 52.7%
- Registered nurse turnover
- 50%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on March 12, 2026 and cited 11 deficiencies, plus 7 from complaint visits.
The visit before, on December 19, 2024, found 7.
CMS shows an abuse icon for Downtown Health and Rehabilitation Center. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Downtown Health and Rehabilitation Center 2 times in the past 3 years, for $27,084 in total.
Beds and residents
On an average day 93.2 residents live here, about 58% of its 161 certified beds.
- Certified beds
- 161
- Average residents per day
- 93.2
- Certified since
- April 23, 1986
- Resident or family council
- Resident
Who owns Downtown Health and Rehabilitation Center
- Legal business name
- Fannin County Hospital Authority
- Ownership type
- Government - Hospital district
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Downtown Health and Rehabilitation Center
- Arbor Lake Nursing & Rehabilitation, LLC901 Pennsylvania Ave, Fort Worth 76104
- DFW Nursing & Rehab900 W Leuda St, Fort Worth 76104
- James L. West Center for Dementia Care1111 Summit Ave, Fort Worth 76102
- Trinity Terrace1600 Texas Street, Fort Worth 76102
- Fort Worth Transitional Care Center850 12Th Avenue, Fort Worth 76104
See also all nursing homes in Fort Worth.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 32 in Fort Worth, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Downtown Health and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Downtown Health and Rehabilitation Center
What is the CMS star rating of Downtown Health and Rehabilitation Center?
2 out of 5 stars overall.
Does Downtown Health and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Downtown Health and Rehabilitation Center?
11 cited at the last standard visit.
Who owns Downtown Health and Rehabilitation Center?
Fannin County Hospital Authority, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.