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Downtown Health and Rehabilitation Center, Fort Worth, Texas
- 52
- Citations from health inspectionsTexas average: 28 a home
- 3
- Residents harmed or put in dangerTexas average: 2.3 a home
- $36,418
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
24 inspection visits produced 52 citations. Residents were in immediate danger in one finding. Residents were found hurt in two cases. Federal fines came to $36,418 (three fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.24 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.35 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 93.6%against the Texas average of 55.3%
- Beds that are certified
- 161
- Ownership
- Hospital district (government)
- Chain
- Creative Solutions in Healthcare, with 149 homes
- Street address
- 424 South Adams Street, Fort Worth, Texas 76104
- County
- Tarrant
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated June 16, 2026
Three citations dated May 7, 2026
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated March 12, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F635 Doctor's Orders for Care at Admission: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated Feb. 17, 2026
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 25, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 14, 2025
Three citations dated May 8, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 4, 2025
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 1, 2025
One citation dated Feb. 11, 2025
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Dec. 23, 2024
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Dec. 19, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated Dec. 4, 2024
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 12, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Sept. 5, 2024
- F687 Proper Foot Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated July 24, 2024
Two citations dated April 27, 2024
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated April 20, 2024
- F914 Bedroom Privacy Between Residents: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated April 7, 2024
- F687 Proper Foot Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 5, 2024
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated Feb. 21, 2024
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 19, 2023
Four citations dated Nov. 15, 2023
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents.
One citation dated Sept. 26, 2023
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Dec. 19, 2024 | Fine | $16,859 |
| Feb. 21, 2024 | Fine | $10,225 |
| Sept. 26, 2023 | Fine | $9,334 |
Ownership and Management of the Home
- The home is run by Fort Worth IV Enterprises, LLC (operational or managerial control).
- The direct 100% owner is Fannin County Hospital Authority.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455651. Other homes in Fort Worth.