DOWNTOWN HEALTH AND REHABILITATION CENTER – FORT WORTH, TX

CMS Verified | 2026-03-01

Downtown Health And Rehabilitation Center

424 S ADAMS ST, Fort Worth, TX 76104
(817) 335-5781
161 beds
All Fort Worth facilities
2.0*
Overall
2.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
51.83
Score /100
#13797
National Rank

#13797
of 14703 facilities
National
6.2% position
#1107
of 1177 in TX
State Rank
#67
of 71 in Tarrant
County Rank
#30
of 31 in Fort Worth
City Rank
#3
of 4 in ZIP 76104
ZIP Rank






About Downtown Health And Rehabilitation CenterDowntown Health And Rehabilitation Center is located at 424 S Adams St, Fort Worth, TX, reachable at (817) 335-5781. This Government – Hospital district facility operates 161.0 certified beds and serves an average of 105 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 1986-04-23. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Downtown Health And Rehabilitation Center

Address

424 S Adams St, Fort Worth, TX 76104

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 161 Certified Beds
  • Ownership: Government – Hospital district
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 21 fine(s) over 5 years
5-Year Trend
Improving over 5 years
51.83
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13797 of 14703 nationally – #1107 of 1177 in Texas

Who Is This Facility Best For?

Downtown Health And Rehabilitation Center may be considered for families with limited options in Fort Worth, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightDowntown Health And Rehabilitation Center currently provides 3 hours 16 minutes of total nurse staffing per resident per day, including 24 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 16 minutes
Nurse Aide Hours1 hour 56 minutes
Licensed Practical Nurse (LPN) Hours56 minutes
Registered Nurse (RN) Hours24 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 46 minutes
Weekend Registered Nurse (RN) Hours12 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance Summary⚠️ CMS has flagged Downtown Health And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 4 fine(s) totaling $38,486. 80 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 4
Total Fines Amount $38486.0
Payment Denials 0
Total Penalties 4
Abuse Flag on Record Y
Total Weighted Health Survey Score 122.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,797
of 14,703
National
Bottom 10%
#1,107
TX State
Bottom 10% in TX
#67
of 71
️ Tarrant County
#67 of 71
#30
of 31
️ Fort Worth
#30 of 31
#3
of 4
ZIP 76104
#3 of 4

Nationally, Downtown Health And Rehabilitation Center ranks 13797th out of 14,703 facilities (composite score: 51.8/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1107th out of 1,177 nursing homes. In Fort Worth, it ranks 30th out of 31 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 4. For 2026 staffing: total nurse hours rank #11,419 nationally and RN hours rank #11,036 nationally (#509 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.91 #12,236 / 14,703 #862 / 1,177 ⚠️ Bottom 25%
2023 3.05 #11,590 / 14,703 #757 / 1,177 ⚠️ Bottom 25%
2024 2.65 #13,659 / 14,703 #1,010 / 1,177 ⚠️ Bottom 10%
2025 #14,282 / 14,703 #1,146 / 1,177 ⚠️ Bottom 5%
2026 3.26 #11,419 / 14,703 #580 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.45 #9,872 / 14,703 #347 / 1,177 Below average
2023 0.35 #11,195 / 14,703 #468 / 1,177 ⚠️ Bottom 25%
2024 0.22 #13,561 / 14,703 #930 / 1,177 ⚠️ Bottom 10%
2025 #14,282 / 14,703 #1,146 / 1,177 ⚠️ Bottom 5%
2026 0.39 #11,036 / 14,703 #509 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Downtown Health And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1986-04-23. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (817) 335-5781 or your local Medicaid office to verify current eligibility.

Downtown Health And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 51.8/100, placing it #13797 of 14703 facilities nationally and #1107 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Downtown Health And Rehabilitation Center receives a reported average of 3 hours 16 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 56 minutes; Nurse Aide — 1 hour 56 minutes. On weekends, total nurse staffing is 2 hours 46 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Downtown Health And Rehabilitation Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 4 fine(s) totaling $38,486. 80 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 4 fine(s) totaling $38,486, and 0 Medicare payment denial(s). Total penalties: 4. The Total Weighted Health Survey Score is 122.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Downtown Health And Rehabilitation Center ranks 13797th out of 14,703 facilities (composite score: 51.8/100), placing it in the bottom 25% nationwide. Within TX, it ranks 1107th out of 1,177 nursing homes. In Fort Worth, it ranks 30th out of 31 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 4. For 2026 staffing: total nurse hours rank #11,419 nationally and RN hours rank #11,036 nationally (#509 in TX). Our composite quality score of 51.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Fort Worth, visit: https://nursinghomesnearme.org/texas/fort-worth/

Contact and Location

ADR
Address

424 S ADAMS ST, Fort Worth, TX 76104
Get directions on Google Maps

TEL
LLC
Legal Name

FANNIN COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Tarrant County ·
Fort Worth ·
ZIP 76104

Facility Details

Number of Certified Beds 161
Average Residents / Day 105 (66% occupancy)
Ownership Type Government – Hospital district
Provider Type Medicare and Medicaid
County Tarrant County, TX
City Fort Worth, TX
ZIP Code 76104
Approved Since April 23, 1986
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 455651
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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