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Nursing homesTexas › Downtown Health and Rehabilitation Center

Downtown Health and Rehabilitation Center

424 S Adams St, Fort Worth, TX 76104 · 8173355781 · 161 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★★☆☆☆ 2/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).

See all 149 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.24 (Texas median: 3.27). RN hours: 0.35. Weekend total: 2.83. Nursing staff turnover: 94%.

Inspection deficiencies

All-time on record: 50 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-07Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-05-08
2026-05-07Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-05-08
2026-05-07Respond appropriately to all alleged violations. Dcomplaintcorrected 2026-05-08
2026-03-12Provide and implement an infection prevention and control program. FHealthcorrected 2026-04-17
2026-03-12Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2026-04-17
2026-03-12Provide doctor's orders for the resident's immediate care at the time the resident was admitted. DHealthcorrected 2026-04-17
2026-03-12Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2026-04-17
2026-02-17Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2026-03-02
2025-11-25Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-11-26
2025-05-14Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Ecomplaintcorrected 2025-05-20
2025-05-14Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2025-05-20
2025-05-08Ensure that residents are free from significant medication errors. Ecomplaintcorrected 2025-05-15
2025-05-08Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2025-05-15
2025-05-08Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-05-15
2025-05-04Provide enough food/fluids to maintain a resident's health. Dcomplaintcorrected 2025-05-05
2025-04-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-04-02
2025-04-01Provide safe and appropriate respiratory care for a resident when needed. Dcomplaintcorrected 2025-04-02
2025-02-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2024-12-29
2024-12-23Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-12-30
2024-12-19Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. EHealthcorrected 2024-12-20
2024-12-19Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2024-12-20
2024-12-19Provide or get specialized rehabilitative services as required for a resident. Ecomplaintcorrected 2024-12-20
2024-12-19Provide and implement an infection prevention and control program. EHealthcorrected 2024-12-20
2024-12-19Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2024-12-20
2024-12-19Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2024-12-20
2024-12-19Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2024-12-20
2024-12-04PASARR screening for Mental disorders or Intellectual Disabilities Dcomplaintcorrected 2024-12-17
2024-12-04Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Dcomplaintcorrected 2024-12-17
2024-09-12Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-09-13
2024-09-05Provide appropriate foot care. Ecomplaintcorrected 2024-09-06
2024-09-05Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2024-09-06
2024-07-24Provide care and assistance to perform activities of daily living for any resident who is unable. Ecomplaintcorrected 2024-07-26
2024-07-24Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-07-26
2024-04-27Develop and implement policies and procedures to prevent abuse, neglect, and theft. Ecomplaintcorrected 2024-04-30
2024-04-27Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Ecomplaintcorrected 2024-04-30
2024-04-20Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Ecomplaintcorrected 2024-04-23
2024-04-20Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2024-04-23
2024-04-20Provide bedrooms that don't allow residents to see each other when privacy is needed. Dcomplaintcorrected 2024-04-23
2024-04-07Provide appropriate foot care. Dcomplaintcorrected 2024-04-10
2024-03-05Provide appropriate treatment and care according to orders, resident’s preferences and goals. Gcomplaintcorrected 2024-02-15

Federal penalties

DateTypeAmount
2024-12-19Fine$16,859
2024-02-21Fine$10,225
2023-09-26Fine$9,334

Ownership & control records (CMS filings)

NameRoleType%Since
FANNIN COUNTY HOSPITAL AUTHORITY5% Or Greater Direct Ownership InterestOrganization100%since 03/31/2017
HOLT, ERINManaging Control - Governing BodyIndividualNOT APPLICABLEsince 02/25/2020
KEETON, WENDYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/29/2012
KISSLING, MONICAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 06/21/2017
MCBEAN, PATRICIAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 08/30/2021
SANDERSON, CLARKManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/29/2012
TROMPLER, KELLYManaging Control - Governing BodyIndividualNOT APPLICABLEsince 02/22/2022
HUGGINS, LINDACorporate DirectorIndividualNOT APPLICABLEsince 11/01/2022
WILLIG, ZACHARYCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2025
SANDERSON, CLARKCorporate OfficerIndividualNOT APPLICABLEsince 10/29/2012
FORT WORTH IV ENTERPRISES, LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 11/01/2022
BLAKE, GARYOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/01/2022
BLAKE, MALISAOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/01/2022

Compare nearby (Tarrant County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455651. Corrections: data@carerecords.org.