Nursing homes › Texas › Fort Worth › Downtown Health and Rehabilitation Center
424 South Adams Street, Fort Worth, TX 76104 · (817) 335-5781 · 161 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 state. Group record: average rating 2.1/5, 22 abuse citation icons, 6 facilities on the Special Focus list, $8,191,964 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 3.24 (Texas median: 3.27). RN hours: 0.35. Weekend total: 2.83. Nursing staff turnover: 94%.
In the downloaded CMS dataset: 52 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-16 | Ensure 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. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-16 | Provide and implement an infection prevention and control program. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-08 |
| 2026-05-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-05-08 |
| 2026-05-07 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-05-08 |
| 2026-03-12 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-04-17 |
| 2026-03-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-04-17 |
| 2026-03-12 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Health | corrected 2026-04-17 |
| 2026-03-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-04-17 |
| 2026-02-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-03-02 |
| 2025-11-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-11-26 |
| 2025-05-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-05-20 |
| 2025-05-14 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-05-20 |
| 2025-05-08 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2025-05-15 |
| 2025-05-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-05-15 |
| 2025-05-08 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-05-15 |
| 2025-05-04 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-05-05 |
| 2025-04-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-02 |
| 2025-04-01 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2025-04-02 |
| 2025-02-11 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-12-29 |
| 2024-12-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-12-30 |
| 2024-12-19 | Ensure 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. | E | Health | corrected 2024-12-20 |
| 2024-12-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-20 |
| 2024-12-19 | Provide or get specialized rehabilitative services as required for a resident. | E | complaint | corrected 2024-12-20 |
| 2024-12-19 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-12-20 |
| 2024-12-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-12-20 |
| 2024-12-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-12-20 |
| 2024-12-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-12-20 |
| 2024-12-04 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2024-12-17 |
| 2024-12-04 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-12-17 |
| 2024-09-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-09-13 |
| 2024-09-05 | Provide appropriate foot care. | E | complaint | corrected 2024-09-06 |
| 2024-09-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-09-06 |
| 2024-07-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-07-26 |
| 2024-07-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-07-26 |
| 2024-04-27 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2024-04-30 |
| 2024-04-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-04-30 |
| 2024-04-20 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2024-04-23 |
| 2024-04-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-04-23 |
| 2024-04-20 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | complaint | corrected 2024-04-23 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $16,859 |
| 2024-02-21 | Fine | $10,225 |
| 2023-09-26 | Fine | $9,334 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 03/31/2017 |
| HOLT, ERIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/25/2020 |
| KEETON, WENDY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/29/2012 |
| KISSLING, MONICA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/21/2017 |
| MCBEAN, PATRICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/30/2021 |
| SANDERSON, CLARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/29/2012 |
| TROMPLER, KELLY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/22/2022 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2022 |
| WILLIG, ZACHARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| SANDERSON, CLARK | Corporate Officer | Individual | NOT APPLICABLE | since 10/29/2012 |
| FORT WORTH IV ENTERPRISES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2022 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2022 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2022 |
How to cite this page: CareRecords, “Downtown Health and Rehabilitation Center — compliance, penalty and ownership record” (CCN 455651), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/downtown-health-and-rehabilitation-center-fort-worth-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455651. Corrections: data@carerecords.org.