🛡️ Free for Families · No Spam Calls · No Referral Fees · Built on Official Records
🏠 Is this your community?
Families are searching for a community like yours right now. Make sure they find you.
Downtown Health and Rehabilitation Center brings compassionate skilled nursing and rehabilitation care to Fort Worth, Texas. Our team focuses on helping patients regain independence through personalized recovery programs, medical expertise, and supportive environments designed for meaningful progress.
Capacity
161 residents
Location
Fort Worth, TX
Status
Listed in a public registry
424 S ADAMS ST, Fort Worth, Texas 76104
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 12, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 14 minutes with each resident a day, about the same as the Texas average.
Medicare fined Downtown Health and Rehabilitation Center 2 times in the last three years, $27,084 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 14 minutes |
| Registered nurse time per resident, per day | 21 minutesBelow the Texas average |
| Nursing staff who left in the past year | 94%Above the Texas average |
51 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 16, 2026 · Complaint investigation · 2 citations
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.
Provide and implement an infection prevention and control program.
May 7, 2026 · Complaint investigation · 3 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide and implement an infection prevention and control program.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Reasonably accommodate the needs and preferences of each resident.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Provide enough food/fluids to maintain a resident's health.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide or get specialized rehabilitative services as required for a resident.
Provide and implement an infection prevention and control program.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate foot care.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Provide appropriate foot care.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Dispose of garbage and refuse properly.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2 fines totaling $27,084 in the last three years.
424 S ADAMS STFort Worth, TX 76104
12 other communities within 10 miles
901 Pennsylvania Ave, Fort Worth, TX 76104
Call for pricing
Prices not published
921 W Cannon St, Fort Worth, TX 76104
Call for pricing
Prices not published
900 W Leuda St, Fort Worth, TX 76104
Call for pricing
Prices not published
State inspectors visited on March 12, 2026 and cited 11 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 3 hours 14 minutes with each resident per day, including 21 minutes from registered nurses. 94% of nursing staff left over the past year.
Yes. Medicare fined Downtown Health and Rehabilitation Center 2 times in the last three years, totaling $27,084.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.