Downtown Health And Rehabilitation Center
424 SOUTH ADAMS STREET, Fort Worth, TX, 76104
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 161 · avg 106 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $38,486 total
State licensing & capacity
- License number
- 147612
- Service type
- Medicare/medicaid
- Licensed capacity
- 161 beds
- Bed type breakdown
- 43 Medicare-only · 118 Medicaid/Medicare
- Current license effective
- March 31, 2026
- Current license expires
- March 31, 2029
- Initial license date
- January 16, 1992
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fort Worth Iv Enterprises, Llc
- Administrator
- Christy Ford
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (14 on record)
- Olawale o Akinmerese
Adp of The Snf · since 2025
- Christina Ford
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Fort Worth iv Enterprises, Llc
Operational/managerial Control · 100% · since 2022
- Gary r Blake
Operational/managerial Control · since 2022
- Linda f Huggins
Corporate Director · since 2022
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 50)
- D0600·Nov 25, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0755·May 14, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0609·May 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·May 8, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0760·May 8, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0656·May 8, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0692·May 4, 2025Complaint
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0695·Apr 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20242 fines · $27K
- 20232 fines · $11K
Most recent events
- Dec 19, 2024Fine · $17K
- Feb 21, 2024Fine · $10K
- Sep 26, 2023Fine · $9,334
- Apr 26, 2023Fine · $2,068
Largest single fine on record: $17K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Dec 19, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Downtown Health And Rehabilitation Center is a 161-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding in the past 36 months and four fines totaling $38,486 since its last review period. Short-stay care rates 1 star; long-stay care rates 4 stars. The facility is operating at roughly 66% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 196 minutes of nursing care per day — roughly 45 minutes less than at a 4-star-staffing facility in Texas. Of that total, registered nurses account for approximately 24 minutes per day, compared to 37 minutes at a 4-star-staffing Texas facility. About 32% of Texas nursing homes share this staffing rating or lower.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That flag appears on the federal Care Compare record and reflects findings from health inspections during that window.
Four CMS fines totaling $38,486 have been assessed — more than double the Texas median of $20,699 per penalized facility. About 30% of Texas nursing homes have received no fines at all during the comparable period.
The facility is running at roughly 66% of its 161 licensed beds, with about 106 residents on an average day. Lower occupancy at a facility carrying safety flags and below-median staffing can reflect reduced referral volume from hospitals or other care providers.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and current safeguards
CMS recorded a substantiated abuse or neglect finding here within the past 36 months — ask what specific changes to staffing, training, or oversight were made in response.
Short-stay care outcomes
Short-stay quality measures rate 1 star while long-stay rates 4 stars — ask which conditions or outcomes drove that gap and how rehab discharges are tracked.
Daily registered nurse coverage
Reported RN time is about 24 minutes per resident per day — ask how many registered nurses are on the floor during a typical day shift and overnight.
Reasons behind current occupancy
The facility is at roughly 66% of licensed capacity — ask whether that reflects a waitlist pause, reduced hospital referrals, or planned bed closures.
Management company's role day-to-day
The licensee is a hospital district authority but day-to-day management runs through Fort Worth IV Enterprises — ask which entity sets staffing levels and handles complaint response.
Resident Council participation
A Resident Council meets here but no Family Council is listed — ask how families are notified of council outcomes and how they can raise concerns formally.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.