Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 81 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Families seeking rehabilitation services may find success here, as multiple reviewers praise the physical therapy and wound care departments for life-changing results. However, significant concerns exist regarding hygiene, specifically odors and cleanliness, and reports of inconsistent nursing responsiveness during night shifts.
Quality Themes
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Concerns
Rating Trends
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Distribution · 82 analyzed
The owner relies heavily on standardized templates that vary slightly depending on the star rating. While they attempt to personalize responses by using the reviewer's name, the core messaging is a repetitive script designed to redirect complaints to a customer care line.
Personalized based on this facility's data
Key Review Excerpts
“I've spent 6 weeks @ dthr.when I got here, I couldn't do anything. Now I can move around and do more than I thought I could do. I love the therapy dept. Rehab depth has good staff and they go above and beyond.”
“I am a physician that works with the facility's wound care nurse Michelle. Her skill and experience are second to none. I highly recommend Downtown H&R for wound care.”
“The staff from the administration to the custodians, were all so incredibly supportive and patient with my sister. Shout out to Head Nurse, Michelle, thank you for your phenomenal service and your unwavering dedication.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has a concerning pattern with 35 out of 62 deficiencies triggered by family complaints, indicating ongoing resident safety issues. The most frequent problems involve protection from abuse and neglect, accident prevention and resident safety, and medication management. Recent deficiencies from 2025 show these issues persist, including a serious abuse protection violation, suggesting problems are not being effectively resolved despite reported corrections.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Dec 19, 2024
$16,859
Fine
Feb 21, 2024
$10,225
Fine
Sep 26, 2023
$9,334
Fannin County Hospital Authority
for profit
FORT WORTH IV ENTERPRISES, LLC
CHRISTY FORD
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 93 of 148
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
81 reviews from families & visitors
Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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