Nursing HomeMedicaid Investigative

Downtown Health and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

424 South Adams Street, Bricktown · Fort Worth, TX 76104|161 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

3.7/5

based on 80 Google reviews

(817) 335-5781 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (2/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (16 vs median 8.0)

Below average in Texas · Below recommended RN staffing · Below chain average · $38,486 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers excellent specialized services in wound care and physical rehabilitation that have helped many patients regain mobility. However, families must remain vigilant regarding hygiene standards and ensure that nursing responsiveness is adequate, especially during night shifts and weekends.

Google Reviews

80 reviews on Google

“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

Tap a score for details

Strengths

Exceptional wound care and physical therapy
Compassionate and dedicated nursing staff
Engaging activities and social programs
Supportive administrative and business office staff

Concerns

Unpleasant odors and hygiene issues (mentioned by 3 reviewers)
Slow nursing response times/understaffing (mentioned by 3 reviewers)
Inconsistent communication from nursing leadership (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 81 analyzed

How They Respond to Reviews

27%response rate

Generic

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.

Questions for Your Tour

1I noticed some wonderful feedback regarding your wound care and physical therapy services; could you tell me more about how your team approaches specialized rehabilitation?
2How does the nursing leadership ensure that communication remains consistent and clear between the staff and family members?
3What specific steps are being taken to ensure the facility maintains the highest standards of cleanliness and a fresh environment for all residents?
4Could you describe the variety of social programs and daily activities available to help residents stay engaged with one another?
5With the importance of medication safety in mind, what specific protocols do you have in place to ensure accurate and timely medication management?
6How does the nursing team handle medical emergencies or urgent care needs during the overnight hours?

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.”

Rehab patient · 2022★★★★★

“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.”

Physician partner · 2021★★★★★

“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.”

Long-term resident's family · 2025★★★★☆

Source: 80 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.41hrs

55%

Registered nurses for medical care

Total Nursing

3.23hrs

79%

All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.6%

Better than Avg

Here

1.6%

12.1%

2.5%

Tarrant

2.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility5.5%

Better than Avg

Here

5.5%

15.3%

14.9%

Tarrant

12.8%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility12.0%

Better than Avg

Here

12.0%

19.5%

18.4%

Tarrant

17.0%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility12.9%

Better than Avg

Here

12.9%

19.4%

14.2%

Tarrant

15.0%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility9.5%

Mixed vs Avgs

Here

9.5%

15.4%

9.4%

Tarrant

8.6%

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility5.3%

Worse than Avg

Here

5.3%

3.2%

Tarrant

2.3%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility49.2%

Worse than Avg

Here

49.2%

81.8%

89.2%

Tarrant

92.7%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility58.3%

Worse than Avg

Here

58.3%

79.7%

88.0%

Tarrant

90.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.8%

Worse than Avg

Here

2.8%

1.6%

1.5%

Tarrant

1.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies

3penalties

Above state avg (9.1)

45 complaint-triggered

$38,486 in fines

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.

Mar 12, 2026Routine5 findings

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Feb 17, 2026Complaint1 finding

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nov 25, 2025Complaint1 finding

0600Potential for harm · IsolatedCorrected

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.

May 14, 2025Complaint2 findings

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

May 8, 2025Complaint3 findings

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0656Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 4, 2025Complaint1 finding

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Federal Penalties

Fine

Dec 19, 2024

$16,859

Fine

Feb 21, 2024

$10,225

Fine

Sep 26, 2023

$9,334

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

FORT WORTH IV ENTERPRISES, LLC

Administrator

CHRISTY FORD

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 93 of 148

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Holt, ErinManaging Control - Governing BodyKeeton, WendyManaging Control - Governing BodyKissling, MonicaManaging Control - Governing BodyMcbean, PatriciaManaging Control - Governing BodySanderson, ClarkManaging Control - Governing Body

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(817) 335-5781

downtownhealthfw.com

zachary_willig@csnhc.com

424 South Adams Street

Fort Worth, TX 76104

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

80 reviews from families & visitors

Official Website

Visit downtownhealthfw.com

Medicare data downloads

Original nursing home datasets

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