Downtown Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Downtown Health and Rehabilitation Center is a 161-bed government-run nursing home in Fort Worth, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 93.6% nursing staff turnover (Texas average 55.3%).
Downtown Health and Rehabilitation Center
424 South Adams StreetFort Worth, TX 76104
Tarrant County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Downtown Health and Rehabilitation Center, nurse aides logged 1.97 hours per resident per day, about the same as the Texas average. With about 99 residents a day, that works out to roughly 196 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.00 | 2.32 |
| Licensed practical nurses | 0.92 | 0.95 | 0.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff | 3.24 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.83 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
93.6% of nursing staff at Downtown Health and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 88.9%.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $36,418 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 19, 2024 | Fine | $16,859 |
| Feb 21, 2024 | Fine | $10,225 |
| Sep 26, 2023 | Fine | $9,334 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Downtown Health and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Downtown Health and Rehabilitation Center
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Apr 23, 1986
- Councils: resident council
- Area: urban
Nursing homes near Downtown Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Arbor Lake Nursing & Rehabilitation, LLC Fort Worth · abuse citation | 0.2 | 123 | 1.92 | 3.11 | 52.7% | 2 | $14,676 |
| DFW Nursing & Rehab Fort Worth · SFF candidate · abuse citation | 0.3 | 98 | 2.04 | 3.31 | 17.4% | 1 | $317,302 |
| James L. West Center for Dementia Care Fort Worth · abuse citation | 0.6 | 112 | 2.86 | 4.57 | 33.9% | 3 | $63,236 |
| Trinity Terrace Fort Worth | 0.7 | 52 | 2.46 | 4.11 | 30.2% | 5 | None |
| Fort Worth Transitional Care Center Fort Worth | 0.8 | 136 | 1.64 | 3.09 | 68.8% | 1 | $51,036 |
| The Stayton at Museum Way Fort Worth | 1.1 | 46 | 2.90 | 4.64 | 37.8% | 5 | None |
| Park View Care Center Fort Worth | 3.3 | 179 | 2.77 | 4.02 | 51.9% | 1 | $290,829 |
| Arlington Heights Health and Rehabilitation Center Fort Worth · abuse citation | 3.4 | 170 | 2.06 | 3.27 | 91.6% | 1 | $31,539 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.