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Data / Nursing homes / Texas / Downtown Health and Rehabilitation Center

Downtown Health and Rehabilitation Center, Fort Worth, TX: 2 star rating, fined $27,084 across 2 fines

Downtown Health and Rehabilitation Center in Fort Worth, TX is owned by Fannin County Hospital Authority, is rated 2 of 5 stars by Medicare, and was fined $27,084 across 2 fines in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on June 16, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
424 South Adams Street, Fort Worth, TX 76104
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
161
Residents per day
93 on average
Ownership type
Government, Hospital district
Legal business name
Fannin County Hospital Authority
Chain
Creative Solutions in Healthcare, 150 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$27,084 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 2 with actual harm or immediate jeopardy
Latest survey
June 16, 2026
CMS Certification Number
455651
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 19, 2024Fine$16,859Not listeddata.cms.gov
February 21, 2024Fine$10,225Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 16, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2026data.cms.gov
June 16, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2026data.cms.gov
May 7, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
May 7, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
May 7, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 12, 2026F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 12, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 12, 2026F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
March 12, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 17, 2026data.cms.gov
February 17, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 2, 2026data.cms.gov
November 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
May 14, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
May 14, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
May 8, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2025data.cms.gov
May 8, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 15, 2025data.cms.gov
May 8, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2025data.cms.gov
May 4, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 5, 2025data.cms.gov
April 1, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 2, 2025data.cms.gov
April 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 2, 2025data.cms.gov
February 11, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceDecember 29, 2024data.cms.gov
December 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 30, 2024data.cms.gov
December 19, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F825Provide or get specialized rehabilitative services as required for a resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 19, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
December 4, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 17, 2024data.cms.gov
December 4, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 17, 2024data.cms.gov
September 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
September 5, 2024F687Provide appropriate foot care.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 6, 2024data.cms.gov
September 5, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 6, 2024data.cms.gov
July 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 24, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
April 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 27, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2024data.cms.gov
April 20, 2024F914Provide bedrooms that don't allow residents to see each other when privacy is needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 23, 2024data.cms.gov
April 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 23, 2024data.cms.gov
April 20, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 23, 2024data.cms.gov
April 7, 2024F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2024data.cms.gov
March 5, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmPast noncomplianceFebruary 15, 2024data.cms.gov
February 21, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
February 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
February 21, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
December 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2023data.cms.gov
December 19, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2023data.cms.gov
November 15, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 15, 2023F814Dispose of garbage and refuse properly.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 15, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 15, 2023F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (8 managers, 3 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Fannin County Hospital AuthorityDirect owner100%March 31, 2017data.cms.gov
Fort Worth IV Enterprises, LLCOperational or managerial controlNot listedNovember 1, 2022data.cms.gov
Fort Worth IV Enterprises, LLCAdditional disclosable partyNot listedNovember 1, 2022data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.