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Downtown Health and Rehabilitation Center

424 South Adams Street, Fort Worth, Texas 76104

Overview

Downtown Health and Rehabilitation Center has a Medicare overall rating of 2 out of 5, below the Texas average of 2.8. It ranks 22nd of 31 nursing homes in Fort Worth. It scores best on quality of care (3 of 5) and lowest on health inspections (2 of 5).

Residents receive about 3.2 hours of nursing care per day, fewer than at 57% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.3 hours come from registered nurses.

Its most recent standard inspection, on March 12, 2026, found 11 health deficiencies, more than the Texas average of 9.6. 7 of them came from complaint investigations. Medicare records 2 fines totaling $27,084 in the past three years.

Downtown Health and Rehabilitation Center is a government-run facility with 161 certified beds, caring for about 93 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1986.

Medicare ratings

Overall
Health inspections
Quality of care
Staffing

Source: Medicare Care Compare, data as of October 1, 2026.

How it compares nearby

Ranked by Medicare overall rating, then quality, inspection and staffing ratings.

In Fort Worth22nd of 31 facilities

Top 71%

Within 100 miles242nd of 348 facilities

Top 70%

In Texas821st of 1,166 facilities

Top 71%

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Inspections and penalties

Most recent standard inspection
March 12, 2026
Health deficiencies cited
11
Complaint-related deficiencies
7
Fines in the last 3 years
2 totaling $27,084
Payment denials
0
Total penalties
2

Staffing

Average hours of care each resident receives per day.

  • All nursing staff3.23 hrs
  • Registered nurses (RN)0.34 hrs
  • Licensed practical nurses (LPN)0.95 hrs
  • Nurse aides1.94 hrs
  • Physical therapists0.03 hrs

Facility details

Ownership
Government - Hospital district
Certified beds
161
Average residents per day
93
Participates in
Medicare and Medicaid
Medicare/Medicaid since
April 23, 1986
Inside a hospital
No
Continuing care retirement community
No
Changed ownership in last 12 months
No
Resident or family council
Resident
Sprinklers in all required areas
Yes