The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
DOWNTOWN HEALTH AND REHABILITATION CENTER
FORT WORTH, TX · Medicare-certified · 161 beds
Needs attention
Abuse citationGovernment-runChain member
1 of 5 overall
Downtown Health and Rehabilitation Center in Fort Worth has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. Reported nurse staffing is below the federal benchmark (3.23 vs. 4.1 hours per resident per day), and the facility has had $16,859 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.2269 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $16,859recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2269.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.89
- Nurse aides
- 1.93
- Weekend nursing
- 2.68
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.5%Improving
Residents with a fall causing major injury
4.1%Improving
Residents with pressure ulcers (bedsores)
3.2%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.6%Improving
Residents whose ability to walk got worse
5.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12%Worsening
Short-stay residents newly given an antipsychotic
2.8%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.9%Worsening
Residents with depressive symptoms
1.6%Worsening
Long-stay residents given the seasonal flu vaccine
96.7%Steady
Long-stay residents given the pneumonia vaccine
95.2%Worsening
Short-stay residents given the seasonal flu vaccine
58.3%Steady
Short-stay residents given the pneumonia vaccine
49.2%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2026 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,859 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $36,418 in total fines.
- $16,859
Federal fine
Dec 19, 2024
- $10,225
Federal fine
Feb 21, 2024
- $9,334
Federal fine
Sep 26, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 104.9 residents on an average day (65% of 161 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.