DOWNTOWN HEALTH AND REHABILITATION CENTER
424 S ADAMS ST, Fort Worth, TX 76104
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How DOWNTOWN HEALTH AND REHABILITATION CENTER Compares
DOWNTOWN HEALTH AND REHABILITATION CENTER is a 161-bed government-owned nursing facility in Fort Worth, Texas. It holds an overall CMS rating of 1 out of 5 stars, below the Texas average of 2.7 stars. Its lowest sub-rating is staffing at 1 star. Its rate of falls resulting in major injury (4.1%) is above the Texas average of 3.3% — a measure worth asking the staff about. With 161 certified beds, it has notable available capacity at roughly 65% occupied.
Among the 31 nursing facilities ElderVoice tracks in Fort Worth, 2 hold a 5-star rating and the local average is 2.4 stars.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 9.5% — about the same as the Texas average of 9.4%.
- Falls with major injury: 4.1% — worse than the Texas average of 3.3%.
- High-risk pressure ulcers: 3.2% — better than the Texas average of 4.0%.
- Short-stay rehospitalization: 30.6% — worse than the Texas average of 25.8%.
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Texas averages across 1176 facilities tracked by ElderVoice.
The Senior Community Around Fort Worth
Fort Worth sits in Tarrant County, where adults 65 and older make up about 11.3% of the population — a share of seniors in line with Texas as a whole (12.5% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 235,076 (11.3%)
- Median age
- 34.6 years
- Median household income
- $70,306
- Median home value
- $209,600
Demographics for Tarrant County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Fort Worth.
Facility Details
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