Downtown Health and Rehabilitation Center

    424 S Adams St, Fort Worth, TX 76104
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.66·(87)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.2
    • Meals

      4.5
    • Amenities

      2.0
    • Value

      3.7

    Pros

    • Compassionate, attentive nursing care
    • Supportive certified nursing assistants and social workers
    • Skilled wound-care nursing
    • Effective inpatient rehab and therapy services
    • Engaging activities program and special events
    • Welcoming, home-like atmosphere
    • Helpful and knowledgeable admissions team
    • Assistance with Medicaid and care coordination
    • Well-liked dining options and dietary support
    • Clean and well-maintained common areas
    • Punctual transportation services
    • Strong teamwork and staff development focus

    Cons

    • Inconsistent staffing levels and high turnover
    • Gaps in medication administration and medication-management processes
    • Delays in nursing responsiveness, particularly at night
    • Poor family communication and shift-to-shift information transfer
    • Inconsistent infection-control practices and PPE/signage availability
    • Laundry and personal-belongings management gaps
    • Sanitation concerns and localized odor issues
    • Variability in care quality across units (including memory care)
    • Restrictive or poorly coordinated visitation and access procedures
    • Gaps in end-of-life communication and family notification
    • Allegations of financial or guardianship misconduct

    Summary of reviews

    The review set shows a facility with clear strengths and recurring operational challenges. Many families and residents describe compassionate, attentive clinical staff—nurses, CNAs, social workers—and single-discipline strengths such as skilled wound care and an active rehab/therapy program. Multiple reviewers highlighted a welcoming, home-like environment, an engaging activities program with a proactive activity director, helpful admissions and administrative personnel, assistance with Medicaid planning, and generally favorable dining experiences. Transportation and punctuality of drivers and specific staff members received positive mention, as did examples of teamwork and staff development.

    At the same time, there is a consistent pattern of operational concerns. Staffing instability and turnover are prominent themes and appear linked to delays in responding to resident needs—particularly overnight—and to variability in care across units (memory care was singled out as having fewer activities and less consistent staffing). Several reviews raise concerns about medication administration and medication-management processes, including delayed or missed doses. Family communication and shift-to-shift information transfer also emerge as a repeated issue, with some families describing difficulty reaching staff, limited access coordination, and gaps in notification following significant clinical events.

    Facility and logistics issues are mixed. Many reviewers describe clean, well-maintained common areas and positive impressions of housekeeping and maintenance; however, others described sanitation concerns in specific areas and odor issues. Laundry and personal-belongings management was cited as inconsistent. Infection-control practices were another inconsistent area: some reviewers praised pandemic-era precautions while others noted limited PPE availability or unclear signage. Dining and dietary support are generally viewed positively, though meal-service continuity may be affected by broader staffing constraints.

    Management and culture also show contrasts. Several reviews praise leadership, an invested management team, and staff-development efforts that support a sense of community and dignity. Conversely, some accounts describe poor customer-service interactions, concerns about conduct or tone from individual staff or night-shift personnel, and even serious allegations related to guardianship or financial conduct. These latter claims are significant and merit direct inquiry during any prospective-family evaluation.

    In sum, the facility presents a mix of strong clinical and rehabilitative capabilities and person-centered elements—especially when staffing is sufficient—alongside operational weaknesses tied largely to staffing levels, communication processes, medication management, and consistency of cleanliness and laundry services. Prospective residents and families should consider on-site observation, targeted questions about staffing ratios, medication-safety protocols, visitation/access procedures, infection-control practices, and documentation of grievance or allegation resolution when evaluating this provider.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Downtown Health and Rehabilitation Center is located at 424 S Adams St, Fort Worth, TX, 76104.

    About Downtown Health and Rehabilitation Center

    Downtown Health and Rehabilitation Center offers skilled nursing care and supports seniors who need daily medical help, providing both long-term care and short-term rehabilitation services so families can feel a little more at ease knowing there's always trained staff available to assist with medical needs, and the center also offers in-house dialysis and specialized vent care for residents who require these services, which isn't something you see everywhere, and caring staff members put effort into making sure residents feel comfortable and supported, and they're part of the Creative Solutions in Healthcare family network, so they can connect residents to different care options if their needs change over time, and there's a full calendar of activities for residents, including social, educational, and entertaining programs to help people keep their minds sharp, their bodies active, and to encourage building friendships, and the memory care program is designed to support those living with dementia or Alzheimer's, giving them a safe setting and extra attention, and the building itself is made to help people stay as independent as they can while still offering plenty of support when it's needed, and you'll find that the staff are always working to improve how things are run and how care is delivered, so if you want to see the place firsthand, private tours are available, and there's always a way to reach someone from the care team if you have questions or need to talk about anything, and being part of a larger network helps the center stay connected to resources for veterans and other special groups, so while it's not the fanciest or biggest place out there, Downtown Health and Rehabilitation Center works to create a compassionate and comfortable environment where people can feel cared for.

    People often ask...

    Downtown Health and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 19 photos of Downtown Health and Rehabilitation Center on Mirador.

    The full address for this community is 424 S Adams St, Fort Worth, TX 76104.

    No, Downtown Health and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqHfQAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity161 residents
    LicenseeFannin County Hospital Authority
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    16

    Citations

    0

    Complaints

    0

    Years

    08 Oct 2026Inspection
    Investigated violations related to staffing, reporting, care planning, and resident rights, including mandatory reporting. Found deficiencies cited in five areas.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    13 Mar 2026Life Safety
    Found multiple deficiencies related to lighting adequacy, fire safety equipment, linen handling, and maintenance of fire alarm and sprinkler systems.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    12 Mar 2026Inspection
    Identified deficiencies in protecting resident rights, daily living care, and infection control, including physician order reviews and admission care. Also found gaps in the infection prevention and control program.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Downtown Health and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Downtown Health and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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