Downtown Health and Rehabilitation Center: Nursing Home OverviewSkip to content

Downtown Health and Rehabilitation Center

  • Nursing Home
  • Home Health Agency

Updated Nov 1, 2023 by Nick Reese

Historical Rating
Grade: D
Oct 18: DNov 18: DDec 18: DJan 19: CFeb 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: B-May 20: FJun 20: FJul 20: DAug 20: DSep 20: DOct 20: DNov 20: DJan 21: DFeb 21: CMar 21: CApr 21: CMay 21: CJun 21: CJul 21: DAug 21: DSep 21: FOct 21: DNov 21: FJan 22: FFeb 22: DMar 22: DApr 22: DMay 22: DJun 22: DAug 22: DSep 22: DOct 22: DNov 22: DJan 23: DFeb 23: DMar 23: DApr 23: FJun 23: FJul 23: DAug 23: DSep 23: DOct 23: DNov 23: D
See Rating Overview
Downtown Health and Rehabilitation Center's website

424 S Adams St,
Fort Worth TX 76104

(817) 335-5781

60.18% estimated occupancy 1

Downtown Health and Rehabilitation Center is a large nursing home located in Fort Worth, Texas. This is a lower end nursing home, with an overall grade of D. Fortunately, if you aren't satisfied with this facility, there are 36 nursing homes to choose from in the city so you should be able to find a better option. If you aren't deterred by this nursing home's profile, feel free to continue reading to learn more about its category grades. Inspection grades are discussed in the next paragraph.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Offers Hospice
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Medication Management
  • Speech Therapy
  • Stroke Recovery
  • Amputee Recovery
  • Dentistry
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Podiatry
  • Diabetes Management
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Pharmacy
  • Laboratory
  • X-Ray
  • Recreational Therapy
  • Pain Management
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
Less:
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Facility Inspections

Grade: B-plus

While we didn't give this facility a good overall score, we did give it a relatively strong grade in the area of inspections, where it received a B+. Inspection ratings take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This place was hit with 3 deficiencies on its inspection report, but fortunately none were considered to be severe deficiencies. This tells you that CMS didn't consider any of the deficiencies to create an imminent threat to resident safety or health. A couple minor deficiencies are not necessarily the end of the world.

Long-term Care Quality

Grade: C

This nursing home was given its second best category score in the area of long-term care. We awarded this facility a C in this area, which is a decent grade. Long-term care scores are based on the facility's quantity of care. This includes a vast spectrum of personal care services, ranging from assistance with activities of daily living to routine medical services. After assessing the volume of care provided by aids and other staff, we then looked at the facility's vaccination data. Candidly, we were a bit worried that this facility vaccinated 89.684814 percent of its residents against pneumonia, which is quite a bit lower than what we were hoping for. On a more positive note, this facility was able to limit hospitalizations. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low number.

Short-term Care Quality

Grade: D

Unfortunately, this nursing home only received a D for its short-term care grade, which is not an impressive grade. Short-term care grades are vital for individuals in need of rehabilitation. Rehabilitation generally utilizes more skilled nursing. This includes a vast spectrum of nursing services, spanning from registered nurses to physical and respiratory therapists, as well as other forms of therapy. With a score in this range in this area, we weren't shocked to find that this nursing home was below average in several staffing metrics we assess. The nursing home offered substantially fewer registered nurse and physical therapist hours per patient than most facilities. The last item we considered in this area is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that just 0 percent of this facility's residents were able to return home, which is well below average. The combination of these subpar statistics doomed this nursing home's short-term care score.

Nurse Quality

Grade: F

The final area we looked at was nursing, in which this nursing home was given a very poor score here as well. Sadly, it received an F in this area, which is definitely very concerning. The nursing rating weighs a handful of subcategories, most of which are based on levels of nurse staffing. This nursing home offered just 0.3 hours of nursing care per resident on a daily basis. This statistic is significantly below the national average. In addition to its below average nursing hour totals, this facility also received poor marks in several of the quality-based metrics we considered in computing our nursing ratings. We found that a higher percentage of this facility's residents sustained falls leading to serious injury. We would argue that many falls could be avoided with better nursing care. This statistic contributed to this facility receiving a terrible nursing grade.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Downtown Health and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

Grade: A

In Downtown Health and Rehabilitation Center, 3.31% of Patients had Pressure Ulcers

This datapoint gauges the percent of long-term residents who developed new or worsened pressure ulcers . We factor in this statistic in computing both nursing and long-term care grades.

Minimizes Serious Falls

Grade: C

In Downtown Health and Rehabilitation Center, 4.58% of Patients had Serious Falls

This is the percentage of residents that have had a major fall. Falls leading to severe injury are routinely caused by lower quality nursing care. More supervision minimizes the percentage of residents in a nursing home who sustain major falls.

Minimizes Urinary Tract Infections

Grade: B-plus

In Downtown Health and Rehabilitation Center, 0.87% of Patients had UTIs

This is the percent of patients who sustained a urinary tract infection. Urinary tract infections are routinely caused by poor nursing care. More frequent bathing can limit the number of UTI's sustained by residents in a nursing home. We want to point out that this datapoint is affected by by the fact that nursing homes have varying reporting standards for infections.

Appropriately Uses Anti-Psychotic Medication

Grade: A-minus

In Downtown Health and Rehabilitation Center, 9.38% of Patients use Anti-Psychotic Medication

This indicates the percentage of residents who were prescribed antipsychotic drugs. While antipsychotic medications may be helpful for many residents, it is important to ensure these medications are being used only where medically required. In some cases, excessive reliance on these medications may suggest a facility is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: A

In Downtown Health and Rehabilitation Center, 9.88% of Patients use Anti-Anxiety Medication

This tells you the percent of patients who were given antianxiety drugs. These medications are typically given to residents experiencing depression and anxiety.

Managing Depression Among Residents

Grade: B-plus

In Downtown Health and Rehabilitation Center, 1.62% of Patients

This indicates the percentage of patients who are exhibiting signs of depression.

Appropriate Vaccine Usage

Grade: C

In Downtown Health and Rehabilitation Center, 90.61% of Patients

This is a measure of the percent of long-term patients that were given the pneumonia and flu vaccines. Respiratory viruses can be fatal for nursing home residents, making these types of vaccines critical to patient care.

Residents Maintain Autonomy

Grade: B-plus

In Downtown Health and Rehabilitation Center, 12.92% of Patients

This indicates the percent of residents who needed more assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: C

In Downtown Health and Rehabilitation Center, 9.74% of Residents

This tells you the percent of patients that maintained mobility over time. Optimizing mobility can be a good sign for residents' health.

Hospitalizations

Grade: C

In Downtown Health and Rehabilitation Center, 0.02 Hospitalizations per 1,000 resident days

This indicates the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between reduced hospitalizations and the overall quality of care.

Short-term Care: Rehospitalizations

Grade: A-minus

In Downtown Health and Rehabilitation Center, 9.74% of Residents Rehospitalized

This indicates the number of rehospitalizations per 1,000 days of short-term patient care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Short-term Care: ER Visits

Grade: C

In Downtown Health and Rehabilitation Center, 14.57% of Patients

This datapoint measures the number of emergency room visits per thousand days of short-term care. Avoiding medical emergencies is one way to measure short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: F

In Downtown Health and Rehabilitation Center, 50.66% of Resident

This datapoint measures the percentage of short-term stay residents who experienced functional improvements, such as with activities of daily living. Some believe this is a reasonable measure of a facility's rehabilitation services.

Scores for Fort Worth, TX

  • Overall Rating has a grade of C
  • Nurse Rating has a grade of C
  • Long-term Care Rating has a grade of C
  • Short-term Care Rating has a grade of C
  • Inspection Rating has a grade of B-plus

Looking for more options? Fort Worth, Texas has 35 other nursing homes

Nearby Hospitals

  • Texas Health Harris Methodist Fort WorthAcute Care Hospitals 0.24 miles away1301 Pennsylvania Avenue Fort Worth Texas 76104Voluntary non-profit - Church(817) 250-2100
  • Cook Childrens Medical CenterChildrens 0.45 miles away801 Seventh Avenue Fort Worth Texas 76104Voluntary non-profit - Private(682) 885-4000
  • Medical City Fort WorthAcute Care Hospitals 0.57 miles away900 Eighth Avenue Fort Worth Texas 76104Proprietary(817) 336-2100
  • Baylor Scott and White All Saints Medical CenterAcute Care Hospitals 0.85 miles away1400 Eighth Ave Fort Worth Texas 76104Voluntary non-profit - Private(817) 926-2544
  • Jps Health NetworkAcute Care Hospitals 1.09 miles away1500 S Main St Fort Worth Texas 76104Government - Hospital District or Authority(817) 921-3431
  • Baylor Scott and White Surgical Hospital FortworthAcute Care Hospitals 1.19 miles away1800 Park Place Avenue Fort Worth Texas 76110Physician(682) 703-5600
  • Texas Health Harris Methodist Hospital Southwest FAcute Care Hospitals 7.48 miles away6100 Harris Pkwy Fort Worth Texas 76132Voluntary non-profit - Private(817) 433-5000
  • Usmd Hospital at Fort Worth LpAcute Care Hospitals 8.12 miles away5900 Altamesa Blvd Fort Worth Texas 76132Proprietary(817) 433-9100

Nearby Dialysis

  • Us Renal Care Tarrant Dialysis Tarrant County0.13 miles away501 College Avenue Suite 200 Fort Worth Texas 76104Dialysis Stations: 4 (817) 877-1515
  • Us Renal Care Tarrant Dialysis Fort Worth0.13 miles away501 College Avenue Suite 100 Fort Worth Texas 76104CMS Rating: 2 stars Dialysis Stations: 37 (817) 877-5907
  • Cook Childrens Medical Center Dialysis Unit0.41 miles away801 Seventh Ave Dodson Specialty Clinic 1st Floor Dialysis Unit Fort Worth Texas 76104Dialysis Stations: 4 (682) 885-3944
  • Trinity Dialysis Center0.64 miles away1210 Alston Fort Worth Texas 76104CMS Rating: 2 stars Dialysis Stations: 28 (817) 338-1302
  • Central Fort Worth Dialysis0.64 miles away1000 St. Louis Ave Ste 101 Fort Worth Texas 76104Dialysis Stations: 24 (817) 810-0379
  • Texas Renal Ventures1.73 miles away251 University Dr Suite 101 Fort Worth Texas 76107CMS Rating: 4 stars Dialysis Stations: 29 (817) 870-5002
  • North Fort Worth Dialysis3.73 miles away3812 E Belknap Fort Worth Texas 76111Dialysis Stations: 13 (682) 647-0013
  • Fresenius Medical Care Se Fort Worth, LLC3.95 miles away3708 E Rosedale St Fort Worth Texas 76155Dialysis Stations: 13 (817) 413-0070