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Downtown Health and Rehabilitation Center

  • Nursing Home
  • Home Health Agency

Updated Sep 1, 2022 by Nick Lata

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: 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: 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

Note: Downtown Health and Rehabilitation Center has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

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 34 nursing homes to choose from in the city so you should be able to find a better option. The only positive thing we can say about this nursing home is that it didn't receive any F's in any of the categories we assessed. Additional information about its category grades is available below.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Partnership
  • 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 (2021)
Less:
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April
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May
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August
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September
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October
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December
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January
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February
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March
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Facility Inspections

Grade: B-minus

While we did not have many positive things to say about this place's overall grade, it earned a somewhat respectable inspection report this year. It received a decent score in that category with a B-. We believe that one of the most critical factors in assessing an inspection report is deficiencies. We especially look at the severity of those deficiencies. Although this place had some deficiencies on its report, none were severe based on CMS' deficiency scale. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.

Nurse Quality

Grade: B-minus

We also awarded this facility a grade of B- for our nursing rating. Nursing ratings are primarily tied to the facility's level of nurse staffing. This nursing home averages just 0.3 hours of nursing care per resident per day. This is a very low figure. Despite having low quantities of nursing care, this place surprisingly fared better in some of the quality measures we assessed. It scored well in terms of avoiding major falls and pressure ulcers.

Short-term Care Quality

Grade: B-minus

This nursing home's next most favorable area ended up being its short-term care grade, where it was awarded a B-. Short-term care grades are often used to score a facility's performance with rehabilitation To have quality rehabilitation services, facilities generally need to have higher levels of highly skilled nursing. These types of services include registered nurses, physical therapists, respiratory therapists and other types of therapists. We were surprised to find that this nursing home was below average in the two key staffing areas we looked at. In fact, it offered fewer registered nurse and physical therapist hours per resident than most other facilities. The final datapoint we assessed in this area is the percentage of residents who eventually returned home from the nursing home. We found that just 0 percent of this facility's patients returned home.

Long-term Care Quality

Grade: D

The last area we analyzed was long-term care, which was this nursing home's worst area. We awarded this facility a D in this area. If you are looking for anything other than short-term rehabilitation, you should take a close look at each facility's long-term care grades. On top of considering the amount of care provided by aids and other staff, we analyzed the percentage of residents vaccinated for pneumonia. Fortunately, this facility provided the vaccine to 100 percent of its patients, which is a very solid total. To our surprise, this place was able to keep its patients out of the hospital. Indeed, it had just 0.02 hospitalizations per one thousand long-term resident days. Sadly, some of its other scores in this category were not as favorable as these.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Downtown Health and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In Downtown Health and Rehabilitation Center, 7.79% of Patients had Pressure Ulcers

This is the percentage of residents that sustained a pressure ulcer. Pressure ulcers are considered to be a measure of the quality of nursing care at a nursing home. Pressure ulcers, also referred to as bed sores, are routinely caused by residents staying in one position for too long.

Minimizes Serious Falls

Grade: A-plus

In Downtown Health and Rehabilitation Center, 3.33% of Patients had Serious Falls

This indicates the percent of residents who have had a major fall. Falls leading to severe injuries are considered to be a measure of the quality of nursing care . Major falls leading to injury are often the result of lower levels of patient supervision.

Minimizes Urinary Tract Infections

Grade: A

In Downtown Health and Rehabilitation Center, 1.51% of Patients had UTIs

This tells you the percentage of patients who sustained a urinary tract infection. UTI's are often caused by worse hygiene protocols. Better nursing care can reduce the number likelihood of residents sustaining infections. We want to point out that this datapoint is sometimes skewed by the fact that nursing homes have varying reporting standards for UTI's.

Appropriately Uses Anti-Psychotic Medication

Grade: A-minus

In Downtown Health and Rehabilitation Center, 11.48% of Patients use Anti-Psychotic Medication

This figure is an indication of the percentage of long-term patients who were administered antipsychotic drugs. Excessive reliance on these medications may mean that a facility is using these medications to subdue residents in situations where such drugs are not medically required. Nevertheless, some nursing homes may need to rely more on these drugs due to having more patients with cognitive disorders.

Appropriately Uses Anti-Anxiety Medication

Grade: A-minus

In Downtown Health and Rehabilitation Center, 22.56% of Patients use Anti-Anxiety Medication

This is the percent of patients prescribed antianxiety drugs. Antianxiety medications are given to residents suffering from depression or anxiety.

Managing Depression Among Residents

Grade: C

In Downtown Health and Rehabilitation Center, 4.81% of Patients

This tells you the percentage of patients exhibiting depressive symptoms. Higher rates of depression may be a sign a lower level of care.

Appropriate Vaccine Usage

Grade: B-minus

In Downtown Health and Rehabilitation Center, 94.64% of Patients

This is the percent of patients who received the flu and pneumonia vaccines. High vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: B-minus

In Downtown Health and Rehabilitation Center, 17.1% Percentage of Patients

This metric is a measure of the percentage of long-term stay residents who required additional assistance with activities of daily living over time. ADL's include activities such as dressing and continence.

Ability to Keep Residents Mobile

Grade: B-minus

In Downtown Health and Rehabilitation Center, 16.36% Percentage of Residents

This tells you the percentage of residents that remained mobile levels over time. Optimizing mobility can be a good sign for residents' well-being.

Hospitalizations

Grade: C

In Downtown Health and Rehabilitation Center, 1.67 Hospitalizations per 1,000 resident days

This tells you the number of times residents are hospitalized per thousand days of patient care.

Short-term Care: Rehospitalizations

Grade: B-plus

In Downtown Health and Rehabilitation Center, 16.36 Percentage of Residents Rehospitalized

This tells you the number of times residents are rehospitalized per 1,000 days of short-term patient care.

Short-term Care: ER Visits

Grade: F

In Downtown Health and Rehabilitation Center, 11.4 Percentage of Patients

This metric measures the number of times residents are sent to the emergency room per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: F

In Downtown Health and Rehabilitation Center, 66.86% Percentage of Resident

This tells you the percent of short-term residents that saw functional improvements, such as with activities of daily living.

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 33 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