Downtown Health and Rehabilitation Center
424 S Adams St, Fort Worth TX 76104 · (817) 335-5781 · 80.55% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Downtown Health and Rehabilitation Center is located in the large metropolitan area of Fort Worth, Texas. This facility is a subpar nursing home. A grade of this caliber suggests we found a few red flags. Fortunately, if you aren't impressed with this facility, there are countless other options available in this city. More information on this nursing home's category grades may be found below. Its best category is nursing, which is discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 161 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
While we did not have many favorable things to say about this facility's overall grade, it did receive a respectable nursing grade of B-. When computing our nursing grades, we assess both nursing hours and the skill levels of those nurses. This particular nursing home provided 3.4 hours of nursing care per resident per day. Finally, we also looked at a few nursing quality measures and this facility excelled in some of these datapoints. With less than five percent of its residents suffering from pressure ulcers, it fared well in this datapoint.
Long-term Care Quality
This nursing home's long-term care score ended up being one of its higher scores. The facility was awarded a C in this area. In determining our long-term care scores, we assess the nursing home's personal care services. In addition to assessing the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This nursing home administered the vaccine to 97.1564 percent of its patients. Lastly, we looked at the facility's number of hospitalizations. We found that this place had 2.68 hospitalizations per one thousand long-term resident days. Unfortunately, this figure was less impressive than its other scores in the long-term care area.
Facility Inspections
This nursing home earned mediocre government inspections in recent years. We gave them a C in this area. We take several aspects of a facility's inspection report into consideration in determining these inspection scores. One of those factors is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the number of deficiencies, as some of these are relatively insignificant. This nursing home was hit with 3 deficiencies on its inspection report, but we were relieved to find that none were category G through L deficiencies. This tells you inspectors did not consider any of the deficiencies to pose an imminent threat to patient safety or health. Finally, CMS flagged this nursing home for possible abuse or neglect. This is not what you want to see. We advise you to direct your search elsewhere.
Short-term Care Quality
The final area we assessed was short-term care. We gave this nursing home a C in that area. Short-term care grades are commonly used to grade a nursing home's performance with rehabilitation. To have highly scored rehabilitation services, facilities generally must provide higher levels of skilled nursing. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other highly skilled individuals. One of this nursing home's strengths is physical therapy hours. We found that it offers at least 50% more hours with physical therapists to its residents than most other facilities. Lastly, we considered the number of patients who ultimately returned home from this facility. We found that it performed respectably in this area with 46.2 percent of its patients returning home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Downtown Health and Rehabilitation Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients who suffered from a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be an indicator of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by patients not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is an indication of the percentage of long-term care patients who had a fall which resulted in serious injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that have had a urinary tract infection. These infections are linked to inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric indicates the percent of long-term patients who are given antipsychotic drugs. High levels of antipsychotic drug use may indicate a nursing home is using these drugs to control patient behavior in scenarios where such medications aren't medically required. However, some nursing homes need to rely on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percent of long-term residents exhibiting symptoms of depression. Many in the industry argue that this is a reliable measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents that were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents that required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's could be a sign of the decline of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical health of patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percent of short-term stay residents who experienced functional improvements.
Percentage of Resident
Higher is Better