Downtown Health And Rehabilitation Center has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Fort Worth facility should carefully review its inspection history and quality metrics.
With 3.26 total nurse hours per resident per day, Downtown Health And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 50 deficiencies at Downtown Health And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.26 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.94 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.93 | 2.4 | Below Average |
| Weekend Total Nursing | 2.76 | 3.8 | Below Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 13, 2025 · Pharmacy Service Deficiencies
- Tag 0760 Severity EEnsure that residents are free from significant medication errors.May 7, 2025 · Pharmacy Service Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 7, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.1% | 4.5% | Better |
| Falls with major injury | 4.7% | 3.0% | Worse |
| On antipsychotic medication | 14.2% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 11.5% | 14.0% | Better |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 11.6% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $38,486
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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