Arbor Lake Nursing &Amp; Rehabilitation, LLC, Fort Worth
901 Pennsylvania Ave, Fort Worth, TX 76104 · 0.2 mi
2 of 5 CMS overall · Below average
- Inspections2/5
- Staffing1/5
- Quality5/5
- CMS abuse icon: cited for abuse
- 123 beds
- For-profit
Nursing Home in Fort Worth, TX · CMS Data August 2026
Downtown Health and Rehabilitation Center
How Does Downtown Health and Rehabilitation Center Rate?
Downtown Health and Rehabilitation Center is a 161-bed government-owned nursing home in Fort Worth, TX. CMS rates it 1 out of 5 stars overall (August 2026), with 2 for health inspections, 1 for staffing and 2 for quality measures. Residents got an average of 3.2 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on March 12, 2026, cited 11 health deficiencies.
- CMS overall rating
- 1 of 5
- Nursing per resident per day
- 3.2 hours
- Deficiencies at last inspection
- 11
- Certified beds
- 161
424 South Adams Street
Fort Worth, TX 76104
1 of 5 CMS overall · Much below average
From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.
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CMS Star Ratings
| Rating | Stars | CMS label |
|---|---|---|
| Overall rating | 1 of 5 | Much below average |
| Health inspections | 2 of 5 | Below average |
| Staffing | 1 of 5 | Much below average |
| Quality measures | 2 of 5 | Below average |
| Quality for long-stay residents | 4 of 5 | Above average |
| Quality for short-stay residents | 1 of 5 | Much below average |
CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.
Staffing and Turnover
| Measure | This home | National median |
|---|---|---|
| Total nursing hours per resident per day | 3.2 hours | 3.7 hours |
| Registered nurse hours per resident per day | 0.3 hours | 0.6 hours |
| Nurse aide hours per resident per day | 2.0 hours | 2.2 hours |
| Total nursing hours per resident on weekends | 2.8 hours | 3.3 hours |
| Nursing staff turnover (past year) | 94% | 45% |
| Registered nurse turnover (past year) | 89% | 42% |
Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.
Inspections and Penalties
| Last standard health inspection | March 12, 2026 |
|---|---|
| Health deficiencies cited at that inspection | 11 |
| Deficiencies from complaint inspections (same rating cycle) | 7 |
| Fines in the past 3 years | 3 totaling $36,418 |
| Payment denials in the past 3 years | 0 |
The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.
Quality Measures for Long-Stay Residents
The share of residents in long-term care (101 days or more) at Downtown Health and Rehabilitation Center who, according to CMS's resident assessments (2025Q2 to 2026Q1):
| Residents who | This home | National median | Compared |
|---|---|---|---|
| Received an antipsychotic medication | 6.3% | 13% | Lower than the national median |
| Received an antianxiety or hypnotic medication | 13% | 18% | Lower than the national median |
| Had a fall with major injury | 2.7% | 2.8% | Lower than the national median |
| Have pressure ulcers | 2.5% | 4.2% | Lower than the national median |
| Lost too much weight | 4.7% | 4.7% | Lower than the national median |
| Were physically restrained | 0.0% | 0.0% | At the national median |
| Have depressive symptoms | 1.9% | 3.6% | Lower than the national median |
| Needed more help with daily activities over time | 14% | 13% | Higher than the national median |
Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.
About the Home
| Certified beds | 161 |
|---|---|
| Average residents per day | 99 |
| Ownership | Government - Hospital district |
| Legal business name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Chain or affiliated group | CREATIVE SOLUTIONS IN HEALTHCARE (149 homes) |
| Certified for | Medicare and Medicaid |
| First certified | April 1986 |
| Councils | Resident council |
Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.
Other Nursing Homes Near Downtown Health and Rehabilitation Center
Measured by straight-line distance. See every home on the Fort Worth nursing homes page.
DFW Nursing &Amp; Rehab, Fort Worth
900 W Leuda St, Fort Worth, TX 76104 · 0.3 mi
1 of 5 CMS overall · Much below average
- Inspections1/5
- Staffing2/5
- Quality3/5
- CMS abuse icon: cited for abuse
- CMS Special Focus Facility candidate
- 98 beds
- For-profit
James L. West Center for Dementia Care, Fort Worth
1111 Summit Ave, Fort Worth, TX 76102 · 0.6 mi
3 of 5 CMS overall · Average
- Inspections2/5
- Staffing4/5
- Quality5/5
- CMS abuse icon: cited for abuse
- 112 beds
- Nonprofit
Trinity Terrace, Fort Worth
1600 Texas Street, Fort Worth, TX 76102 · 0.7 mi
5 of 5 CMS overall · Much above average
- Inspections5/5
- Staffing5/5
- Quality5/5
- 52 beds
- Nonprofit
- Continuing care community
Fort Worth Transitional Care Center, Fort Worth
850 12Th Avenue, Fort Worth, TX 76104 · 0.8 mi
1 of 5 CMS overall · Much below average
- Inspections1/5
- Staffing1/5
- Quality4/5
- 136 beds
- Government-owned
The Stayton at Museum Way, Fort Worth
2501 Museum Way, Fort Worth, TX 76107 · 1.1 mi
5 of 5 CMS overall · Much above average
- Inspections4/5
- Staffing4/5
- Quality5/5
- 46 beds
- Nonprofit
- Continuing care community