01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 11 | 2026-03-12 | 1 |
| Cycle 2 | 2024-12-19 | 22 | 2024-12-19 | 8 |
| Cycle 3 | 2023-11-15 | 19 | 2023-11-15 | 3 |
CMS CCN 4556512026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Downtown Health And Rehabilitation Center
424 South Adams Street · Fort Worth, TX 76104 · Tarrant County
Certified beds161CMS provider file
Recent citation rows64current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
64 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-16 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has no plan of correction · complaint2026-06-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has no plan of correction · complaint2026-05-07 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-05-08 · complaint2026-05-07 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-05-08 · complaint2026-05-07 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-05-08 · complaint2026-03-12 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-12 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-12 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-12 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-172026-03-12 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-04-032026-02-17 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-03-02 · complaint2025-11-25 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-05-14 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-05-14 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-05-08 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-05-08 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-05-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-05-04 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-05-05 · complaint2025-04-01 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-02 · complaint2025-04-01 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-02 · complaint2025-02-11 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-12-29 · complaint2024-12-23 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-12-30 · complaint2024-12-19 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-01-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-12-19 | Fine | $16,859 | 0 |
| 2024-02-21 | Fine | $10,225 | 0 |
| 2023-09-26 | Fine | $9,334 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FANNIN COUNTY HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/31/2017
- HOLT, ERINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/25/2020
- KEETON, WENDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/29/2012
- KISSLING, MONICAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/21/2017
- MCBEAN, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/30/2021
- SANDERSON, CLARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/29/2012
- TROMPLER, KELLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/22/2022
- HUGGINS, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2022
- WILLIG, ZACHARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SANDERSON, CLARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/29/2012
- FORT WORTH IV ENTERPRISES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2022
- BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2022
- BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2022
- FORT WORTH IV ENTERPRISES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/01/2022
- AKINMERESE, OLAWALEIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/14/2025
- BLAKE, GARYIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2022
- FORD, CHRISTINAIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/12/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.24per resident day
RN hours0.35per resident day
Weekend nurse hours2.83per resident day
Staff turnover93.6%CMS reported field
06 / LOCAL RECORDS
Open the Fort Worth ledger →Other published facilities nearby
Arbor Lake Nursing & Rehabilitation, Llc123 beds · CMS overall 2/538 citation rowsArlington Heights Health And Rehabilitation Center170 beds · CMS overall 1/552 citation rowsAvir At Fort Worth120 beds · CMS overall 2/568 citation rowsCityview Nursing And Rehabilitation Center210 beds · CMS overall 2/565 citation rowsDfw Nursing & Rehab98 beds · CMS overall 1/595 citation rowsEstates Healthcare And Rehabilitation Center141 beds · CMS overall 1/582 citation rowsFort Worth Transitional Care Center136 beds · CMS overall 1/562 citation rowsFort Worth Wellness & Rehabilitation104 beds · CMS overall 1/529 citation rows