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Skilled nursing facility · CMS certification number 455651

Downtown Health and Rehabilitation Center

Fort Worth, Texas · Medicare and Medicaid · 161 certified beds in Care Compare

Download Downtown Health and Rehabilitation Center’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $27,084.00 · Payment denials: 0. The most recent penalty on file: December 19, 2024, Fine, $16,859. Every penalty on file ↓

Downtown Health and Rehabilitation Center: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
  • Net patient revenue rose from $7.5M in fiscal year 2023 to $8.1M in fiscal year 2024.
  • Its result from service to patients: −$1.2M (2022), −$777K (2023), −$218K (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $8.1M ranks 250th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.

Downtown Health and Rehabilitation Center: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2012 to 2024
Form CMS-2540-102024 · report 14356192023 · report 14380332022 · report 13620452021 · report 13289532020 · report 13186132019 · report 12824012018 · report 12768712017 · report 12425002016 · report 11566092015 · report 11518222014 · report 11439022013 · report 10864192012 · report 1059823
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018March 31, 2017October 1, 2015October 1, 2014October 1, 2013October 1, 2012October 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017September 30, 2016September 30, 2015September 30, 2014September 30, 2013September 30, 2012
Days, where not a full year———————275—————
Processed by CMSAugust 28, 2025August 29, 2025August 11, 2023August 4, 2022June 7, 2022April 14, 2021December 18, 2020August 27, 2019May 2, 2017January 24, 2017September 30, 2016February 26, 2015May 14, 2014
Total patient revenue$9,011,966$8,161,468$11,643,236$12,808,247$14,494,162$16,868,748$14,171,819$9,909,606$9,019,935$8,588,417$7,596,435$4,990,580$5,451,454
Contractual allowances and discounts$924,027$677,661$3,967,039$4,747,568$5,663,166$6,272,595$4,451,912$2,870,324$1,396,372$1,338,489$1,504,794$932,487$982,918
Net patient revenue$8,087,939$7,483,807$7,676,197$8,060,679$8,830,996$10,596,153$9,719,907$7,039,282$7,623,563$7,249,928$6,091,641$4,058,093$4,468,536
Total operating expenses$8,306,364$8,261,006$8,868,523$9,380,135$10,774,596$10,966,920$10,039,306$7,153,064$6,723,863$6,547,884$6,034,895$5,239,193$5,217,265
Net income from service to patients−$218,425−$777,199−$1,192,326−$1,319,456−$1,943,600−$370,767−$319,399−$113,782$899,700$702,044$56,746−$1,181,100−$748,729
Total other income$673,990$1,424,236$1,925,499$1,976,241$2,561,863$733,105$624,364$197,385$42,729$26,322$1,824$1,738$1,559
Net income after other income$455,565$647,037$733,173$656,785$618,263$362,338$304,965$83,603$942,429$728,366$58,570−$1,179,362−$747,170
Net income$455,565$647,037$733,173$656,785$618,263$362,338$304,965$83,603$942,429$728,366$58,570−$1,179,362−$747,170
Total facility beds, all components161161161161161161161161161161161161161
Bed days available, all components58,926————————————
Medicare (Title XVIII) patient days943————————————
Medicaid (Title XIX) patient days42,967————————————
Other-payer patient days7,759————————————
Total patient days, all components51,66935,65836,61036,95240,14648,24244,55131,55239,35237,29034,32323,36024,172
Medicare discharges26————————————
Medicaid discharges208————————————
Other-payer discharges137————————————
Total discharges, all components371238415435488639450438311294367185168
Average length of stay, Medicare, in days36.2752.6467.2476.2539.0437.4640.7752.8547.9863.1441.7850.3363.55
Average length of stay, Medicaid, in days206.57208.03307.48381.8342.96307.63424.99212.81288.44205.81141.44211.37259.04
Average length of stay, all patients, in days139.27149.8288.2284.9582.2775.59972.04126.53126.8493.52126.27143.88

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2011
Form CMS-2540-962011 · report 4353112010 · report 4266232009 · report 3963012008 · report 3595882007 · report 3313742006 · report 2995262005 · report 2695712004 · report 2378302003 · report 2094182002 · report 1668732001 · report 1464822000 · report 1967981999 · report 952461998 · report 952441997 · report 952421996 · report 95241
Period beganOctober 1, 2010October 1, 2009October 1, 2008October 1, 2007October 1, 2006October 1, 2005June 1, 2005October 1, 2003October 1, 2002October 1, 2001October 1, 2000October 1, 1999October 1, 1998October 1, 1997October 1, 1996October 1, 1995
Period endedSeptember 30, 2011September 30, 2010September 30, 2009September 30, 2008September 30, 2007September 30, 2006September 30, 2005September 30, 2004September 30, 2003September 30, 2002September 30, 2001September 30, 2000September 30, 1999September 30, 1998September 30, 1997September 30, 1996
Days, where not a full year——————121—————————
Report statussettledsettledsettledreopenedsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettled
Processed by CMSSeptember 14, 2013March 23, 2012March 25, 2011November 25, 2009January 20, 2009December 27, 2007December 22, 2006December 1, 2005March 2, 2005January 22, 2004May 29, 2003October 15, 2004June 18, 2001December 18, 2000June 9, 1999June 25, 1998
Net patient revenue$5,430,074$6,376,573$7,272,198$6,485,307$6,507,315$6,642,209$2,116,367$5,742,720$5,211,286$5,801,946$5,765,263$5,481,910$6,085,954$8,258,603$5,286,424$3,186,570
Total operating expenses$6,178,047$6,955,846$7,062,057$6,855,416$6,588,729$6,725,771$2,418,781$6,123,463$6,078,788$6,285,643$6,074,366$5,740,515$6,575,936$7,761,219$5,026,432$3,531,112
Net income from service to patients−$747,973−$579,273$210,141−$370,109−$81,414−$83,562−$302,414−$380,743−$867,502−$483,697−$309,103−$258,605−$489,982$497,384$259,992−$344,542
Total other income$1,778$2,244$2,413$3,923$5,847$408$1,136$14,813−$21,578$4,893,797$9,926$14,263$12,982$28,408$23,474$15,298
Net income−$746,195−$577,029$212,554−$366,186−$75,567−$83,154−$301,278−$365,930−$889,080$4,410,100−$299,177−$244,342−$477,000$525,792$283,466−$329,244
Total facility beds, all components161161161170170170170170170170170170170170170139
Total patient days, all components26,64136,27642,15643,69347,64448,66716,97845,42043,92545,12446,35348,77755,33953,88745,91037,603
Total discharges, all components17420926028832338999259348288314154445336205135
Average length of stay, Medicare, in days39.776.2856.1795.9551.4450.5174.467550.9263.2753.170.1937.2134.8573.2265.57
Average length of stay, Medicaid, in days191.45259.22172.31180.7192.76147.28209.22216.25155.36237.71208.14552.31245.48467.88496.08409.27
Average length of stay, all patients, in days153.11173.57162.14151.71147.5125.11171.49175.37126.22156.68147.62316.73124.36160.38223.95278.54

Net income, fiscal years 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

Downtown Health and Rehabilitation Center: nurse staffing hours by quarter →

Who owns Downtown Health and Rehabilitation Center, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100%%, since 03/31/2017
  • ADP OF THE SNF: AKINMERESE, OLAWALE (individual), NOT APPLICABLE, since 04/14/2025; BLAKE, GARY (individual), NOT APPLICABLE, since 11/01/2022; FORD, CHRISTINA (individual), NOT APPLICABLE, since 04/12/2025; FORT WORTH IV ENTERPRISES, LLC (organization), NOT APPLICABLE, since 11/01/2022
  • CORPORATE DIRECTOR: HUGGINS, LINDA (individual), NOT APPLICABLE, since 11/01/2022; WILLIG, ZACHARY (individual), NOT APPLICABLE, since 01/01/2025
  • CORPORATE OFFICER: SANDERSON, CLARK (individual), NOT APPLICABLE, since 10/29/2012
  • MANAGING CONTROL - GOVERNING BODY: HOLT, ERIN (individual), NOT APPLICABLE, since 02/25/2020; KEETON, WENDY (individual), NOT APPLICABLE, since 10/29/2012; KISSLING, MONICA (individual), NOT APPLICABLE, since 06/21/2017; MCBEAN, PATRICIA (individual), NOT APPLICABLE, since 08/30/2021; SANDERSON, CLARK (individual), NOT APPLICABLE, since 10/29/2012; TROMPLER, KELLY (individual), NOT APPLICABLE, since 02/22/2022
  • OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), NOT APPLICABLE, since 11/01/2022; BLAKE, MALISA (individual), NOT APPLICABLE, since 11/01/2022; FORT WORTH IV ENTERPRISES, LLC (organization), NOT APPLICABLE, since 11/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of FANNIN COUNTY HOSPITAL AUTHORITY (enrollment ID O20171011003666).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: FANNIN COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 03/31/2017
  • ADP OF THE SNF: CHRISTINA FORD (individual), since 04/12/2025; FORT WORTH IV ENTERPRISES, LLC (organization), since 11/01/2022; GARY R BLAKE (individual), since 11/01/2022; OLAWALE O AKINMERESE (individual), since 04/14/2025
  • CORPORATE DIRECTOR: LINDA F HUGGINS (individual), 0.00%, since 11/01/2022; ZACHARY WILLIG (individual), 0.00%, since 01/01/2025
  • CORPORATE OFFICER: CLARK SANDERSON (individual), 0.00%, since 10/29/2012
  • MANAGING CONTROL - GOVERNING BODY: CLARK SANDERSON (individual), since 10/29/2012; ERIN HOLT (individual), since 02/25/2020; KELLY TROMPLER (individual), since 02/22/2022; MONICA KISSLING (individual), since 06/21/2017; PATRICIA MCBEAN (individual), since 08/30/2021; WENDY KEETON (individual), since 10/29/2012
  • OPERATIONAL/MANAGERIAL CONTROL: FORT WORTH IV ENTERPRISES, LLC (organization), 100.00%, since 11/01/2022; GARY R BLAKE (individual), since 11/01/2022; MALISA A BLAKE (individual), since 11/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: FANNIN COUNTY HOSPITAL AUTHORITY; FORT WORTH IV ENTERPRISES, LLC; FORT WORTH IV ENTERPRISES, LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: CHRISTINA FORD; GARY R BLAKE; OLAWALE O AKINMERESE; LINDA F HUGGINS; ZACHARY WILLIG; CLARK SANDERSON; CLARK SANDERSON; ERIN HOLT; KELLY TROMPLER; MONICA KISSLING; PATRICIA MCBEAN; WENDY KEETON; GARY R BLAKE; MALISA A BLAKE.

Changes in ownership

  • July 1, 2025, enrollment ownership file; no longer listed: WENDY KEETON (CORPORATE OFFICER); HONOR X ENTERPRISES, LLC (OTHER); TOM HOLMES (CORPORATE OFFICER); JASON WALKER (CORPORATE OFFICER); LINDA F HUGGINS (OPERATIONAL/MANAGERIAL CONTROL); ANGELA OWENS (CORPORATE OFFICER); first listed: ZACHARY WILLIG (CORPORATE DIRECTOR), associated since January 1, 2025; OLAWALE O AKINMERESE (ADP OF THE SNF), associated since April 14, 2025; PATRICIA MCBEAN (MANAGING CONTROL - GOVERNING BODY), associated since August 30, 2021; ERIN HOLT (MANAGING CONTROL - GOVERNING BODY), associated since February 25, 2020; WENDY KEETON (MANAGING CONTROL - GOVERNING BODY), associated since October 29, 2012; CHRISTINA FORD (ADP OF THE SNF), associated since April 12, 2025; CLARK R SANDERSON (MANAGING CONTROL - GOVERNING BODY), associated since October 29, 2012; KELLY TROMPLER (MANAGING CONTROL - GOVERNING BODY), associated since February 22, 2022; LINDA F HUGGINS (CORPORATE DIRECTOR), associated since November 1, 2022; MONICA KISSLING (MANAGING CONTROL - GOVERNING BODY), associated since June 21, 2017; FORT WORTH IV ENTERPRISES, LLC (ADP OF THE SNF), associated since November 1, 2022; GARY R BLAKE (ADP OF THE SNF), associated since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
  • February 15, 2023, enrollment ownership file; no longer listed: SSC FORT WORTH DOWNTOWN OPERATING COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL); RICK D SHEDDY (OPERATIONAL/MANAGERIAL CONTROL); RICK D SHEDDY (OFFICER); first listed: HONOR X ENTERPRISES, LLC (OTHER), associated since November 1, 2022; LINDA F HUGGINS (OPERATIONAL/MANAGERIAL CONTROL), associated since November 1, 2022; FORT WORTH IV ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since November 1, 2022; GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL), associated since November 1, 2022; MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL), associated since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Inspections of Downtown Health and Rehabilitation Center

  • Cycle 1: health March 12, 2026 (11 deficiencies), fire safety March 12, 2026 (1)
  • Cycle 2: health December 19, 2024 (19 deficiencies), fire safety December 19, 2024 (8)
  • Cycle 3: health November 15, 2023 (21 deficiencies), fire safety November 15, 2023 (3)

Deficiencies cited at Downtown Health and Rehabilitation Center

52 deficiencies on file, by tag, newest citation first

every one from a health inspection; 38 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0761, pharmacy service: June 16, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 17, 2026); December 19, 2024 (E, Deficient, Provider has date of correction, corrected December 20, 2024).
  • F 0880, infection control: June 16, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected June 17, 2026); March 12, 2026 (F, Deficient, Provider has date of correction, corrected April 17, 2026); May 8, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 15, 2025); December 19, 2024 (E, Deficient, Provider has date of correction, corrected December 20, 2024).
  • F 0600, freedom from abuse, neglect, and exploitation: May 7, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 8, 2026); November 25, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 26, 2025); February 11, 2025 (J, from a complaint, Past Non-Compliance, corrected December 29, 2024).
  • F 0609, freedom from abuse, neglect, and exploitation: May 7, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 8, 2026); May 14, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected May 20, 2025); April 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected April 30, 2024); February 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 23, 2024).
  • F 0610, freedom from abuse, neglect, and exploitation: May 7, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 8, 2026); February 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 23, 2024).
  • F 0558, resident rights: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 17, 2026).
  • F 0635, resident assessment and care planning: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 17, 2026).
  • F 0677, quality of life and care: March 12, 2026 (D, Deficient, Provider has date of correction, corrected April 17, 2026); February 17, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 2, 2026); September 5, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 6, 2024); July 24, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected July 26, 2024).
  • F 0755, pharmacy service: May 14, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected May 20, 2025); December 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 30, 2024); December 19, 2024 (D, Deficient, Provider has date of correction, corrected December 20, 2024).
  • F 0656, resident assessment and care planning: May 8, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 15, 2025); December 19, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 20, 2023).
  • F 0760, pharmacy service: May 8, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected May 15, 2025).
  • F 0692, quality of life and care: May 4, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected May 5, 2025).
  • F 0689, quality of life and care: April 1, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 2, 2025); December 19, 2024 (D, Deficient, Provider has date of correction, corrected December 20, 2024); September 12, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 13, 2024); July 24, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected July 26, 2024); April 20, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected April 23, 2024); December 19, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 20, 2023).
  • F 0695, quality of life and care: April 1, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected April 2, 2025).
  • F 0550, resident rights: December 19, 2024 (D, Deficient, Provider has date of correction, corrected December 20, 2024).
  • F 0812, nutrition and dietary: December 19, 2024 (E, Deficient, Provider has date of correction, corrected December 20, 2024); November 15, 2023 (D, Deficient, Provider has date of correction, corrected December 14, 2023).
  • F 0825, quality of life and care: December 19, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected December 20, 2024).
  • F 0645, resident assessment and care planning: December 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 17, 2024).
  • F 0655, resident assessment and care planning: December 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 17, 2024).
  • F 0687, quality of life and care: September 5, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 6, 2024); April 7, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 10, 2024).
  • F 0607, freedom from abuse, neglect, and exploitation: April 27, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected April 30, 2024); February 21, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 23, 2024).
  • F 0657, resident assessment and care planning: April 20, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected April 23, 2024).
  • F 0914, environmental: April 20, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected April 23, 2024).
  • F 0684, quality of life and care: March 5, 2024 (G, from a complaint, Past Non-Compliance, corrected February 15, 2024); September 26, 2023 (G, from a complaint, Past Non-Compliance, corrected September 16, 2023).
  • F 0710, nursing and physician services: November 15, 2023 (D, Deficient, Provider has date of correction, corrected December 14, 2023).
  • F 0814, nutrition and dietary: November 15, 2023 (D, Deficient, Provider has date of correction, corrected December 14, 2023).
  • F 0921, environmental: November 15, 2023 (D, Deficient, Provider has date of correction, corrected December 14, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
December 19, 2024Fine$16,859113576
February 21, 2024Fine$10,225112480
September 26, 2023Fine$9,334111449

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Downtown Health and Rehabilitation Center in Care Compare

  • Ownership Type: Government - Hospital district
  • Legal Business Name: FANNIN COUNTY HOSPITAL AUTHORITY
  • Date First Approved to Provide Medicare and Medicaid Services: 1986-04-23
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Tarrant
  • Telephone Number: 8173355781
  • Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
  • Chain ID: 169
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 93.2
  • Overall Rating: 2
  • Health Inspection Rating: 2
  • QM Rating: 3
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 1

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

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