DOWNTOWN HEALTH AND REHABILITATION CENTER
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-02-11 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-03-05 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-09-26 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
2.52
state median 2.67
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.24
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
94%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $36,418 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-12-19 | Fine | $16,859 |
| 2024-02-21 | Fine | $10,225 |
| 2023-09-26 | Fine | $9,334 |
Ownership
Ownership type: Government - Hospital district. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-07 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-07 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-05-07 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-12 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-12 | F0635 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-12 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-12 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-02-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-05-14 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-08 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-08 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-04 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-01 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-12-23 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-19 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-19 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-19 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-19 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-12-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-12-19 | F0825 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-19 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-12-04 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-04 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-12 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-09-05 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-05 | F0687 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-24 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-24 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-04-27 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-04-27 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-04-20 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-04-20 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-04-20 | F0914 | Environmental Deficiencies | D | not recorded |
| 2024-04-07 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-05 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-21 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-12-19 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-19 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-15 | F0710 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-11-15 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-11-15 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-11-15 | F0921 | Environmental Deficiencies | D | not recorded |
| 2023-09-26 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |