Downtown Health And Rehabilitation Center

Penalties

• Dec 19, 2024 — Fine ($16,859)
• Feb 21, 2024 — Fine ($10,225)
• Sep 26, 2023 — Fine ($9,334)

Inspection findings

1. Jun 16, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0761 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.

     CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     CMS health inspection

2. May 7, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0600 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.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 8, 2026 · CMS health inspection

3. Mar 12, 2026 Health · 5 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0635 Resident Assessment and Care Planning Deficiencies

     Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 17, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 3, 2026 · CMS fire safety

4. Feb 17, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 2, 2026 · CMS health inspection

5. Nov 25, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0600 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.

     Corrected Nov 26, 2025 · CMS health inspection

6. May 14, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 20, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 20, 2025 · CMS health inspection

7. May 8, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected May 15, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 15, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 15, 2025 · CMS health inspection

8. May 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected May 5, 2025 · CMS health inspection

9. Apr 1, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 2, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 2, 2025 · CMS health inspection

10. Feb 11, 2025 Health · 1 finding
    • Serious Scope/severity J Complaint

      F0600 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.

      Corrected Dec 29, 2024 · CMS health inspection

11. Dec 23, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Dec 30, 2024 · CMS health inspection

12. Dec 19, 2024 Fire Safety · 15 findings
    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Jan 18, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0037 Emergency Preparedness Deficiencies

      Establish staff and initial training requirements.

      Corrected Jan 18, 2025 · CMS fire safety

    • Not serious Scope/severity F

      E0039 Emergency Preparedness Deficiencies

      Conduct testing and exercise requirements.

      Corrected Jan 18, 2025 · CMS fire safety

    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0761 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.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0825 Quality of Life and Care Deficiencies

      Provide or get specialized rehabilitative services as required for a resident.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 20, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Jan 31, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0374 Smoke Deficiencies

      Install smoke barrier doors that can resist smoke for at least 20 minutes.

      Corrected Jan 17, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Jan 17, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0901 Electrical Deficiencies

      Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

      Corrected Jan 17, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Jan 31, 2025 · CMS fire safety

13. Dec 4, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Dec 17, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Dec 17, 2024 · CMS health inspection

14. Sep 12, 2024 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Sep 13, 2024 · CMS health inspection

15. Sep 5, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Sep 6, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Sep 6, 2024 · CMS health inspection

16. Jul 24, 2024 Health · 2 findings
    • Not serious Scope/severity E Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Jul 26, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jul 26, 2024 · CMS health inspection

17. Apr 27, 2024 Health · 2 findings
    • Not serious Scope/severity E Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Apr 30, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Apr 30, 2024 · CMS health inspection

18. Apr 20, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Apr 23, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 23, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0914 Environmental Deficiencies

      Provide bedrooms that don't allow residents to see each other when privacy is needed.

      Corrected Apr 23, 2024 · CMS health inspection

19. Apr 7, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected Apr 10, 2024 · CMS health inspection

20. Mar 5, 2024 Health · 1 finding
    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Feb 15, 2024 · CMS health inspection

21. Feb 21, 2024 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected Feb 23, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Feb 23, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Feb 23, 2024 · CMS health inspection

22. Dec 19, 2023 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0656 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.

      Corrected Dec 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Dec 20, 2023 · CMS health inspection

23. Nov 15, 2023 Fire Safety · 7 findings
    • Not serious Scope/severity C

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Dec 14, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0710 Nursing and Physician Services Deficiencies

      Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0921 Environmental Deficiencies

      Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity C

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Dec 14, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

      Have generator or other power source capable of supplying service within 10 seconds.

      Corrected Dec 14, 2023 · CMS fire safety

24. Sep 26, 2023 Health · 1 finding
    • Serious Scope/severity G Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Sep 16, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• AKINMERESE, OLAWALE — adp of the snf, NOT APPLICABLE, since 04/14/2025
• BLAKE, GARY — adp of the snf, NOT APPLICABLE, since 11/01/2022
• BLAKE, GARY — operational/managerial control, NOT APPLICABLE, since 11/01/2022
• BLAKE, MALISA — operational/managerial control, NOT APPLICABLE, since 11/01/2022
• FORD, CHRISTINA — adp of the snf, NOT APPLICABLE, since 04/12/2025
• HOLT, ERIN — managing control - governing body, NOT APPLICABLE, since 02/25/2020
• HUGGINS, LINDA — corporate director, NOT APPLICABLE, since 11/01/2022
• KEETON, WENDY — managing control - governing body, NOT APPLICABLE, since 10/29/2012
• KISSLING, MONICA — managing control - governing body, NOT APPLICABLE, since 06/21/2017
• MCBEAN, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/30/2021
• SANDERSON, CLARK — managing control - governing body, NOT APPLICABLE, since 10/29/2012
• SANDERSON, CLARK — corporate officer, NOT APPLICABLE, since 10/29/2012
• TROMPLER, KELLY — managing control - governing body, NOT APPLICABLE, since 02/22/2022
• WILLIG, ZACHARY — corporate director, NOT APPLICABLE, since 01/01/2025
• FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 03/31/2017
• FORT WORTH IV ENTERPRISES, LLC — adp of the snf, NOT APPLICABLE, since 11/01/2022
• FORT WORTH IV ENTERPRISES, LLC — operational/managerial control, NOT APPLICABLE, since 11/01/2022