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Who owns Downtown Health and Rehabilitation Center in Fort Worth, Texas?
Ownership resolution: Public owner of record, private operator
Facility snapshot
| CCN | 455651 |
| Facility type | Skilled Nursing Facility |
| City | Fort Worth |
| County | Tarrant |
| State | Texas |
| Certified beds | 161 |
| CMS overall rating | 1 of 5 |
| Ownership type | Government - Hospital district |
| Licence held by (statutory) | FANNIN COUNTY HOSPITAL AUTHORITY |
| Corporate family | FORT WORTH IV ENTERPRISES, LLC |
Ownership changes for Downtown Health and Rehabilitation Center
1 recorded change of ownership is on file for this facility; the most recent took effect 2017-03-31. The acquiring and prior entities, transaction types and complete history are part of the paid intelligence below.
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The complete ownership structure and operating entities, ownership percentages and association dates, the full recorded change-of-ownership history, financial and staffing indicators, distress analysis, and corporate-family context for this facility and every facility in Texas.
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Who owns Downtown Health and Rehabilitation Center?
WhoOwnsCare resolves the facility's ownership filings to FORT WORTH IV ENTERPRISES, LLC (single confidence).
Has Downtown Health and Rehabilitation Center changed ownership?
Yes — the most recent recorded change of ownership took effect 2017-03-31.
Ownership relationships for Downtown Health and Rehabilitation Center
| Operating family (who controls this facility) | Fort Worth Iv Enterprises, Llc |
|---|---|
| Operating entity | resolved (confidence moderate); the enrolled operating entity is named in the full report |
| Family resolution status (v1.0) | confirmed |
| CMS affiliation entity | CREATIVE SOLUTIONS IN HEALTHCARE (CMS evidence; separate from the operating family) |
| Legal corporate parent | none on file from integrated SEC/IRS evidence |
| Management company | no management-company candidate identified in CMS control roles |
| Property owner | not derivable from the public sources currently integrated |
| Lender / security interests | none recorded |
Each row is a different relationship. Operating control, CMS affiliation, legal parentage, management, property ownership and financing are recorded separately and never merged.
Ownership history and financial reporting
| Recorded changes of ownership | 1 (latest 2017-03-31) |
|---|---|
| Latest cost-report period | 2025-01-01 to 2025-12-31 (365-day period) |
| Latest reported net result | positive |
| Reporting periods on file | 3 |
Exact reporting periods are preserved and never annualised. Operating expense, net income, utilisation and the full ownership-change history with buyer and seller are in the complete report.
Distress summary
Distress 2.0 band: Watch Drivers: elevated health-deficiency count; low or declining occupancy; civil money penalty / enforcement activity; staffing pressure (nurse hours below peer levels).
Bands summarise six documented components; the score and component values are in the paid report.
Related research
Sources
CMS Medicare enrollment and ownership files, Care Compare provider information, Payroll Based Journal, Medicare cost reports (HCRIS), change of ownership records. Data vintage July–August 2026. Full methodology.