Back stairs led downward, then others took him down again.
Then he put his foot on the first step that led downward.
There, an open door led to a staircase leading downward.
At the end away from the street there were narrow steps that led downward.
At the end, he found a set of stairs leading downward.
He used a staircase that led downward through the public section of the hospital.
Those stairs led downward, but the men upon the steps were coming up.
He saw a long flight of stone steps leading downward.
These led downward, into the lower portion of the house.
At the end of the passage, a ramp led downward again.