Federal inspection record · CMS data as of October 1, 2026
Estates Healthcare and Rehabilitation Center
201 Sycamore School Road, Fort Worth, TX · (817) 293-7610
- Cited for abuse (CMS abuse icon)
- Certified beds
- 141
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Estates Healthcare and Rehabilitation Center carries 265 inspection points. That is fewer than 4% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
57 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (11)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care14E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
Resident Assessment and Care Planning9E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights7E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service6E
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
- D
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.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-05-01
22 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-02-14
23 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2024-01-05
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 16 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 16 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 50% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$156,102 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-01 | Fine | $6,930 |
| 2025-09-10 | Fine | $17,644 |
| 2025-05-01 | Fine | $12,295 |
| 2025-05-01 | Fine | $12,295 |
| 2025-02-14 | Fine | $64,457 |
| 2025-02-14 | Payment Denial · 2 day denial | $0 |
| 2025-01-13 | Fine | $16,391 |
| 2024-08-21 | Fine | $10,238 |
| 2023-12-13 | Fine | $15,852 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 0.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 17.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts better | 3.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.8 pts worse | 27.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts worse | 24.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.7 pts better | 5.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 7.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6 pts better | 91.4% | 85.4% | 80.1% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Gary | Adp Of The SNF · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Bowers, Sean | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Cisneros, Alfred | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cobb, Travis | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Cooper, Stephen | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Fort Worth V Enterprises LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fort Worth V Enterprises LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hardin, Sherrie | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Huggins, Linda | Operational/Managerial Control · Individual | 0% | 138 facilities |
| Jamal, Syed | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Jamal, Syed | Adp Of The SNF · Individual | 0% | 6 facilities |
| Kerzee, Richard | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Korenek, Patricia | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Romero, Bradley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Romero, Bradley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Soechting, Paul | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Strack, Joe | Managing Control - Governing Body · Individual | 0% | 40 facilities |
| Thompson, Johnny | Managing Control - Governing Body · Individual | 0% | 79 facilities |
| Thompson, Johnny | Operational/Managerial Control · Individual | 0% | 79 facilities |
| West Wharton County Hospital District | Direct Ownership Interest · Organization | 0% | 21 facilities |
| Willig, Zachary | Operational/Managerial Control · Individual | 0% | 84 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install an approved automatic sprinkler system.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
Meet Health Care Facilities Code mechanical requirements.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2F
- F
Conduct risk assessment and an All-Hazards approach.
- F
Establish policies and procedures including evacuation.
·
Other homes nearby
-
Tuskegee Airmen Texas State Veterans Home
Fort Worth, TX · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $14,280
-
Park Bend Rehabilitation And Healthcare Center
Burleson, TX · Momentum Skilled Services
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 21 min
- Fines
- $65,855
-
Allegiant Wellness And Rehab
Crowley, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0