Estates Healthcare and Rehabilitation Center

Nursing home in Fort Worth, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address: 201 Sycamore School Road, Fort Worth, TX 76134
Phone: (817) 293-7610
Listed under: For-profit
Medicare CCN: 675028
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 141
Average residents per day: 91
Ownership: For-profit, corporation
Legal business name: West Wharton County Hospital District
Chain: Creative Solutions in Healthcare (149 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Dec 1, 1991
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675028. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 1, 2026. CMS lists 55 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 12, 2023 to Jun 17, 2026): 36 from complaint inspections, 11 at the “actual harm” level or higher, including 8 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Jun 17, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Jun 3, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
May 1, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 1, 2026	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. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 1, 2026	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… Pharmacy Service	D Potential for more than minimal harm, isolated
May 1, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
May 1, 2026	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights	E Potential for more than minimal harm, pattern
May 1, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	E Potential for more than minimal harm, pattern
May 1, 2026	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated
Mar 24, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Mar 24, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Mar 24, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 55. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 8 fines totalling $159,833 and 1 denial of Medicare payment for new admissions in the last three years.

May 1, 2026	Fine: $10,661
Sep 10, 2025	Fine: $17,644
May 1, 2025	Fine: $12,295
May 1, 2025	Fine: $12,295
Feb 14, 2025	Fine: $64,457
Feb 14, 2025	Payment denial for 2 days from Mar 19, 2025
Jan 13, 2025	Fine: $16,391
Aug 21, 2024	Fine: $10,238
Dec 13, 2023	Fine: $15,852

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.08 hours
Registered nurse (RN) time per resident per day: 0.49 hours
Nurse aide time per resident per day: 1.67 hours
Total nurse staffing on weekends: 2.57 hours
Nursing staff turnover (yearly): 87%
RN turnover (yearly): 80%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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