For profit - Corporation · 141 certified beds · CMS number 675028

Estates Healthcare and Rehabilitation Center, Fort Worth, TX

CMS records 57 health deficiencies at Estates Healthcare and Rehabilitation Center in Fort Worth, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 1, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 8 citations were at the immediate jeopardy level, 4 of them recorded as past non-compliance (fixed before the inspection). CMS lists 8 fines totaling $156,102 and 1 payment denial in the last three years.

Inspections and deficiencies

CMS findings for Estates Healthcare and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Estates Healthcare and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (25 deficiencies)

Standard inspection May 1, 2026. CMS counts 25 health deficiencies and 8 fire safety deficiencies in this cycle.

Jul 23, 2026 · Complaint inspection

1 deficiency, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
No plan of correction on file

Jul 8, 2026 · Complaint inspection

1 deficiency, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 10, 2026

Jun 17, 2026 · Complaint inspection

1 deficiency, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 30, 2026

Jun 3, 2026 · Complaint inspection

1 deficiency, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 4, 2026

May 1, 2026 · Standard + complaint inspection

7 deficiencies, highest J

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2026

F693 · Feeding tube use and care

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 2, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 2, 2026

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date May 2, 2026

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 2, 2026

Mar 24, 2026 · Complaint inspection

5 deficiencies, highest D

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

Dec 11, 2025 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 12, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2025

Dec 4, 2025 · Complaint inspection

2 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 5, 2025

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2025

Sep 10, 2025 · Complaint inspection

4 deficiencies, highest K

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Jun 19, 2025

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 11, 2025

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 11, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Past non-compliance (fixed before the inspection), Sep 5, 2025
Previous cycle: 19 deficiencies (standard inspection Feb 14, 2025)

Standard inspection Feb 14, 2025. CMS counts 19 health deficiencies and 8 fire safety deficiencies in this cycle.

May 1, 2025 · Complaint inspection

3 deficiencies, highest G

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 2, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), Apr 2, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), Mar 14, 2025

Feb 14, 2025 · Standard + complaint inspection

10 deficiencies, highest K

F825 · Therapy and rehabilitation services

Requirement cited (CMS): Provide or get specialized rehabilitative services as required for a resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 15, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 15, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 15, 2025

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 15, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Feb 15, 2025

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Feb 15, 2025

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Feb 15, 2025

F610 · Investigating and responding to allegations

Requirement cited (CMS): Respond appropriately to all alleged violations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 15, 2025

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 15, 2025

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 15, 2025

Jan 13, 2025 · Complaint inspection

1 deficiency, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Dec 5, 2024

Oct 6, 2024 · Complaint inspection

3 deficiencies, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 7, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 7, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 7, 2024

Oct 1, 2024 · Complaint inspection

2 deficiencies, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 2, 2024

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 2, 2024
Earlier cycle: 13 deficiencies (standard inspection Jan 5, 2024)

Standard inspection Jan 5, 2024. CMS counts 13 health deficiencies and 11 fire safety deficiencies in this cycle.

Aug 21, 2024 · Complaint inspection

1 deficiency, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), Aug 9, 2024

Jun 5, 2024 · Complaint inspection

2 deficiencies, highest E

F727 · RN coverage and director of nursing

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 6, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 6, 2024

Jan 30, 2024 · Complaint inspection

1 deficiency, highest D

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 31, 2024

Jan 5, 2024 · Standard inspection

7 deficiencies, highest E

F908 · Equipment kept in safe working order

Requirement cited (CMS): Keep all essential equipment working safely.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 8, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

F685 · Vision and hearing services

Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 8, 2024

Dec 13, 2023 · Complaint inspection

1 deficiency, highest K

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Past non-compliance (fixed before the inspection), Dec 8, 2023

Sep 12, 2023 · Complaint inspection

1 deficiency, highest D

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 13, 2023

Tags cited in more than one inspection

11 tags cited on more than one inspection date at Estates Healthcare and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision9Jul 23, 2026; May 1, 2026; Sep 10, 2025 (PNC); May 1, 2025 (PNC); Feb 14, 2025; Jan 13, 2025 (PNC); Oct 1, 2024; Aug 21, 2024 (PNC); Jun 5, 2024
F600 Freedom from abuse and neglect5May 1, 2026; Sep 10, 2025 (PNC); May 1, 2025 (PNC); Dec 13, 2023 (PNC); Sep 12, 2023
F880 Infection prevention and control program5Jun 17, 2026; May 1, 2026; Dec 11, 2025; Dec 4, 2025; Jan 5, 2024
F656 Comprehensive person-centered care plan4May 1, 2026; Mar 24, 2026; Oct 6, 2024; Jan 5, 2024
F684 Quality of care4Mar 24, 2026; Dec 4, 2025; Feb 14, 2025; Jan 30, 2024
F761 Drug labeling and secure storage4May 1, 2026; Feb 14, 2025; Oct 6, 2024; Jan 5, 2024
F580 Telling residents and families about changes3Mar 24, 2026; Feb 14, 2025; Jan 5, 2024
F609 Reporting suspected abuse and crimes2Sep 10, 2025; Feb 14, 2025
F641 Accurate resident assessments2Mar 24, 2026; Dec 11, 2025
F755 Pharmacy services and a consultant pharmacist2May 1, 2025; Feb 14, 2025
F842 Complete, confidential medical records2Jul 8, 2026; Jun 3, 2026

Fines and payment denials

DateTypeAmount / length
May 1, 2026Fine$6,930
Sep 10, 2025Fine$17,644
May 1, 2025Fine$12,295
May 1, 2025Fine$12,295
Feb 14, 2025Fine$64,457
Feb 14, 2025Payment Denial2 days from Mar 19, 2025
Jan 13, 2025Fine$16,391
Aug 21, 2024Fine$10,238
Dec 13, 2023Fine$15,852

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.08 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.49 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.57 h
Nursing staff turnover
86.7% (Texas median 52.1%)
Administrators who left
2
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Estates Healthcare and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
201 Sycamore School Road, Fort Worth, TX 76134
Phone
(817) 293-7610
County
Tarrant
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
141
Average residents per day
91
In Medicare/Medicaid since
Dec 1, 1991
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 9 times)
  • How does the home screen, train, and supervise staff to protect residents? (F600, cited 5 times)
  • How do staff track and report infections among residents? (F880, cited 5 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)

Other nursing homes in Fort Worth and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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