ElderGrade
F

18.5/100

Poor

Estates Healthcare And Rehabilitation Center

201 Sycamore School Rd, Fort Worth, TX 76134

CMS 1/5 stars #69 of 70 in Tarrant County (817) 293-7610
Certified beds
141
Occupancy
65%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 11 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $159,833 in federal fines

    CMS has fined this facility across 8 penalty action(s).

  • Nursing staff turnover of 87%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 0/30 Staffing 6.5/30 Stability 0/15 Outcomes 12/15 Enforcement 0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 8 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -10 for 53 total citations against a national median of 17

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.17 total nurse hours per resident per day (national median 3.77)
  • 0.49 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 87% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $159,833 in federal fines across 8 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.08 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.49 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.57 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 86.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 53 citations

Last standard health inspection: May 1, 2026 (3 months ago).

J May 1, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

E May 1, 2026 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E May 1, 2026 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D May 1, 2026 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D May 1, 2026 F0693

Quality of Life and Care Deficiencies

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.

No actual harm, potential for more than minimal harm

D May 1, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D May 1, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Mar 24, 2026 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
WEST WHARTON COUNTY HOSPITAL DISTRICT Organization DIRECT OWNERSHIP INTEREST
BOWERS, SEAN Individual MANAGING CONTROL - GOVERNING BODY
CISNEROS, ALFRED Individual MANAGING CONTROL - GOVERNING BODY
COBB, TRAVIS Individual MANAGING CONTROL - GOVERNING BODY
COOPER, STEPHEN Individual MANAGING CONTROL - GOVERNING BODY
HARDIN, SHERRIE Individual MANAGING CONTROL - GOVERNING BODY
KERZEE, RICHARD Individual MANAGING CONTROL - GOVERNING BODY
KORENEK, PATRICIA Individual MANAGING CONTROL - GOVERNING BODY
SOECHTING, PAUL Individual MANAGING CONTROL - GOVERNING BODY
STRACK, JOE Individual MANAGING CONTROL - GOVERNING BODY
THOMPSON, JOHNNY Individual MANAGING CONTROL - GOVERNING BODY
FORT WORTH V ENTERPRISES LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Estates Healthcare And Rehabilitation Center

What is the ElderGrade for Estates Healthcare And Rehabilitation Center? +

Estates Healthcare And Rehabilitation Center holds an ElderGrade of F (18.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Estates Healthcare And Rehabilitation Center? +

Residents receive an average of 3.08 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Estates Healthcare And Rehabilitation Center been cited for harming residents? +

Yes. 11 of the 53 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Estates Healthcare And Rehabilitation Center accept Medicaid? +

Yes, Estates Healthcare And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.