48.5/100
Below average
Estates Healthcare And Rehabilitation Center
201 Sycamore School Road, Fort Worth, TX 76134
- 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.
$156,102 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%.
Our read on Estates Healthcare And Rehabilitation Center
Estates Healthcare and Rehabilitation Center runs 141 beds in Fort Worth under corporate for-profit ownership, and the numbers that stand out most are its inspection record and its staffing. Nurses provide about 3.08 hours of care per resident per day, roughly 20% below the national average, and weekend coverage drops about 16% below what the home staffs on weekdays. Staff turnover sits at 86.7%, nearly double the national rate of 45.8%. That instability shows up in the record: 53 deficiencies, 11 of them serious enough to involve harm or jeopardy to residents, and 8 tied to abuse. Eight fines total $159,833. One bright spot is the quality measure rating at 4/5, but with a 1/5 inspection rating and a 1/5 staffing rating, families should ask hard questions before choosing this home.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
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
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
6.5/30Nursing 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
0/15How 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
12/15The 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
0/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$156,102 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
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 1, 2026 (6 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.
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 D (48.5 out of 100), which we describe as "below average". 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? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
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.
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