Estates Healthcare and Rehabilitation Center
201 Sycamore School Rd · Fort Worth, TX · 76134 · 8172937610
141 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$142,842 in federal fines in the last 24 months
7 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
91% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | 91% | median 45% |
| Fines (3-yr window) | 8 · $158,694 |
Inspection citations (53 in the current record)
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Immediate jeopardy · J May 1, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 1, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected May 28, 2026 · Resident Rights
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Potential for harm · D 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.
Corrected May 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · E May 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 28, 2026 · Quality of Life and Care
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Potential for harm · D 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.
Corrected May 28, 2026 · Quality of Life and Care
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Potential for harm · D 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected May 28, 2026 · Pharmacy Service
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Potential for harm · D May 1, 2026
Provide and implement an infection prevention and control program.
Corrected May 28, 2026 · Infection Control
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Potential for harm · D March 24, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 6, 2026 · Resident Rights
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Potential for harm · D March 24, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · D March 24, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · D December 11, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · E December 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 12, 2025 · Infection Control
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Potential for harm · D December 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · E December 4, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 5, 2025 · Infection Control
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Immediate jeopardy · K September 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 10, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 11, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2025 · Quality of Life and Care
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Potential for harm · E May 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 2, 2025 · Pharmacy Service
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Immediate jeopardy · J February 14, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2026 | Fine | $9,821 |
| September 10, 2025 | Fine | $17,345 |
| May 1, 2025 | Fine | $12,295 |
| May 1, 2025 | Fine | $12,295 |
| February 14, 2025 | Fine | $64,457 |
| February 14, 2025 | Payment Denial | 2 days |
| January 13, 2025 | Fine | $16,391 |
| August 21, 2024 | Fine | $10,238 |
| December 13, 2023 | Fine | $15,852 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675028 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.