Estates Healthcare And Rehabilitation Center
201 SYCAMORE SCHOOL ROAD, Fort Worth, TX, 76134
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Creative Solutions In Healthcare
- Certified beds
- 141 · avg 85 residents/day
- Total nursing staff turnover
- 63% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 77.8% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $158,213 total
- Payment denials
- 1 denial
- Infection control citations
- 1
State licensing & capacity
- License number
- 311287
- Service type
- Medicare/medicaid
- Licensed capacity
- 141 beds
- Bed type breakdown
- 8 Medicare-only · 133 Medicaid/Medicare
- Current license effective
- February 1, 2026
- Current license expires
- February 1, 2029
- Initial license date
- May 22, 1977
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fort Worth V Enterprises, Llc
- Administrator
- Lydia Messina
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- Bradley Romero
Adp of The Snf · since 2025
- Fort Worth v Enterprises Llc
Adp of The Snf · since 2025
- Syed m a Jamal
Operational/managerial Control · since 2025
- Zachary Willig
Operational/managerial Control · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
February 2023 (3 years ago) · acquired from Estates Healthcare And Rehabilitaton Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- E0880·Dec 11, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Dec 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0641·Dec 11, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0880·Dec 4, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0684·Dec 4, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- J0689·Sep 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0644·Sep 10, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0609·Sep 10, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20255 fines · $132K · 1 payment denial
- 20241 fine · $10K
- 20231 fine · $16K
Most recent events
- Sep 10, 2025Fine · $27K
- May 1, 2025Fine · $12K
- May 1, 2025Fine · $12K
- Feb 14, 2025Payment denial · 2 days · starting Mar 19, 2025
- Feb 14, 2025Fine · $64K
- Jan 13, 2025Fine · $16K
Largest single fine on record: $64K.
Fire-safety citations
35 Life-Safety-Code citations on file. Most recent: Feb 14, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Estates Healthcare and Rehabilitation Center is a 141-bed nursing home in Fort Worth (Tarrant County) accepting Medicare and Medicaid. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated abuse or neglect findings here within the past 36 months, and the facility has accumulated 7 fines totaling $158,213 since its last inspection cycle. About 85 residents occupy the facility on an average day — roughly 60% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 185 minutes of total nursing care per day, about 56 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 185 minutes stretch thinner than the raw number suggests. RN coverage is especially limited: roughly 15 minutes per resident per day, against the 37-minute threshold for a 4-star RN rating in Texas.
About 6 in 10 nursing staff left in the past year — above the 75th percentile for Texas nursing homes, meaning turnover here is worse than at least three-quarters of facilities in the state. A long-stay resident will likely cycle through two or three primary caregivers. RN turnover is higher still: roughly 8 in 10 registered nurses left in the past year.
Two administrators left in the past year, signaling organizational instability that residents and frontline staff both feel.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months.
Seven CMS fines totaling $158,213 have been assessed here. The state median for fined facilities in Texas is about $20,699; 30% of Texas nursing homes have no fines at all. This facility's total is roughly 7.6 times the state median fine amount.
The facility operates at about 60% of its 141 licensed beds — 85 residents on an average day. This level of occupancy, alongside the safety and staffing signals above, is a data point families may want to explore directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings explained
CMS records substantiated abuse or neglect findings here within the past 36 months — ask what happened, what changed, and how incidents are reported today.
Seven fines totaling $158,213
Ask which deficiencies triggered each of the 7 CMS fines and what specific corrective steps were completed for each.
Two administrators in one year
Two administrators left in the past year — ask who is currently in charge, how long they have been in the role, and whether a permanent hire is in place.
Nursing staff turnover at 63%
With 6 in 10 nursing staff leaving annually, ask how the facility assigns consistent caregivers to long-stay residents and how open shifts are filled.
15 RN minutes per resident daily
Registered nurses provide roughly 15 minutes of care per resident per day — ask when an RN is on-site, and who handles clinical decisions overnight and on weekends.
Occupancy at 60% of capacity
Only about 85 of 141 licensed beds are occupied on an average day — ask what accounts for the vacancy and whether staffing levels are adjusted to the current census.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.