Estates Healthcare and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Estates Healthcare and Rehabilitation Center is a 141-bed for-profit nursing home in Fort Worth, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.67 nurse aide hours per resident per day, 16% below the Texas average of 2.00, and 86.7% nursing staff turnover (Texas average 55.3%).
Estates Healthcare and Rehabilitation Center
201 Sycamore School RoadFort Worth, TX 76134
Tarrant County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Estates Healthcare and Rehabilitation Center, nurse aides logged 1.67 hours per resident per day, 16% below the Texas average. With about 91 residents a day, that works out to roughly 152 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.67 | 2.00 | 2.32 |
| Licensed practical nurses | 0.92 | 0.95 | 0.86 |
| Registered nurses | 0.49 | 0.43 | 0.69 |
| All nursing staff | 3.08 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.57 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
86.7% of nursing staff at Estates Healthcare and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 1, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 23 health deficiencies (Texas average 9.3). CMS lists 8 fines totaling $159,833 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 1, 2026 | Fine | $10,661 |
| Sep 10, 2025 | Fine | $17,644 |
| May 1, 2025 | Fine | $12,295 |
| May 1, 2025 | Fine | $12,295 |
| Feb 14, 2025 | Payment Denial | 2 days from Mar 19, 2025 |
| Feb 14, 2025 | Fine | $64,457 |
| Jan 13, 2025 | Fine | $16,391 |
| Aug 21, 2024 | Fine | $10,238 |
| Dec 13, 2023 | Fine | $15,852 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Estates Healthcare and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Estates Healthcare and Rehabilitation Center
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Dec 1, 1991
- Councils: resident council
- Area: urban
Nursing homes near Estates Healthcare and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Tuskegee Airmen Texas State Veterans Home Fort Worth · abuse citation | 3.1 | 120 | — | — | — | — | $14,280 |
| Park Bend Rehabilitation and Healthcare Center Burleson | 3.6 | 178 | 2.28 | 3.59 | 49.4% | 2 | $65,855 |
| Allegiant Wellness and Rehab Crowley | 4.0 | 60 | 2.01 | 3.83 | 50.0% | 5 | None |
| Avir at Fort Worth Fort Worth · abuse citation | 4.4 | 120 | 1.77 | 3.06 | 71.6% | 2 | $180,340 |
| Ft. Worth Southwest Nursing Center Fort Worth | 4.6 | 198 | 2.17 | 3.61 | 27.2% | 3 | $23,923 |
| Crowley Nursing and Rehabilitation Crowley | 4.7 | 120 | 2.18 | 3.47 | 53.5% | 5 | $18,470 |
| Wedgewood Nursing Home Fort Worth | 4.9 | 122 | 1.69 | 3.45 | 56.1% | 3 | $31,778 |
| Ignite Medical Resort Fort Worth, LLC Fort Worth | 5.0 | 70 | 1.92 | 4.36 | 54.5% | 2 | $141,703 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.