Show Inspection Reports
Total health inspections
15
Texas average 7.4
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home in Tarrant County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Estates Healthcare & Rehab Center
Nursing Home in Tarrant County
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Estates Healthcare & Rehab Center
Overview of Estates Healthcare & Rehab Center
Receive top-tier care from Estates Healthcare and Rehab Center, a dedicated community located in the serene neighborhood of Sycamore School Road, Fort Worth, TX, that focuses on skilled nursing, memory care, and therapy services. Surgery recovery, wound care, respite care, podiatry, and care for cardiac-related illnesses are provided for residents’ complex healthcare needs. With its cozy and specially designed accommodations, residents will surely enjoy a comfortable and safe retirement.
The community also provides dentistry, optometry, transportation services, medication management, and hospice among others for residents’ everchanging needs. Here, residents enjoy healthy and delightful meals that cater to their dietary needs and preferences. Find all the care you need in one place with the community’s comprehensive care and carefully designed amenities.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
141
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
47.2%
Residents per day (avg)
82
Occupancy rate
47.2%
Residents per day (avg)
82
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
15% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
31% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
54% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$6.8M
Operating deficit
-$354.9K
Governmental community
Operated by state authorities.
Home revenue
$6.8M
Operating deficit
-$354.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.2M
141-bed community
A larger shared setting that may offer more common spaces and organized community services.
48 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 51 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Services
About this community
Facility TypeNursing
StatusActive
IssuanceJanuary 2, 2026
ExpirationJanuary 2, 2029
CountyTARRANT
License Number311287
Year Opened5/22/1977
CMS Certification Number675028
Estates Healthcare & Rehab Center is administrated by Lydia Messina.
Management CompanyFORT WORTH V ENTERPRISES, LLC
OwnerWEST WHARTON COUNTY HOSPITAL DISTRICT
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
8 units
Medicaid and Medicare
133 units
Total beds
141 units
Staffing
Key information about the people who lead and staff this community.
ContactMs. Brianna Whitehead, Administrator
Administrator Email
[email protected]
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Specific ProgramsMemory Care, Admissions, FAQ, Careers, Contact
Food DescriptionNutritious meals prepared daily with high-quality ingredients.
Meals IncludedYes
What does this home offer?
Housing Options: Semi-Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Beauty Services
Transportation Services
Recreational Activities
Types of Care at Estates Healthcare & Rehab Center
Nursing Home
Respite Care
Hospice Care
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
17 visits/inspections
11 visits/inspections triggered by complaints
4 routine inspections
Results
16 with issues
1 without issues
Latest inspection
Date
December 11, 2025
Annual Inspection48 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
41
Texas average 25.9
Citations per inspection
2.73
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 41 citations resulted from standard inspections; 21 of 41 resulted from complaint investigations; and 4 of 41 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
7
7
250% worse than Texas averageTexas average: 2
Serious Health citations
3
3
650% worse than Texas averageTexas average: 0.4
7 critical citations
3 serious citations
31 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 10, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 10, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 10, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 10, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 10, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 10, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 10, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Tarrant County The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Village Creek Wellness and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fort Worth
100
80.7%
+27%
2.80
-23%
2
19
3.8
2
84
-
26
Village Creek Nursing & Rehabilitation Llc
$2.4M
$1.2M
49%
675977
Arbor Lake Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fort Worth (Bricktown)
123
67.9%
+7%
3.43
-6%
3
34
2.8
3
88
-
69
Arbor Lake Nursing & Rehabilitation Llc
$6.8M
$3.5M
51.8%
675034
Fort Worth Transitional Care Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fort Worth
136
54.4%
-14%
3.15
-13%
3
51
3.2
3
84
-
56
Regency Ihs Of Fort Worth Llc
$7.6M
$4.9M
64.5%
676255
Cityview Nursing and Rehabilitation Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fort Worth
210
70.7%
+11%
3.73
+3%
3
40
3.6
4
174
-
56
Regency Ihs Of Cityview Fort Worth Llc
$13.4M
$7.2M
53.6%
675622
Estates Healthcare & Rehab Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Fort Worth (Hallmark-Camelot Highland Terrace)
143
47.2%
-26%
3.53
-3%
6
41
2.7
10
82
A+
51
Fort Worth V Enterprises Llc
$5.7M
$3.8M
67.2%
675028
Places of interest near Estates Healthcare & Rehab Center
9.0 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
101
Employees
99
Contractors
2
Staff to resident ratio
1.31:1
13% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
38
Average shift
8.1 hours
0% compared with Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
28,059
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.1%
42 contractor hours this quarter
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 42 | 0 | 42 | 11,668 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 21 | 0 | 21 | 6,185 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,430 | 91 | 100% | 9.1 |
| RN Director of Nursing | 3 | 0 | 3 | 1,639 | 78 | 86% | 9.4 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,545 | 82 | 90% | 7 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,033 | 70 | 77% | 8.5 |
| Registered Nurse | 7 | 0 | 7 | 935 | 68 | 75% | 11.1 |
| Administrator | 2 | 0 | 2 | 552 | 57 | 63% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 509 | 55 | 60% | 9.2 |
| Qualified Social Worker | 2 | 0 | 2 | 449 | 59 | 65% | 7.5 |
| Dietitian | 1 | 0 | 1 | 328 | 38 | 42% | 8.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 323 | 42 | 46% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 264 | 33 | 36% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 92 | 26 | 29% | 3.6 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 65 | 30 | 33% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 36 | 9 | 10% | 4 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
42 Certified Nursing Assistant
% of Days
100%
21 Licensed Practical Nurse
% of Days
100%
5 Medication Aide/Technician
% of Days
100%
3 RN Director of Nursing
% of Days
86%
5 Physical Therapy Aide
% of Days
90%
5 Speech Language Pathologist
% of Days
77%
7 Registered Nurse
% of Days
75%
2 Administrator
% of Days
63%
1 Clinical Nurse Specialist
% of Days
60%
2 Qualified Social Worker
% of Days
65%
1 Dietitian
% of Days
42%
2 Mental Health Service Worker
% of Days
46%
1 Nurse Practitioner
% of Days
36%
1 Physical Therapy Assistant
% of Days
29%
1 Respiratory Therapy Technician
% of Days
33%
1 Occupational Therapy Aide
% of Days
10%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
77 residents
Residents by payment source
Medicare
1 resident (1.3%)
Medicaid
72 residents (93.5%)
Private pay or other
4 residents (5.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
42% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.5
59% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
Percent of long-stay residents whose need for help with daily activities has increased
25.6%
58% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.9%
Percent of long-stay residents whose ability to move independently worsened
29.9%
84% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
34% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
69% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.7%
Percent of long-stay high risk residents with pressure ulcers
3.7%
16% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
58% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
75% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.6%
Percent of long-stay residents who received an antipsychotic medication
1.6%
80% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
In line with Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
37.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
37.1%
43% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
10% better than Texas averageTexas average: 12.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$158K
96% higher than Texas averageTexas average: $80K
Number of fines
7
182% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$158K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 10, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 10, 2025
$27K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2025
$12K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 1, 2025
$12K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 14, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 14, 2025
$64K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Estates Healthcare & Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
47.2%
↓ 6.9pp vs 2023
Net Income
-$354.9K
↓ ~$1.7M vs 2023
Total Payroll
$4.2M
↑ ~$2.8M vs 2023
Profit Margin
-6.2%
↓ 49.6pp vs 2023
Loading trend charts...
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