Nursing Home

Estates Healthcare & Rehab Center

Nursing Home

Estates Healthcare & Rehab Center

201 Sycamore School Rd, Fort Worth, TX 76134 View map
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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Texas average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Texas average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Texas average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Texas average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 32m per day

This home provides 6% less nursing time per resident than the Texas average.

Texas average: 3h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 13m per day 21m per day 29m per day

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.

Lower demand than the Texas average
Occupancy rate 47.2%
Residents per day (avg) 82
Occupancy rate
47.2%
Residents per day (avg)
82

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

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
$6,815,347.00
Operating deficit
$-354,869.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
56.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
Total costs $7.2M
Bed community size
141-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
48 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 51 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
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

Services

Medicare/medicaid

About this community

License details

Facility type
Nursing
Status Active
Issuance January 2, 2026
Expiration January 2, 2029
County: TARRANT

Additional licensing details

License number: 311287
Year opened: 5/22/1977
CMS Certification Number: 675028

Ownership & operating entity

Estates Healthcare & Rehab Center is administrated by LYDIA MESSINA.

Management company: FORT WORTH V ENTERPRISES, LLC
Owner: WEST WHARTON COUNTY HOSPITAL DISTRICT
Ownership type: HOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
8 units
Medicaid and Medicare
133 units
Total beds
141 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Ms. Brianna Whitehead, Administrator
Administrator email: [email protected]

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

Programs & Activities

Specific Programs
Memory Care, Admissions, FAQ, Careers, Contact

Dining & Nutrition

Food Description
Nutritious meals prepared daily with high-quality ingredients.
Meals Included
Yes

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Recreational activities icon
Recreational activities icon

Recreational Activities

Types of Care at Estates Healthcare & Rehab Center

Nursing Home Respite Care Hospice Care
Contact Estates Healthcare & Rehab Center

Health Inspection History

Inspections
Total health inspections 15

Texas average 7.4


Last Health inspection on Sep 2025

Total health citations 41
Citations per inspection
2.73

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 More info 7
250% worse than Texas average

Texas average: 2


Serious Health citations More info 3
650% worse than Texas average

Texas average: 0.4

7 critical citations More info Texas average: 2

3 serious citations More info Texas average: 0.4

31 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Abuse/Neglect critical citation Sep 10, 2025
Corrected

Abuse/Neglect moderate citation Sep 10, 2025
Corrected

Quality of Care critical citation Sep 10, 2025
Corrected

Care Planning moderate citation Sep 10, 2025
Corrected

Compare Nursing Homes around Tarrant County

The information below is reported by the Texas Health and Human Services Commission.
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VILLAGE CREEK NURSING & REHABILITATION LLC
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49%
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ARBOR LAKE NURSING & REHABILITATION LLC
67.9%
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51.8%
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3.4313
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3
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3
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Fort Worth Transitional Care Center
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Home Care

HC

Hospice Care

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Nursing Homes 24/7 care needed

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REGENCY IHS OF FORT WORTH LLC
54.4%
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Private / Semi-Private Rooms
Cityview Nursing and Rehabilitation Center
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Hospice Care

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Nursing Homes 24/7 care needed

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53.6%
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3
40
4
+20%
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Private / Semi-Private Rooms
Estates Healthcare & Rehab Center
HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Fort Worth (Hallmark-Camelot Highland Terrace)
143
A+
51
FORT WORTH V ENTERPRISES LLC
47.2%
$5,692,661.00
$3,824,838.00
67.2%
81.90
2/5
3.5307
1/5
1/5
5/5
6
41
10
-8%
-3%
-26%
Semi-Private Rooms

Places of interest near Estates Healthcare & Rehab Center

Address 9.0 miles from city center

Address 201 Sycamore School Rd, Fort Worth, TX 76134

Calculate Travel Distance to Estates Healthcare & Rehab Center

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

101
Total Staff
99
Employees
2
Contractors
28,059
Total Hours (Quarter)
38
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse711.1 No
Licensed Practical Nurse219.3 No
Certified Nursing Assistant427.7 No
Staff by Category
Administration
3 staff
7.8hs shift avg
Nursing Staff
78 staff
8.4hs shift avg
Physicians & Practitioners
2 staff
8.8hs shift avg
Therapy Services
13 staff
6.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
7.5hs shift avg
Dietary Services
1 staff
8.6hs shift avg
Other Services
2 staff
7.7hs shift avg
Contractor Analysis
0.1%
of total hours from contractors
42 contractor hours this quarter
Medical Director: 1 Occupational Therapy Aide: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4204211,66891100%7.7
Licensed Practical Nurse210216,18591100%9.3
Medication Aide/Technician5052,43091100%9.1
RN Director of Nursing3031,6397886%9.4
Physical Therapy Aide5051,5458290%7
Speech Language Pathologist5051,0337077%8.5
Registered Nurse7079356875%11.1
Administrator2025525763%8
Clinical Nurse Specialist1015095560%9.2
Qualified Social Worker2024495965%7.5
Dietitian1013283842%8.6
Mental Health Service Worker2023234246%7.7
Nurse Practitioner1012643336%8
Physical Therapy Assistant101922629%3.6
Respiratory Therapy Technician101653033%2.2
Occupational Therapy Aide01136910%4
Medical Director011633%2

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.

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 Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.5
59% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Significantly above average Texas avg: 4.2 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 25.6%
58% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.9%
84% worse than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.9%
34% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
69% better than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.7%
16% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
58% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.9%
75% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.6%
80% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 88.6%
In line with Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 37.1%
43% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.8%
10% better than Texas average

Texas average: 12.0%

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 average

Texas average: $80K

Number of fines 7
182% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
354% more payment denials than Texas average

Texas 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 10, 2025
$27K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 1, 2025
$12K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 1, 2025
$12K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 14, 2025
$64K

Last updated: Jan 2026

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.