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Estates Healthcare & Rehab Center
Nursing Home, Memory Care & Skilled Nursing · Fort Worth, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Entrance area of a senior living facility with landscaping Outdoor seating area in front of the facility Therapy room with exercise equipment for residents A well-lit hallway with resident rooms

Estates Healthcare & Rehab Center

Nursing Home, Memory Care & Skilled Nursing · Fort Worth, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
201 Sycamore School Rd, Fort Worth, TX 76134 View map Calculator: See prices in your area
Estates Healthcare & Rehab Center accepts Medicaid, Medicare, and private pay.
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Estates Healthcare & Rehab Center accepts Medicaid, Medicare, and private pay.

Overview of Estates Healthcare & Rehab Center

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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.

Facility Direct Line (817) 293-7610
Facility Direct Line (817) 293-7610 INFO_Estates@csnhc.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 64.2% Below TX avg. ▼ 64.2% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 63.8% Below TX avg. ▼ 63.8% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 6.5% Above TX avg. ▲ 6.5% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Texas averages

Rank #141 / 234Nurse hours — State benchmarkedThis home is ranked 141st out of 234 homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 141st out of 234 homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 10m

13% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
30m
+17% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
57m
Avg State avg: 57m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 43m
−15% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
2h 39m
−11% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−81% State avg: 4m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
23m
+9% State avg: 21m per day · National avg: 29m per day

3 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +17% above Texas average

Capacity and availability

Residents per day (avg)
91
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
133 days
Bed community size
141-bed community Rank #78 / 980Bed count — State benchmarkedThis home is ranked 78th out of 980 homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
49 years in operation Rank #44 / 587Years in operation — State benchmarkedThis home is ranked 44th out of 587 homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 51 / 100 Rank #480 / 1345Walk Score — State benchmarkedThis home is ranked 480th out of 1,345 homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
65%
Rank #114 / 163Occupancy rate — State benchmarkedThis home is ranked 114th out of 163 homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Texas average: 63.5%
Occupied beds
91 / 141
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 2, 2026
ExpirationJanuary 2, 2029
CountyTarrant
License Number311287
Year Opened5/22/1977
CMS Certification Number675028
QualificationNursing

Ownership & Operating Entity

Estates Healthcare & Rehab Center is administered by Lydia Messina.

Management CompanyFORT WORTH V ENTERPRISES, LLC
OwnerWest Wharton County Hospital District
Ownership TypeHOSPITAL 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

Administrator Emailzachary_willig@csnhc.com

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Contact Estates Healthcare & Rehab Center

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.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. TX average 2 Worse Metrics worse than Texas average:
• Total citations (113% above)
• Life safety citations (167% above) 1 Better Metrics better than Texas average:
• Health citations (50% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 178 This facility has 113% more total citations than a typical Texas nursing home (17 vs. TX avg 8).↑ 113% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 12 This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 166 This facility has 167% more life safety citations than a typical Texas nursing home (16 vs. TX avg 6).↑ 167% worse
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 15

Texas average 7.4

Last Health inspection on Sep 2025

Total health citations
41 Rank #202 / 234Health citations — State benchmarkedThis home is ranked 202nd out of 234 homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 25.9

Citations per inspection
2.73 Rank #67 / 234Citations per inspection — State benchmarkedThis home is ranked 67th out of 234 homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
7
250% worse than Texas average

Texas average: 2

Serious health citations
3
650% worse than Texas average

Texas average: 0.4

7 critical citations Texas average: 2
3 serious citations Texas average: 0.4
31 moderate citations Texas average: 23
0 minor citations Texas average: 0.4
Citations history (last 4 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

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 101
Employees 99
Contractors 2
Staff to resident ratio 1.31 : 1
11% fewer staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 41
Average shift 8.1 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 30,384

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 23 LPN Staff are full-time employees. No contractors work on this role. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.1%

42 contractor hours this quarter

Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3703712,71492100%7.9
Licensed Practical Nurse230236,66992100%9.1
Medication Aide/Technician6062,4769199%9
Physical Therapy Aide6061,5498188%7
RN Director of Nursing5051,1327480%8.1
Registered Nurse9091,0966267%9.9
Speech Language Pathologist3039639098%8.3
Therapeutic Recreation Specialist1015566672%8.4
Nurse Practitioner1015286672%8
Dietitian1015196773%7.8
Clinical Nurse Specialist1014885762%8.6
Mental Health Service Worker1014886672%7.4
Administrator1014485661%8
Qualified Social Worker1012455358%4.6
Other Dietary Services Staff1012324549%5.2
Respiratory Therapy Technician1011294650%2.8
Physical Therapy Assistant1011113437%3.3
Occupational Therapy Aide0113678%5.1
Medical Director011633%2
37 Certified Nursing Assistant
% of Days 100%
23 Licensed Practical Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 99%
6 Physical Therapy Aide
% of Days 88%
View All Staffing Data in Fort Worth

Penalties and fines

Includes penalties issued in 2023-2025

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 Rank #215 / 237Federal fines — State benchmarkedThis home is ranked 215th out of 237 homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

8 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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
Above average Texas avg: 4.1 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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 77
Medicare
1
1.3% of residents
Medicaid
72
93.5% of residents
Private pay or other
4
5.2% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.5M
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.1M Rank #191 / 218Net patient revenue — State benchmarkedThis home is ranked 191st out of 218 homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #138 / 218Payroll costs — State benchmarkedThis home is ranked 138th out of 218 homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.2M 83.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #23 / 199Payroll % of net patient revenue — State benchmarkedThis home is ranked 23rd out of 199 homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.5M
How we calculate these figures

This home is administered by Lydia Messina.

This home is owned by Fort Worth V Enterprises LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 675028

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

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

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under Medicaid (54% of admissions), and a typical Medicaid stay runs around 6 - 7 months.

Admissions
185 total

Coverage residents most often arrive under.

Medicare 15%
Private pay 31%
Medicaid 54%
Discharges
186 total

Coverage residents most often leave under.

Medicare 11%
Private pay 33%
Medicaid 56%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Estates Healthcare & Rehab Center

Address 9.0 miles from city center Info Estimated distance in miles from Fort Worth's city center to Estates Healthcare & Rehab Center's address, calculated via Google Maps.

Calculate Travel Distance to Estates Healthcare & Rehab Center

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Compare Nursing Homes around Fort Worth

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Stonegate Nursing and Rehabilitation ★ ★ ★ ★ ★
NH
SNF
Fort Worth
134
Facility 134
TX AVG 78
Rank #108 / 980
70.6%
Facility 70.6%
TX AVG 71.2%
Rank #92 / 163
-1%
3.42
Facility 3.42
TX AVG 3.63
Rank #101 / 234
 ★ ★ ★ ★ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ +78%-6%
$16.8k
Facility $16.8k
TX AVG $81.8k
Rank #101 / 237
28
Facility 28
TX AVG 25.9
Rank #169 / 234
3.1
Facility 3.1
TX AVG 3.7
Rank #109 / 234
395A+
35
Facility 35
TX AVG 42
Rank #849 / 1,345
Hmg Park Manor Of Stonegate, LLC
$8.1MFiscal year ending 08/2024
Facility $8.1MFiscal year ending 08/2024
TX AVG $9.4M
Rank #127 / 218
$4.1MFiscal year ending 08/2024
Facility $4.1MFiscal year ending 08/2024
TX AVG $5.4M
Rank #144 / 218
50.1%Fiscal year ending 08/2024
Facility 50.1%Fiscal year ending 08/2024
TX AVG 71.6%
Rank #153 / 199
675759
Garden Terrace at Fort Worth ★ ★ ★ ★ ☆
NH
SNF
Fort Worth
120
Facility 120
TX AVG 78
Rank #192 / 980
30.8%
Facility 30.8%
TX AVG 71.2%
Rank #159 / 163
-57%
4.00
Facility 4.00
TX AVG 3.63
Rank #57 / 234
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -56%+10%
$34.4k
Facility $34.4k
TX AVG $81.8k
Rank #144 / 237
21
Facility 21
TX AVG 25.9
Rank #120 / 234
3.0
Facility 3.0
TX AVG 3.7
Rank #98 / 234
337A+
51
Facility 51
TX AVG 42
Rank #480 / 1,345
Jerry Weeter
$4.3MFiscal year ending 09/2023
Facility $4.3MFiscal year ending 09/2023
TX AVG $9.4M
Rank #198 / 218
$2.9MFiscal year ending 09/2023
Facility $2.9MFiscal year ending 09/2023
TX AVG $5.4M
Rank #183 / 218
67.4%Fiscal year ending 09/2023
Facility 67.4%Fiscal year ending 09/2023
TX AVG 71.6%
Rank #57 / 199
675650
Village Creek Wellness and Rehabilitation ★ ★ ★ ☆ ☆
NH
PC
SNF
Fort Worth
100
Facility 100
TX AVG 78
Rank #345 / 980
87.5%
Facility 87.5%
TX AVG 71.2%
Rank #31 / 163
+23%
2.46
Facility 2.46
TX AVG 3.63
Rank #231 / 234
 ★ ★ ★ ★ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +16%-32%
$19.0k
Facility $19.0k
TX AVG $81.8k
Rank #106 / 237
19
Facility 19
TX AVG 25.9
Rank #99 / 234
3.8
Facility 3.8
TX AVG 3.7
Rank #163 / 234
288-
26
Facility 26
TX AVG 42
Rank #1,005 / 1,345
Village Creek Nursing & Rehabilitation LLC$6.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.4M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.55.5%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.675977
Wedgewood Nursing Home ★ ★ ★ ☆ ☆
NH
HOS
MC
PC
RC
SNF
Fort Worth (Wedgwood)
128
Facility 128
TX AVG 78
Rank #140 / 980
64.8%
Facility 64.8%
TX AVG 71.2%
Rank #112 / 163
-9%
3.90
Facility 3.90
TX AVG 3.63
Rank #63 / 234
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -5%+7%
$31.8k
Facility $31.8k
TX AVG $81.8k
Rank #143 / 237
32
Facility 32
TX AVG 25.9
Rank #186 / 234
2.9
Facility 2.9
TX AVG 3.7
Rank #90 / 234
383-
29
Facility 29
TX AVG 42
Rank #942 / 1,345
Michael Meisner
$6.4MFiscal year ending 08/2024
Facility $6.4MFiscal year ending 08/2024
TX AVG $9.4M
Rank #167 / 218
$0.0kFiscal year ending 08/2024
Facility $0.0kFiscal year ending 08/2024
TX AVG $5.4M
Rank #215 / 218
0%Fiscal year ending 08/2024455572
Estates Healthcare & Rehab Center ★ ☆ ☆ ☆ ☆
NH
MC
SNF
Fort Worth
141
Facility 141
TX AVG 78
Rank #78 / 980
64.5%
Facility 64.5%
TX AVG 71.2%
Rank #114 / 163
-9%
3.17
Facility 3.17
TX AVG 3.63
Rank #141 / 234
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +16%-13%
$148.9k
Facility $148.9k
TX AVG $81.8k
Rank #215 / 237
41
Facility 41
TX AVG 25.9
Rank #202 / 234
2.7
Facility 2.7
TX AVG 3.7
Rank #67 / 234
1091-
51
Facility 51
TX AVG 42
Rank #480 / 1,345
Fort Worth V Enterprises LLC
$5.1MFiscal year ending 03/2024
Facility $5.1MFiscal year ending 03/2024
TX AVG $9.4M
Rank #191 / 218
$4.2MFiscal year ending 03/2024
Facility $4.2MFiscal year ending 03/2024
TX AVG $5.4M
Rank #138 / 218
83.5%Fiscal year ending 03/2024
Facility 83.5%Fiscal year ending 03/2024
TX AVG 71.6%
Rank #23 / 199
675028
Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Estates Healthcare & Rehab Center is located in Fort Worth, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

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

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

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

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Estates Healthcare & Rehab Center

Who is the owner of Estates Healthcare & Rehab Center?

Estates Healthcare & Rehab Center is legally operated by West Wharton County Hospital District, and administered by Lydia Messina.

Is Estates Healthcare & Rehab Center in a walkable area?

Estates Healthcare & Rehab Center has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Estates Healthcare & Rehab Center?

According to TX state health department records, Estates Healthcare & Rehab Center's license number is 311287.

When does Estates Healthcare & Rehab Center's license expire?

According to TX state health department records, Estates Healthcare & Rehab Center's license expires on January 2, 2029.

What is the occupancy rate at Estates Healthcare & Rehab Center?

Estates Healthcare & Rehab Center's occupancy is 65%.

How long has Estates Healthcare & Rehab Center been in business?

Estates Healthcare & Rehab Center has been operating for approximately 49 years, based on available licensing and registration records.

Are pets allowed at Estates Healthcare & Rehab Center?

No, Estates Healthcare & Rehab Center has a no-pet policy.

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