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Nursing homeFAID #13923

Estates Healthcare and Rehabilitation Center

201 Sycamore School Road, FORT WORTH, TX, 76134
(817) 293-7610
141 licensed beds

CMS rates Estates Healthcare and Rehabilitation Center 1 out of 5 overall. Federal inspectors issued 84 citations across 26 inspections in the last three years, with $156,102 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of ESTATES HEALTHCARE AND REHABILITATION CENTER
Photo via Google · Anthony Kingston

Address

201 Sycamore School Road
Fort Worth, TX 76134
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What we can show you for free.
Bed capacity
141
CMS facility ID
675028
Care type
Nursing home
County
Tarrant
Facility name
Estates Healthcare and Rehabilitation Center
Street address
201 Sycamore School Road
City / state / ZIP
Fort Worth, TX 76134
Phone
(817) 293-7610

Estates Healthcare and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Fort Worth, Texas. It is licensed for 141 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 137 senior care facilities in Fort Worth and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Estates Healthcare and Rehabilitation Center 84 times across 26 inspections in the last three years, and CMS has imposed $156,102 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Blake, Gary
Operational control · Additional disclosable party — since 2023
Blake, Malisa
Operational control — since 2023
Bowers, Sean
Governing body — since 2024
Cisneros, Alfred
Governing body — since 2008
Cobb, Travis
Governing body — since 2022
Cooper, Stephen
Governing body — since 2022
Fort Worth V Enterprises Llc
Operational control · Additional disclosable party — since 2023
Hardin, Sherrie
Governing body — since 2024
Huggins, Linda
Operational control — since 2023
Jamal, Syed
Operational control · Additional disclosable party — since 2025
Kerzee, Richard
Governing body — since 2007
Korenek, Patricia
Governing body — since 2018
Romero, Bradley
Operational control · Additional disclosable party — since 2025
Soechting, Paul
Governing body — since 2024
Strack, Joe
Governing body — since 2022
Thompson, Johnny
Governing body · Operational control — since 2024
West Wharton County Hospital District
Direct owner — since 2023
Willig, Zachary
Operational control — since 2025

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-12-01
CMS overall rating
1 of 5 stars
Health deficiencies
22 at the last standard inspection
Federal fines
$156,102 total
Last standard inspection
2026-05-01
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$210 per day (≈ $6,380/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
77% Medicaid · 4% Medicare · 20% private/other
Occupancy
47% (fiscal year 2024)
Vs. state median
24% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
141
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily 8:00 AM – 5:00 PM
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-08-26Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2026-07-23Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-24
21 earlier / fire-safety inspections (82 citations)
2026-07-08Health inspectionComplaint-triggered1 citation
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-07-10
2026-06-17Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-30
2026-06-03Health inspectionComplaint-triggered1 citation
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-04
2026-05-01Health inspectionComplaint-triggered7 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2026-05-02
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-02
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-02
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-02
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2026-05-02
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2026-05-02
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-02
2026-03-24Health inspectionComplaint-triggered5 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-04-06
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-04-06
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-06
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-06
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-04-06
2025-12-11Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-12-12
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-12
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-12
2025-12-04Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-05
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-05
2025-09-10Health inspectionComplaint-triggered4 citations
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-05
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-11
F-0644
E · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-11
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-19
2025-05-01Health inspectionComplaint-triggered3 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-14
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-02
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-02
2025-02-14Health inspectionComplaint-triggered10 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-15
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-15
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-02-15
F-0684
J · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-15
F-0686
J · Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-15
F-0689
K · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-15
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-02-15
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-15
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-02-15
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-02-15
2025-01-13Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-05
2024-10-06Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-07
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-07
F-0761
D · No harm foundFrom a complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-10-07
2024-10-01Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-02
2024-08-21Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-09
2024-06-05Health inspectionComplaint-triggered2 citations
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-06
F-0727
E · No harm foundFrom a complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-06-06
2024-01-30Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-31
2024-01-05Health inspection7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-08
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-08
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-01-08
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-01-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-01-08
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-01-08
2023-12-13Health inspectionComplaint-triggered1 citation
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-08
2026-05-01Fire-safety inspection8 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-05-04
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-05-04
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-05-04
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-05-04
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-05-04
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-05-04
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-05-04
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-05-04
2025-02-14Fire-safety inspection8 citations
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-02-14
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-14
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-02-14
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-03-21
K-0352
F · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-03-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-14
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-02-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-14
2024-01-05Fire-safety inspection11 citations
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2024-01-05
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-02-02
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-01-05
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-01-05
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-10
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-01-05
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-05
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-01-05
K-0900
F · No harm found
Meet Health Care Facilities Code mechanical requirements.
Corrected 2024-01-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-05

Federal penalties

2026-05-01Fine$6,930
2025-09-10Fine$17,644
2025-05-01Fine$12,295
2025-05-01Fine$12,295
2025-02-14Fine$64,457
2025-01-13Fine$16,391
2024-08-21Fine$10,238
2023-12-13Fine$15,852
2025-02-14Medicare payment denial — 2 days
Total fines$156,102
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675028.
How it compares in Texas.
Inspection citations, 3 years
84
More than 97% of nursing homes in the state
State median: 33
Federal fines, 3 years
$156,102
More than 92% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.3
Higher than 47% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
42%
Higher than 26% of nursing homes in the state
State median: 50%

Resident outcomes

On 17 federal quality measures, this facility does better than the Texas average on 9 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased24.7%15.8%13.5%Worse than state
Lose too much weight0.8%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms0.8%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.5%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened27.7%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication17.1%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers7.5%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence5.8%12.5%18.3%Better than state
Received an antipsychotic medication3.4%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication1.7%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine91.4%85.4%80.1%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 9 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 5 inspections. Provide and implement an infection prevention and control program.
  • F-0600 4 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0761 4 inspections. Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  • F-0684 4 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What its owners also hold

  • West Wharton County Hospital District has an ownership stake on file at 21 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baylor Scott and White Emergency Hospital, about 4.1 miles.
  • Texas Health Harris Methodist Hospital Southwest F, about 5.8 miles. CMS rating 5 of 5.
  • Wellbridge Healthcare Fort Worth, about 6.2 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.971 ratings on Google
★SJ · 2026-05-11 · via Google

“There is so much wrong with this facility, but I will begin by highlighting the lack of professionalism demonstrated by the evening staff. From the manner in which calls are answered at the nurses’ station to the poor quality of patient interactions, particularly involving hospice patients, the overall experience was extremely disappointing. I absolutely, would not recommend placing a loved one in…”

★★★★Andrew Castillo · 2026-02-19 · via Google

“The housekeepers here do a really well job of keeping my room cleaned and organized. Alexis in admissions is very sweet and welcoming to all of us. The cnas on my hall are very good and helpful”

★★★★★Cle Wilson · 2026-08-08 · via Google

“Friendly staff, attentive to residents! Smiling faces all around, kudos to the administrator!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 84 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered