The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Estates Healthcare and Rehabilitation Center
Fort Worth, TX · Medicare-certified · 141 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
2 of 5 overall
Estates Healthcare and Rehabilitation Center in Fort Worth has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality rating. It is a Special Focus Facility candidate/attention flag, has $133,021 in fines in the last 24 months, and reported nurse staffing of 3.08 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.0801 hrs/resident/day
Quality measures
Last inspection: March 24, 2026Penalties, last 24 months: $133,021special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0801.
Staffing detail
- Registered nurses
- 0.26
- Licensed practical nurses
- 0.96
- Nurse aides
- 1.86
- Weekend nursing
- 2.68
Hours per resident per day.
Total staff turnover: 91%
Registered nurse turnover: 90%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.9%Steady
Residents with a fall causing major injury
1%Worsening
Residents with pressure ulcers (bedsores)
5.4%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.7%Steady
Residents whose ability to walk got worse
16.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.2%Improving
Short-stay residents newly given an antipsychotic
1.4%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.2%Improving
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
88.6%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- PENALTY
A federal fine of $12,295 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $64,457 was recorded.
- PENALTY
A federal fine of $16,391 was recorded.
- PENALTY
A federal fine of $10,238 was recorded.
Penalties & enforcement
On record with Medicare: 7 fines · $148,873 in total fines · 1 payment denial.
- $17,345
Federal fine
Sep 10, 2025
- $12,295
Federal fine
May 1, 2025
- 2 days
Medicare/Medicaid payment denial
Feb 14, 2025
- $64,457
Federal fine
Feb 14, 2025
- $16,391
Federal fine
Jan 13, 2025
- $10,238
Federal fine
Aug 21, 2024
- $15,852
Federal fine
Dec 13, 2023
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 88.6 residents on an average day (63% of 141 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.