Estates Healthcare and Rehabilitation Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 69 Google reviews
Watch Estates Healthcare and Rehabilitation Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 8.0)
- High staff turnover (63%)
- High RN turnover (78%)
Below average in Texas · Critically understaffed (RN) · Below chain average · $158,213 in fines · Abuse citation
What this means for your family
The facility's recent renovations and highly visible administration make it a much more pleasant environment than in previous years. However, families should be extremely vigilant about monitoring the security of personal belongings and ensuring that medication and feeding schedules are being strictly followed.
Google Reviews
Google Reviews
69 reviews on Google“Families will find a facility that has undergone significant recent renovations and improvements in cleanliness and management accessibility. While many reviewers praise the new, beautiful environment and the attentive administration, there are serious, recurring allegations regarding the loss of personal belongings and inconsistent responsiveness to call lights or visitor needs.”
Quality Themes
Tap a score for detailsStrengths
- Recent facility renovations and cleanliness
- Accessible and involved administration
- Friendly and professional housekeeping staff
- Smooth transition process for new admissions
Concerns
- Loss or mishandling of residents' personal items and clothing (mentioned by 2 reviewers)
- Difficulty communicating with staff via phone or at the front desk (mentioned by 3 reviewers)
- Inconsistent responsiveness to call lights or resident needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 75 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1It's wonderful to see how clean and renovated the facility looks; what specific steps does your housekeeping team take to maintain this standard for the residents?
- 2Since the administration is known for being very involved, what is the best way for our family to stay in regular contact with the leadership team regarding our loved one's care?
- 3We want to make sure our loved one's personal belongings are well-kept; what systems do you have in place to track and prevent the loss of clothing or personal items?
- 4How does the nursing staff manage call lights during busy shifts to ensure that resident needs are addressed promptly and consistently?
- 5What is the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
- 6How do you ensure that communication between the floor staff and family members remains clear and frequent?
Personalized based on this facility's data
Key Review Excerpts
“I toured this facility a couple years ago before the new company took over. I was shocked when I recently was in the building and saw (and SMELT!!) the difference!”
“The Administrator, Business Office Manager, Admissions Director, Director of Nursing, and SW were very helpful when transferring our father from hospital to their facility and communication with myself and family.”
“They mix their cloth & loses them, they mistreat people & don’t feed them as needed. Some of the employees are careless and all about put in hours and collecting their check not their patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns of repeat deficiencies that families have reported, with 29 complaint-triggered violations across 80 total deficiencies. The most frequent issues involve resident protection from abuse and neglect, accident prevention and safety supervision, and medication management problems. While past violations show correction dates, the facility continues experiencing similar problems across multiple surveys, including recent infections control issues and ongoing safety hazards, suggesting persistent care quality challenges that warrant careful consideration.
Mar 24, 2026Complaint5
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Dec 11, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Dec 4, 2025Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 10, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 1, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 14, 2025Routine14
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Federal Penalties
Fine
Sep 10, 2025
$17,345
Fine
May 1, 2025
$12,295
Fine
May 1, 2025
$12,295
Payment Denial
Feb 14, 2025
2-day denial
Fine
Feb 14, 2025
$64,457
Fine
Jan 13, 2025
$16,391
Fine
Aug 21, 2024
$10,238
Fine
Dec 13, 2023
$15,852
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
FORT WORTH V ENTERPRISES, LLC
LYDIA MESSINA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 88 of 148
Ownership & Management
Owners
West Wharton County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
69 reviews from families & visitors
Official Website
Visit estateshealthcare.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
St John's Residential Care Home INC
3.9 miAssisted Living · Fort Worth, TX
Avir at Fort Worth
4.5 miNursing Home · Fort Worth, TX
Circle of Helping Hands
4.7 miAssisted Living · Fort Worth, TX
Wedgewood Nursing Home
4.8 miNursing Home · Fort Worth, TX
The Grandview of Chisolm Trail
5.4 miAssisted Living · Fort Worth, TX
Cns Arborlawn
5.8 miAssisted Living · Fort Worth, TX