Estates Healthcare and Rehabilitation Center
State inspectors recorded 7 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-05-01 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-10 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-05-01 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-05-01 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-14 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-14 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-02-14 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
2.48
state median 2.67
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.30
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
87%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
8 enforcement action(s), totaling $147,538 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-05-01 | Fine | $10,661 |
| 2025-09-10 | Fine | $17,644 |
| 2025-05-01 | Fine | $12,295 |
| 2025-02-14 | Fine | $64,457 |
| 2025-02-14 | Payment Denial | payment denial |
| 2025-01-13 | Fine | $16,391 |
| 2024-08-21 | Fine | $10,238 |
| 2023-12-13 | Fine | $15,852 |
Ownership
Ownership type: For profit - Corporation. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-01 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2026-05-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2026-05-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-05-01 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-05-01 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-01 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-03-24 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-24 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-24 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-11 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-11 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-12-04 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-04 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-09-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-09-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-10 | F0644 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-09-10 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-05-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-05-01 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-05-01 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-14 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-14 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-14 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-14 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-02-14 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-02-14 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-02-14 | F0698 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-14 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-14 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-14 | F0825 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-13 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-10-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-06 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-01 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-21 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-05 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-05 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-01-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-05 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-05 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-05 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-05 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-05 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-05 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-01-05 | F0908 | Environmental Deficiencies | D | not recorded |
| 2023-12-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2023-09-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |