Estates Healthcare: PASRR Form Delays Risk Resident Care - TX
The September 2025 inspection found that the facility had failed to upload required PASRR Nursing Facility Specialized Services forms on time. PASRR, the Preadmission Screening and Resident Review process, is the mechanism that connects residents with mental illness or intellectual disabilities to specialized nursing services. When the paperwork doesn't move, neither does the care.
The Director of Rehabilitation had not uploaded the forms into the state's system. When inspectors raised the issue, the administrator acknowledged the lapse and said the forms were finally submitted on June 20, 2025, the same day the problem was discovered. That's when the Director of Rehabilitation's regional director stepped in to resolve what the facility described as a technical issue and get the forms uploaded.
The administrator was direct about where the responsibility sat. It was the Director of Rehabilitation's job to upload the forms on time, the administrator told inspectors, and the failure to do so created a risk of delay in care to residents.
The facility's own policy made the timeline explicit. After an interdisciplinary team meeting, the facility had three days to enter the Plan of Care Support Plan form. The completed Nursing Facility Specialized Services form had to be submitted within 20 business days of that meeting. The policy, last revised in March 2019, also required that therapy and equipment vendors be notified as soon as possible after the meeting.
None of that happened when it was supposed to.
What the inspection report doesn't say is how long the forms had been sitting. It doesn't name the residents who were waiting. It doesn't say whether anyone's care was actually delayed as a result. Inspectors rated the violation at the lower end of the harm scale, finding minimal harm or potential for actual harm, and noted that some residents were affected.
But the administrator's own words frame the stakes plainly enough. When forms aren't uploaded on time, it creates a risk of delay in care. That's not an inspector's characterization. That's the facility's own leadership describing what their staff's failure meant for the people living there.
The facility is located on Sycamore School Road in Fort Worth and operates under the Creative Solutions in Healthcare system. The policy inspectors reviewed carried that company's name at the top.
A regional director had to be called in to fix a problem that the facility's own procedure manual says should have been handled within three days of a care planning meeting. By the time it was resolved, the window had already closed on whatever timeline the policy was designed to protect.
The inspection was completed September 10, 2025. The deficiency was one of several findings documented across 20 pages of the survey report.
For the residents whose forms were late, the question isn't whether the technical issue eventually got fixed. It's what happened in the weeks it wasn't.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Estates Healthcare and Rehabilitation Center from 2025-09-10 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
Estates Healthcare and Rehabilitation Center in Fort Worth, TX was cited for violations during a health inspection on September 10, 2025.
The September 2025 inspection found that the facility had failed to upload required PASRR Nursing Facility Specialized Services forms on time.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.