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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Ideally located in Fort Worth, TX, James L. West Center for Dementia Care provides a safe retreat for those dealing with the challenges of memory loss. Through their personalized memory care program, the community aims to help residents live their lives fully and comfortably despite their condition. A team of highly trained and experienced caregivers is always available to care for residents and ensure their care plans align with their needs.
As a non-profit community, James L. West Center for Dementia Care guarantees comprehensive care services focused solely on residents’ welfare. Residents here are also encouraged to freely participate in a wide array of enriching activities tailored to their interests and skills. With a strong commitment to loving care and an exceptional care team, the community ensures its residents live a fulfilling life.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 12th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 23% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 24m per day | ▲ 47% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 0m per day | ▲ 49% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 26m per day | ▲ 48% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 12m per day | ▼ 43% State avg: 21m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%James L. West Center for Dementia Care is administrated by Mack Baldridge.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 6 | This facility has 17% fewer total citations than a typical Texas assisted living residence (5 vs. TX avg 6).↓ 17% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 2 | 2 | This facility has health citations in line with the Texas average (2 vs. TX avg 2).— At avg |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 6 | This facility has 50% fewer life safety citations than a typical Texas assisted living residence (3 vs. TX avg 6).↓ 50% better |
|
Citations per year
Average citations per year since 2023.
| 1.7 | 2 | This facility has 15% fewer citations per year than a typical Texas assisted living residence (1.7 vs. TX avg 2).↓ 15% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 12, 2025, identified deficiencies related to resident-to-resident abuse, catheter care, and medication administration. Earlier inspections showed a pattern of issues involving abuse prevention, medication management, care planning, and transfer procedures, with some findings resulting in Immediate Jeopardy that was later removed. Inspectors cited failures to protect residents from abuse by staff and other residents, incomplete physician orders, and inadequate staff training and investigation of abuse allegations. Several complaint investigations were substantiated, including physical and verbal abuse by a CNA that led to staff removal and retraining, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges in abuse prevention and care coordination, with some corrective actions taken but recurring deficiencies noted over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 18 citations resulted from standard inspections; and 10 of 18 resulted from complaint investigations.
250% worse than Texas averageTexas average: 2
150% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
52% better than Texas average
10% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,926 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 51 | 119 | 28,003 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 24 | 29 | 53 | 11,136 | 92 | 100% | 9.7 |
| Other Dietary Services Staff | 11 | 0 | 11 | 3,954 | 92 | 100% | 7.7 |
| Registered Nurse | 7 | 4 | 11 | 2,227 | 89 | 97% | 9.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,488 | 66 | 72% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 913 | 70 | 76% | 6.6 |
| Physical Therapy Assistant | 5 | 0 | 5 | 886 | 73 | 79% | 6.8 |
| Dietitian | 2 | 1 | 3 | 810 | 66 | 72% | 7.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 600 | 63 | 68% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Speech Language Pathologist | 3 | 0 | 3 | 490 | 71 | 77% | 6.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 476 | 67 | 73% | 6.1 |
| Feeding Assistant | 0 | 3 | 3 | 266 | 38 | 41% | 6.8 |
| Physical Therapy Aide | 3 | 0 | 3 | 264 | 61 | 66% | 4 |
| Medical Director | 0 | 2 | 2 | 75 | 20 | 22% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 74 | 11 | 12% | 6.8 |
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
11% lower than Texas averageTexas average: $80K
262% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
10 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 12, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 12, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 6, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.1
76% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.0
62% worse than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
34.5%
113% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
22.6%
39% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.9%
34% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
In line with Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.5%
43% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.7%
116% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
12.9%
272% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.1%
26% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
24.6%
212% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.5%
16% worse than Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.33
38% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
73% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.3%
23% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
12.0%
726% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
5% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.4%
60% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
9% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
5.6%
622% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
49.1%
9% worse than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.9%
9% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
90% of new residents, usually for short-term rehab.
10% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
102Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for James L. West Center for Dementia Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 297Payroll — State benchmarkedThis home is ranked 23rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / Semi-Private Rooms
Building Type: 3-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Most residents typically stay for a few weeks or months before returning home or moving on.
Tami Fitzgerald serves as the Healthcare Administrator at James L. West Center for Dementia Care. She has been with the community since 2021, providing dedicated leadership and support to ensure quality care for residents.
1.1 miles from city center
Estimated distance in miles from Fort Worth's city center to James L. West Center for Dementia Care's address, calculated via Google Maps.
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James L. West Center for Dementia Care is located in Fort Worth, Texas.
Here are the financial assistance programs available to residents in Texas.
The legal owner and operator of James L. West Center for Dementia Care is James L West Presbyterian Special Care Center.
James L. West Center for Dementia Care has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to TX state health department records, James L. West Center for Dementia Care's license number is 148475.
According to TX state health department records, James L. West Center for Dementia Care's license expires on May 8, 2026.
James L. West Center for Dementia Care's occupancy is 94%.
Mack Baldridge is the administrator of James L. West Center for Dementia Care.
James L. West Center for Dementia Care has 112 beds.
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