Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
229
138 employees · 91 contractors · 65 on an average day James L. West Center for Dementia Care
Nursing Home, Adult Day Care, Home Care, Memory Care, Respite Care & Skilled Nursing · Fort Worth, TX
ALM Inspection Grade
C
ALM's inspection grade is 75 / 100, a C — 7 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 75 / 100, a C — 7 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
James L. West Center for Dementia Care
Nursing Home, Adult Day Care, Home Care, Memory Care, Respite Care & Skilled Nursing · Fort Worth, TX
ALM Inspection Grade
C
ALM's inspection grade is 75 / 100, a C — 7 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 75 / 100, a C — 7 points below the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
James L. West Center for Dementia Care accepts Medicare and private pay.
James L. West Center for Dementia Care in Fort Worth, Texas, delivers specialized memory care, skilled nursing, adult day care, home care, and respite services. Secured memory care units protect individuals prone to wandering, while skilled nursing supplies around-the-clock licensed medical management. Short-term respite care assists families needing temporary coverage for primary caregivers, adult day care provides structured daytime support, and home care extends assistance off site.
Operating since 1993 under administrator Mack Baldridge, the 112-bed facility maintains a 94% occupancy rate and offers studio and semi-private room layouts. Caregivers allocate 5 hours and 37 minutes of total daily nurse staffing per resident. Additional clinical features include an on-staff doctor and short-term physical rehabilitation.
Residents also benefit from an on-site salon, community transportation, and educational programs like Dementia-IQ and caregiver training. A walk score of 73 makes the immediate neighborhood highly walkable for local errands.
Interested families considering specialized dementia programs can find structured support options tailored for both long-term residential care and short-term relief.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 13th out of 233 nursing homes we track in Texas for nurse hours. 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.
5h 37m
This nursing home is ranked 13th out of 233 nursing homes we track in Texas for nurse hours. 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.
5h 37mStandout metric: Certified nursing assistant is +76% above Texas average
2 of 6 metrics below Texas average
Daily care time per resident, by role
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 9.2-hour shifts
31m
↑ 20% · TX 26mThis facility: 31m per resident per day, 20% above the Texas average of 26m (among Texas facilities reporting a recent figure).
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 9.2-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 53 total: 24 of the facility's own employees and 29 agency contractors.
53 staff · 9.7-hour shifts
1h 33m
↑ 63% · TX 57mThis facility: 1h 33m per resident per day, 63% above the Texas average of 57m (among Texas facilities reporting a recent figure).
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. 53 total: 24 of the facility's own employees and 29 agency contractors.
53 staff · 9.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 119 total: 68 of the facility's own employees and 51 agency contractors.
119 staff · 9.6-hour shifts
3h 33m
↑ 76% · TX 2h 1mThis facility: 3h 33m per resident per day, 76% above the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
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. 119 total: 68 of the facility's own employees and 51 agency contractors.
119 staff · 9.6-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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
↓ 22% · TX 4mThis facility: 3m per resident per day, 22% below the Texas average of 4m (among Texas facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
5h 11m
↑ 74% · TX 2h 59mThis facility: 5h 11m per resident per day, 74% above the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
17m
↓ 20% · TX 21mThis facility: 17m per resident per day, 20% below the Texas average of 21m (among Texas facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
229
138 employees · 91 contractors · 65 on an average day
229 total staff / 102 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.25 : 1
↑ 56% · TX 1.44This facility: 2.25 staff per resident, 56% above the Texas average of 1.44 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
229 staff ÷ 102 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.9 h
↑ 10% · TX 8.1 hThis facility: 8.9 h, 10% above the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
53,179 staff hours this quarter
See full Texas ranking →96.4% of staff hours were worked by the facility's own employees
Texas average: 94.4% · Contractors this quarter: Certified Nursing Assistant (51), Licensed Practical Nurse (29), Registered Nurse (4), Feeding Assistant (3), Medical Director (2), Dietitian (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #150 / 257Bed count — State benchmarked This nursing home is ranked 150th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
112
Rank #150 / 257Bed count — State benchmarked This nursing home is ranked 150th out of 257 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #147 / 147Years in operation — State benchmarked This nursing home is ranked 147th out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #147 / 147Years in operation — State benchmarked This nursing home is ranked 147th out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2
years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #24 / 276Walk Score — State benchmarked This nursing home is ranked 24th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #24 / 276Walk Score — State benchmarked This nursing home is ranked 24th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
73
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #12 / 175Occupancy rate — State benchmarked This nursing home is ranked 12th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #12 / 175Occupancy rate — State benchmarked This nursing home is ranked 12th out of 175 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 175. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
89.8%
This home usually has limited availability
Based on 100.6 residents and 112 beds. Source: CMS Provider Information, average daily residents
Higher than the Texas average: 71.5%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
374
days
About This Community
Facility TypeNursing
IssuanceJanuary 1, 2024
CountyTarrant
License Number148475
QualificationNursing
James L. West Center for Dementia Care is administered by Mack Baldridge.
OwnerJames L West Presbyterian Special Care Center
Ownership TypeNonprofit Organization
Alzheimer's Units
112 units
Medicare
112 units
Total beds
112 units
Resident Council
Family Council
Does not accept Medicaid
Accept Medicare
Short-Term Rehab
Doctor on Staff
Alzheimer's Certification
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Adult Day Program
Caregiver Education
Transportation
Housekeeping
Beauty Services
Beauty Salon
Volunteer Program
Touring HoursMonday-Friday: 8am-5pm, Saturday: Closed, Sunday: Closed
Building Type3-story
Room Types
Studio
Semi-Private Rooms
CMS Health Inspection History
ALM Inspection Grade
75 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
7 points below the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
130 severity-weighted points (17 citations) · 52% higher than the typical CMS-certified TX facility (median: 85)
Enforcement
Concern
10 enforcement actions · 10× more than the typical CMS-certified TX facility (median: 1) · $63,236 in fines
Persistence
Typical
18 days to fix issues · slower than the typical CMS-certified TX facility (median: 16)
Total health inspections
6
↓ 24% · TX 7.9This facility: 6, 24% below the Texas average of 7.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
17
Rank #59 / 234Health citations — State benchmarked This nursing home is ranked 59th out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 39% · TX 27.7This facility: 17, 39% below the Texas average of 27.7 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.83
Rank #69 / 234Citations per inspection — State benchmarked This nursing home is ranked 69th out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 22% · TX 3.65This facility: 2.83, 22% below the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
17 of 17 citations corrected
Critical
J–L
7
↑ 268% · TX 1.9This facility: 7, 268% above the Texas average of 1.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 150% · TX 0.4This facility: 1, 150% above the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
9
↓ 64% · TX 24.9This facility: 9, 64% below the Texas average of 24.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 12, 2025 · 5 citations, all corrected
Most cited category: Abuse, Neglect & Exploitation, 8 of 17 citations · 4 categories in total
Citations history
Most recent first
Jun 12, 2025
5 citations
Abuse/Neglect serious citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Oct 11, 2024
5 citations
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Aug 06, 2024
2 citations
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect critical citation
Corrected
Corrected
Apr 26, 2024
1 citation
Quality of Care critical citation
Corrected
Corrected
Apr 18, 2024
3 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Feb 21, 2024
1 citation
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 17 citations
Abuse, Neglect & Exploitation
8 deficiencies (47%)
Resident Assessment & Care Planning
4 deficiencies (24%)
Quality of Life & Care
3 deficiencies (18%)
Pharmacy Services
2 deficiencies (12%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 17 citations resulted from standard inspections; and 9 of 17 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
10 penalties in the past 3 years
Latest: Jun 12, 2025 · $15,015 civil money penalty
Jun 12, 2025 · $15,015 civil money penalty
Oct 11, 2024 · $17,242 civil money penalty
Aug 6, 2024 · $8,827 civil money penalty
Apr 18, 2024 · $9,872 civil money penalty
Oct 30, 2023 · $2,797 civil money penalty
Oct 23, 2023 · $2,447 civil money penalty
Oct 17, 2023 · $2,098 civil money penalty
Oct 10, 2023 · $1,764 civil money penalty
Sep 18, 2023 · $3,174 civil money penalty
Jun 12, 2025 · 16-day payment denial
Total fines
$63,236
↓ 4% · TX $66KThis facility: $63,236, 4% below the Texas average of $65,686. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #184 / 236Federal fines — State benchmarked This nursing home is ranked 184th out of 236 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 236 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
9
↑ 317% · TX 2.16This facility: 9, 317% above the Texas average of 2.16. Average among the 815 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
16 days
TX avg 0.18Texas average: 0.18. Average among the 815 Texas facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Jun 12, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$15,015
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$15,015
Jun 12, 2025
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
16 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
16 days
Oct 11, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,242
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,242
Aug 6, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,827
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$8,827
Apr 18, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,872
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,872
Oct 30, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,797
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,797
Oct 23, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Oct 17, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Oct 10, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,764
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,764
Sep 18, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,174
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,174Fine amount comparison
This facility
$63,236
Texas average
$65,686
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↓ 1% · TX 4.1This facility: 4.0, 1% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 62% · TX 3.1This facility: 5.0, 62% above the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.0
Score · lower is better
↑ 63% · TX 7.9This facility: 13.0, 63% above the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
24.0
Score · lower is better
↑ 66% · TX 14.5This facility: 24.0, 66% above the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 3 better, 9 worse, 1 near TX average
8 short-stay measures: 2 better, 3 worse, 2 compared with US only, 1 without a benchmark
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
34.7%
↑ 119% · TX 15.8This facility: 34.7, 119% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
34.7%
↑ 119% · TX 15.8This facility: 34.7, 119% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
18.1%
↑ 29% · TX 14.0This facility: 18.1, 29% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
18.1%
↑ 29% · TX 14.0This facility: 18.1, 29% above the TX average of 14.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
↑ 43% · TX 13.4This facility: 19.3, 43% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
↑ 43% · TX 13.4This facility: 19.3, 43% above the TX average of 13.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.2%
↑ 41% · TX 0.8This facility: 1.2, 41% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.2%
↑ 41% · TX 0.8This facility: 1.2, 41% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
↑ 20% · TX 3.3This facility: 3.9, 20% above the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
↑ 20% · TX 3.3This facility: 3.9, 20% above the TX average of 3.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.8%
↓ 54% · TX 3.8This facility: 1.8, 54% below the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.8%
↓ 54% · TX 3.8This facility: 1.8, 54% below the TX average of 3.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.3%
↑ 108% · TX 3.0This facility: 6.3, 108% above the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.3%
↑ 108% · TX 3.0This facility: 6.3, 108% above the TX average of 3.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
3.0%
↑ 24% · TX 2.4This facility: 3.0, 24% above the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
3.0%
↑ 24% · TX 2.4This facility: 3.0, 24% above the TX average of 2.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
26.7%
↑ 179% · TX 9.6This facility: 26.7, 179% above the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
26.7%
↑ 179% · TX 9.6This facility: 26.7, 179% above the TX average of 9.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
↓ 8% · TX 96.5This facility: 89.0, 8% below the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
↓ 8% · TX 96.5This facility: 89.0, 8% below the TX average of 96.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
↑ 1% · TX 98.0This facility: 99.0, 1% above the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
↑ 1% · TX 98.0This facility: 99.0, 1% above the TX average of 98.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.33
↓ 38% · TX 2.13This facility: 1.33, 38% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.33
↓ 38% · TX 2.13This facility: 1.33, 38% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
↓ 73% · TX 2.07This facility: 0.56, 73% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.56
↓ 73% · TX 2.07This facility: 0.56, 73% below the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
49.1%
↓ 9% · US 53.7This facility: 49.1, 9% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
49.1%
↓ 9% · US 53.7This facility: 49.1, 9% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
45.9%
↓ 9% · US 50.6This facility: 45.9, 9% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
45.9%
↓ 9% · US 50.6This facility: 45.9, 9% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
5.6%
Percentage of SNF residents who experience falls with major injury during their stay.
5.6%
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
↑ 320% · TX 1.5This facility: 6.3, 320% above the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
↑ 320% · TX 1.5This facility: 6.3, 320% above the TX average of 1.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.2%
↓ 12% · TX 88.9This facility: 78.2, 12% below the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.2%
↓ 12% · TX 88.9This facility: 78.2, 12% below the TX average of 88.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
↑ 5% · TX 88.0This facility: 92.7, 5% above the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.7%
↑ 5% · TX 88.0This facility: 92.7, 5% above the TX average of 88.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.4%
↓ 60% · TX 25.9This facility: 10.4, 60% below the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.4%
↓ 60% · TX 25.9This facility: 10.4, 60% below the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
↑ 9% · TX 12.0This facility: 13.1, 9% above the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
13.1%
↑ 9% · TX 12.0This facility: 13.1, 9% above the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
James L. West Center for Dementia Care’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, but less than last year
−4.6% operating margin
+11.2 pts vs prior year
An operating loss in 2 of the last 2 reported years. Other income ($1.6M) turns it into a net profit to $0.9M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Texas homes
70.2% payroll share of revenue
TX average 68.8%Rank #40 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 40th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $2.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2024 → 2025Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $15.1M | +$2.6M | Trend 20242025 | TX median $9.3M | Rank in TX Rank #26 / 225Net patient revenue — State benchmarked This nursing home is ranked 26th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 89% of homes | Above TX median Higher net patient revenue than 89% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $15.8M | +$1.3M | Trend 20242025 | TX median — | Rank in TX Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.7M | +$1.3M | Trend 20242025 | TX median — | Rank in TX Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −4.6% | +11.2 pts | Trend 20242025 | TX median — | Rank in TX Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.6M | — | Trend — | TX median — | Rank in TX Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.9M | +$2.0M | Trend — | TX median — | Rank in TX Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Texas homes
| Metric | FY 2025 | vs prior year | Trend 2024 → 2025Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $10.6M | +$0.8M | Trend 20242025 | TX median $4.9M | Rank in TX Rank #22 / 225Payroll costs — State benchmarked This nursing home is ranked 22nd out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Top 9% in TX by size Higher payroll than 91% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 70.2% | −7.9 pts | Trend 20242025 | TX median 57.6% | Rank in TX Rank #40 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 40th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 81% of homes | Near TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2024–2025 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average
Year-by-year data, 2024–2025 every reported year · latest first, scroll sideways
| Metric | 2024 | 2025 |
|---|---|---|
| Net patient revenue | $12.5M | $15.1M |
| Operating expenses | $14.5M | $15.8M |
| Net patient income | −$2.0M | −$0.7M |
| Operating margin | −15.8% | −4.6% |
| Net income | −$1.0M | $0.9M |
| Payroll costs | $9.8M | $10.6M |
| Payroll share of revenue | 78.1% | 70.2% |
| Beds | 112 | 112 |
| Gross revenue | $13.6M | $17.5M |
| Salaries | $8.6M | $9.2M |
| Wage-related costs | $1.2M | $1.4M |
| Contract labor | $0.1M | $0.2M |
| Other operating costs | $4.7M | $5.2M |
| Net patient revenue per day | $376 | $413 |
| Cost per day | $435 | $432 |
| Average length of stay | 1,076.7 days | 374.4 days |
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
114 admissions · FY2025
Residents admitted during the year.
Medicare
79 · 69%
Medicaid
0 · 0%
Private pay & other
35 · 31%
Resident snapshot
102 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
13 · 13%
Medicaid
0 · 0%
Private pay & other
89 · 87%
Leaving
98 discharges · FY2025
Residents discharged during the year.
Medicare
69 · 70%
Medicaid
0 · 0%
Private pay & other
29 · 30%
Mostly short-term rehab stays
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.
Places of interest near James L. West Center for Dementia Care
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.
Calculate Travel Distance to James L. West Center for Dementia Care
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Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 68.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stonegate Nursing and Rehabilitation | MC NH SNF | Fort Worth | 134
Facility
134
TX AVG
109
Rank
#56 / 257 | C- |
74.6%
Facility
74.6%
TX AVG
71.5%
Rank
#100 / 175 | +4% | 3.55
Facility
3.55
TX AVG
3.50
Rank
#99 / 233 | +78% | +2% | $16.8k
Facility
$16.8k
TX AVG
$66.1k
Rank
#108 / 236 | 23
Facility
23
TX AVG
27.7
Rank
#105 / 234 | 3.8
Facility
3.8
TX AVG
3.6
Rank
#172 / 234 | 3 | 100 | A+ |
35
Facility
35
TX AVG
44
Rank
#186 / 276 | Winnie-Stowell Hospital District | $9.8MFiscal year ending 08/2025
Facility
$9.8MFiscal year ending 08/2025
TX AVG
$10.2M
Rank
#96 / 225 | $4.6MFiscal year ending 08/2025
Facility
$4.6MFiscal year ending 08/2025
TX AVG
$5.8M
Rank
#133 / 225 | 46.4%Fiscal year ending 08/2025
Facility
46.4%Fiscal year ending 08/2025
TX AVG
68.8%
Rank
#156 / 202 | 675759 | ||||
| Garden Terrace at Fort Worth | MC NH SNF | Fort Worth | 120
Facility
120
TX AVG
109
Rank
#98 / 257 | B+ |
35.7%
Facility
35.7%
TX AVG
71.5%
Rank
#171 / 175 | -50% | 4.33
Facility
4.33
TX AVG
3.50
Rank
#56 / 233 | -56% | +24% | $34.4k
Facility
$34.4k
TX AVG
$66.1k
Rank
#147 / 236 | 22
Facility
22
TX AVG
27.7
Rank
#102 / 234 | 2.8
Facility
2.8
TX AVG
3.6
Rank
#69 / 234 | 3 | 43 | - |
51
Facility
51
TX AVG
44
Rank
#100 / 276 | Bryant Irvin Medical Investors, LLC | $4.5MFiscal year ending 09/2024
Facility
$4.5MFiscal year ending 09/2024
TX AVG
$10.2M
Rank
#209 / 225 | $2.9MFiscal year ending 09/2024
Facility
$2.9MFiscal year ending 09/2024
TX AVG
$5.8M
Rank
#191 / 225 | 64.9%Fiscal year ending 09/2024
Facility
64.9%Fiscal year ending 09/2024
TX AVG
68.8%
Rank
#51 / 202 | 675650 | ||||
| James L. West Center for Dementia Care | MC ADC HC NH RC SNF | Fort Worth | 112
Facility
112
TX AVG
109
Rank
#150 / 257 | C |
89.8%
Facility
89.8%
TX AVG
71.5%
Rank
#12 / 175 | +26% | 5.62
Facility
5.62
TX AVG
3.50
Rank
#13 / 233 | -37% | +61% | $63.2k
Facility
$63.2k
TX AVG
$66.1k
Rank
#184 / 236 | 17
Facility
17
TX AVG
27.7
Rank
#59 / 234 | 2.8
Facility
2.8
TX AVG
3.6
Rank
#69 / 234 | 8 | 101 | - |
73
Facility
73
TX AVG
44
Rank
#24 / 276 | James L West Presbyterian Special Care Center | $15.1MFiscal year ending 06/2025
Facility
$15.1MFiscal year ending 06/2025
TX AVG
$10.2M
Rank
#26 / 225 | $10.6MFiscal year ending 06/2025
Facility
$10.6MFiscal year ending 06/2025
TX AVG
$5.8M
Rank
#22 / 225 | 70.2%Fiscal year ending 06/2025
Facility
70.2%Fiscal year ending 06/2025
TX AVG
68.8%
Rank
#40 / 202 | 745019 | ||||
| Village Creek Wellness and Rehabilitation | MC NH PC SNF | Fort Worth | 100
Facility
100
TX AVG
109
Rank
#163 / 257 | A |
87.4%
Facility
87.4%
TX AVG
71.5%
Rank
#32 / 175 | +22% | 2.66
Facility
2.66
TX AVG
3.50
Rank
#230 / 233 | +16% | -24% | $19.0k
Facility
$19.0k
TX AVG
$66.1k
Rank
#114 / 236 | 20
Facility
20
TX AVG
27.7
Rank
#85 / 234 | 3.3
Facility
3.3
TX AVG
3.6
Rank
#118 / 234 | 2 | 87 | - |
26
Facility
26
TX AVG
44
Rank
#217 / 276 | Frio Hospital District | $6.1M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $3.4M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 55.5%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 675977 | ||||
| Cityview Nursing and Rehabilitation Center | MC HC HOS NH RC SNF | Fort Worth | 210
Facility
210
TX AVG
109
Rank
#6 / 257 | C |
86.5%
Facility
86.5%
TX AVG
71.5%
Rank
#29 / 175 | +21% | 3.45
Facility
3.45
TX AVG
3.50
Rank
#120 / 233 | +7% | -2% | $234.0k
Facility
$234.0k
TX AVG
$66.1k
Rank
#231 / 236 | 41
Facility
41
TX AVG
27.7
Rank
#196 / 234 | 3.4
Facility
3.4
TX AVG
3.6
Rank
#134 / 234 | 4 | 182 | - |
56
Facility
56
TX AVG
44
Rank
#74 / 276 | Decatur Hospital Authority | $18.3MFiscal year ending 12/2024
Facility
$18.3MFiscal year ending 12/2024
TX AVG
$10.2M
Rank
#14 / 225 | $9.9MFiscal year ending 12/2024
Facility
$9.9MFiscal year ending 12/2024
TX AVG
$5.8M
Rank
#26 / 225 | 54%Fiscal year ending 12/2024
Facility
54%Fiscal year ending 12/2024
TX AVG
68.8%
Rank
#124 / 202 | 675622 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Memory Care in Texas
James L. West Center for Dementia Care is located in Fort Worth, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about James L. West Center for Dementia Care
Who is the owner of James L. West Center for Dementia Care?
James L. West Center for Dementia Care is legally operated by James L West Presbyterian Special Care Center, and administered by Mack Baldridge.
Is James L. West Center for Dementia Care in a walkable area?
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.
What is the license number of James L. West Center for Dementia Care?
According to TX state health department records, James L. West Center for Dementia Care's license number is 148475.
What is the occupancy rate at James L. West Center for Dementia Care?
James L. West Center for Dementia Care's occupancy is 89.8%.
How long has James L. West Center for Dementia Care been in business?
James L. West Center for Dementia Care has been operating for approximately 2 years, based on available licensing and registration records.
Are pets allowed at James L. West Center for Dementia Care?
No, James L. West Center for Dementia Care has a no-pet policy.
What is the best email address for James L. West Center for Dementia Care?
The team at James L. West Center for Dementia Care can be reached at charding@jameslwest.org.
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