Federal inspection record · CMS data as of October 1, 2026
James L. West Center for Dementia Care
1111 Summit Ave, Fort Worth, TX · (817) 877-1199
- Cited for abuse (CMS abuse icon)
- Certified beds
- 112
- Residents per day
- 101
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- April 9, 2023
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
James L. West Center for Dementia Care carries 145.75 inspection points. That is fewer than 19% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (8)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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J
Respond appropriately to all alleged violations.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning4E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care2E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service2E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-06-12
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-04-18
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2023-02-18
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 46 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
4 h 46 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 13% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$58,298 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-12 | Fine | $15,015 |
| 2025-06-12 | Payment Denial · 16 day denial | $0 |
| 2024-10-11 | Fine | $17,242 |
| 2024-08-06 | Fine | $8,827 |
| 2024-04-18 | Fine | $9,872 |
| 2023-10-30 | Fine | $2,797 |
| 2023-10-23 | Fine | $2,447 |
| 2023-10-17 | Fine | $2,098 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10 pts worse | 86.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts worse | 93.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse | 4.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts worse | 3.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 6.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.9 pts worse | 25.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication17 pts worse | 26.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.7 pts worse | 16.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased17.4 pts worse | 33.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts worse | 18.4% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 1.6% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.1 pts worse | 72.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts better | 9.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.5 pts worse | 4.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts worse | 70.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.6 pts better | 11.9% | 25.5% | 23.4% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| James L West Presbyterian Special Care Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Baldridge, Hunter | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Baldridge, Hunter | Adp Of The SNF · Individual | 0% | 2 facilities |
| Harding, Cheryl | Corporate Officer · Individual | 0% | 1 facilities |
| Harding, Cheryl | Adp Of The SNF · Individual | 0% | 1 facilities |
| James L West Presbyterian Special Care Center | Adp Of The SNF · Organization | 0% | 1 facilities |
| Knebl, Janice | Adp Of The SNF · Individual | 0% | 1 facilities |
| Manuel, Tanisha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Manuel, Tanisha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ross, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems3F
- C
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- C
Have proper medical gas storage and administration areas.
- F
Meet requirements for the installation and maintenance of electrical systems.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1E
- E
Install corridor and hallway doors that block smoke.
Egress1C
- C
Have properly located and lighted "Exit" signs.
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Other homes nearby
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Trinity Terrace
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
The Stayton At Museum Way
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-
Downtown Health and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 14 min
- Fines
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