White Settlement, TX

White Settlement Nursing Center

3-star overall rating with 2-star inspections with abuse icon flag with $23,010 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

7820 Skyline Park Dr, White Settlement, TX

(817) 246-5531

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

96

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ruby Healthcare

Operator or chain grouping

Approved since

1983-01-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing

LPN hours / resident day

0.98

Licensed practical nurse staffing

Aide hours / resident day

2.17

Nurse aide staffing

Weekend hours

3.29

Weekend nurse staffing

RN turnover

56%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.3%
3.3%
2 pts better
3.3%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.6%
2.7%
2.1 pts better
11.4%
10.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.3%
3.3%
1 pts better
5.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3%
18.9%
2.6 pts better
19.6%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.5%
10.8%
1.7 pts worse
16.7%
4.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 9.2%
15.4%
6.2 pts better
16.3%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
16.1%
6.9 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.8%
15.0%
10.2 pts better
19.8%
15 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.7%
4.2%
1.5 pts better
5.1%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.7%
10.3 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.4%
12.0%
5.4 pts worse
12.0%
5.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
88.0%
12 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.7%
25.9%
6.2 pts better
23.9%
4.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-02-23 · Fire 2023-02-23

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-08

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-08

E · Potential for more than minimal harm 2025-05-08

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-05-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-05-08

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-05-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-05-08

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-05-09

C · Minimal harm 2025-05-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-08

F · Potential for more than minimal harm 2024-04-04

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-04-04

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-04-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-04-04

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-04-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-30

D · Potential for more than minimal harm 2024-04-04

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-30

C · Minimal harm 2024-04-04

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-04

C · Minimal harm 2024-04-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-04

F · Potential for more than minimal harm 2023-02-23

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-02-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-14

F · Potential for more than minimal harm 2023-02-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-02-23

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-02-23

F · Potential for more than minimal harm 2023-02-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-02-23

F · Potential for more than minimal harm 2023-02-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-23

E · Potential for more than minimal harm 2023-02-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-02-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-06

D · Potential for more than minimal harm 2025-12-05

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-06

D · Potential for more than minimal harm 2025-08-11

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-08-12

E · Potential for more than minimal harm 2025-06-17

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-18

D · Potential for more than minimal harm 2025-06-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-05-08

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-05-08

F914 · Environmental Deficiencies

Health

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-05-08

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-05-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-09

J · Immediate jeopardy 2025-02-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-16

J · Immediate jeopardy 2025-02-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-16

J · Immediate jeopardy 2024-04-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-17

E · Potential for more than minimal harm 2024-04-04

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-04-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-04-04

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-04-04

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-04-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-04-04

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-04-04

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-04-04

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-04-05

D · Potential for more than minimal harm 2023-12-19

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-12-20

D · Potential for more than minimal harm 2023-11-06

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-07

E · Potential for more than minimal harm 2023-08-28

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-08-29

E · Potential for more than minimal harm 2023-08-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-08-29

E · Potential for more than minimal harm 2023-08-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-08-29

D · Potential for more than minimal harm 2023-06-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-06-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-06

D · Potential for more than minimal harm 2023-03-29

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-03-30

F · Potential for more than minimal harm 2023-02-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-02-23

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-02-24

Penalties and ownership

What sits behind the stars

$9,113 2025-02-15

Fine

Fine · fine $9,113

Fine

$13,897 2024-04-04

Fine

Fine · fine $13,897

Fine

Ownership

Advanced Hcs LLC

Operational/Managerial Control · Organization

0% 18 facilities 2014-10-01
Korkmas, Ross

Corporate Officer · Individual

0% 8 facilities 2019-08-06
Korkmas, Ross

W-2 Managing Employee · Individual

0% 8 facilities 2019-08-06
Lichtschein, Teddy

Operational/Managerial Control · Individual

0% 21 facilities 2021-07-01
Meisner, Robert

Operational/Managerial Control · Individual

0% 10 facilities 2021-07-01
Palo Pinto County Hospital District

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2014-10-01
Scheiner, Eliezer

Operational/Managerial Control · Individual

0% 32 facilities 2021-07-01

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#2

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1-star overall rating with 1-star inspections with abuse icon flag with $31,279 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

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#3

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1-star overall rating with 2-star inspections with $29,598 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
$29,598

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