1111 Summit Ave, Fort Worth, TX 76102 · Tarrant County · (817) 877-1199
112 certified beds, about 99 residents a day · Non profit - Corporation · Medicare since 2023
CMS Care Compare ratings, data as of September 1, 2026 · CCN 745019 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 12, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 17 health citations since February 2023, 8 were rated as actual harm or immediate jeopardy to residents (7 immediate jeopardy).
CMS lists 9 fines totaling $63,236 in the last three years; the largest was $17,242, and the latest is dated June 12, 2025.
Nurses and nurse aides worked 4.57 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
33.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 2 of 5 residents (Resident #30 and Resident #79) reviewed for abuse. The facility failed to ensure Resident #79 was free from abuse on 10/07/24. Resident #30, who had a diagnosis of dementia and was relocated from a private room to a semi-private room with roommate Resident #79. The early morning of 10/07/24, Resident #30 woke up and was startled when seeing roommate Resident #79 in the room, which resulted in Resident #30 physically assaulting Resident #79 placing the resident at risk for fear. The noncompliance was identified as past noncompliance (PNC). The noncompliance began on 10/07/24 and ended on 10/11/24. The facility had corrected the noncompliance before the investigation began. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed ensure that a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for two of two residents (Residents #47 and #73) reviewed for catheter care. The facility failed to ensure both Resident #47 and Resident #73 had a physician's order for an indwelling catheter. This failure could place residents who had incontinence at risk for infections and improper treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident, for two of six residents (Resident #21 and Resident #38) reviewed for medication administration. 1. LVN G failed to administer Timolol Maleate Ophthalmic Solution 0.5 % (Timolol Maleate (Ophth) (a prescription medicine used to treat glaucoma) to Residents #21 and #38 as ordered by the physician. 2. LVN A failed to order Timolol maleate Ophthalmic solution 0.5% (Timolol Maleate (Ophth) (a prescription medicine used to treat glaucoma) for Residnet#21 and #38 after administering the last dose on 06/10/25. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the medication error rate was not five percent (%) or greater. The facility had a medication error rate of 6.25% based on 2 errors out of 32 opportunities, which involved two of six residents (Resident #21 and Resident #38) reviewed for medication errors. LVN G Failed to administer Timolol Maleate Ophthalmic Solution 0.5 % (Timolol Maleate (Ophth) (a prescription medicine used to treat glaucoma ) to Residents #21 and #38 as ordered by the physician. These failures could place residents at risk of not receiving the intended therapeutic benefits of prescribed medications.
Inspectors wroteBased on interview and record review, in accordance with accepted professional standards and practices, the facility failed to maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized for two of five residents (Residents #22 and #54) completed and accurate records. 1. The facility failed to ensure Resident #22's ordered Buspirone medication included an indication for use in his physician's orders. 2. The facility failed to ensure Resident #54's ordered Cymbalta medication included an indication for use in her physician's orders. The facility failures could place residents at risk of having inaccurate medical records.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 was free from physical and verbal abuse when CNA B pinned Resident #1's hands and arms to the bed, used his body weight on Resident #1 to force him to comply with receiving care and told Resident #1 not to play with him on 08/06/24. An IJ was identified on 09/25/24. The IJ template was provided to the facility on [DATE] at 5:17 PM. While the IJ was removed on 09/26/24, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm because all staff had not been trained on the plan of removal. This failure placed residents at risk for abuse.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the right to be free from physical restraints imposed for purpose of convenience and not required to treat the resident's medical symptoms was provided for 1 of 7 residents (Resident #1) reviewed for restraints. The facility failed to ensure Resident #1 had the right to be free from restraints when CNA B physically pinned the resident's hands and arms to the bed while he provided care to him on 08/06/24. After administrative review and IJ was identified on 10/11/24. The IJ template was provided to the facility on [DATE] at 8:30 AM. While the IJ was removed on 10/11/24, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm because all staff had not been trained on the plan of removal. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement written policies and procedures that prohibit and prevent the neglect of residents for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to implement the facility's written policies and procedures to prohibit and prevent abuse of Resident #1 when CNA B pinned Resident #1's hands and arms to the bed, used his body weight on Resident #1 to force him to comply with receiving care, and told Resident #1 not to play with him on 08/06/24. The facility failed to ensure CNA B (an agency CNA) had been trained on how to care for Resident #1, a resident who refused care, and also had dementia training prior to beginning the shift. An IJ was identified on 09/25/24. The IJ template was provided to the facility on [DATE] at 5:17 PM. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated and prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress for 1 of 7 residents (Resident #1) reviewed for abuse. The facility failed to implement their abuse policy and investigate alleged or suspected physical abuse when Resident #1's RP told them CNA B continued to provide care after the resident had refused and told them CNA B was rough during care leaving red marks to Resident #1's face. An IJ was identified on 09/25/24. The IJ template was provided to the facility on [DATE] at 5:17 PM. [...]
Inspectors wroteBased on observation , interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment were reported immediately to the State survey Agency in accordance with State law through( established procedures for 1 of 7 residents (Resident #1) reviewed for abuse and neglect. The facility failed to report an abuse allegation made by Resident #1's RP's on 08/06/24 when it was alleged CNA B was rough and continued providing care to Resident #1 even though he refused leaving red marks to Resident #1's face. This failure could place residents at risk for abuse and/or neglect .
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 of 3 residents (Resident #1) reviewed for abuse. The facility failed to ensure CNA B did not verbally and physically abuse Resident #1 on 04/29/24. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 04/29/24 and ended on 04/29/24. The facility had corrected the noncompliance before the investigation began. This failure could affect the residents at the facility and place them at risk for physical, verbal, and/or psychosocial harm.
Inspectors wroteBased on interview and record review, the facility failed to implement written policies and procedures that prohibit mistreatment, neglect, and abuse of residents, for 1 of 3 residents (Resident #1) reviewed for abuse. The facility failed to ensure Resident #1 was free from abuse per the policy. The noncompliance was identified as past noncompliance. The Immediate Jeopardy began on 04/29/24 and ended on 04/29/24. The facility had corrected the noncompliance before the investigation began. These failures could place residents at risk for physical harm, psychosocial harm, unsafe environment, and further abuse.
Inspectors wroteBased on observation, interview and record review, the facility failed to, based on the comprehensive assessment of a resident, ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one of eight residents (Resident #1) reviewed for quality of care. Resident #1, who was on aspirin, had an unwitnessed fall with head injury and a significant amount of bleeding from his head. He was transferred into the wheelchair and showered by LVN D and CNA E prior to the completion of a full assessment. Resident #1 was subsequently sent to the hospital and diagnosed with a displaced hip fracture which required surgery. An Immediate Jeopardy (IJ) was identified on 04/25/24. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise and review the care plan for 2 of 5 residents (Residents #2 and #74) reviewed for comprehensive care plans. 1. The facility failed to ensure Resident # 2's care plan after he was unable to use the call light system to call for help. 2. The facility failed to revise and review Resident #74's care plan after admission to include Hospice in a timely manner. 3. The facility failed to revise and review Resident #74's use of suprapubic catheter. These failures could lead to the residents not receiving the care they require, resulting in injuries.
Inspectors wroteBased on record review and interview, the facility failed to ensure at the time residents were admitted they had physician orders for the resident's immediate care for 1 (Resident #74) of 5 residents reviewed for admission orders. The facility failed to enter physician's orders for Resident #74's hospice and catheter care. This failure could cause the residents to have incomplete care with hospice and improper incontinent care and urinary tract infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise and review the care plan for 1 of 5 residents (Resident #74) reviewed accuracy of assessments. The facility failed to indicate on Resident #74's Minimum Data Set that he entered the facility on Hospice care. These failures could lead to the residents not receiving the care they require, resulting in injuries.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident environment remained free of accidents hazards and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 3 residents reviewed for accidents hazards. The facility failed to ensure that Resident #1 who was a two-person transfer was transferred as a two person transfer instead of a one-person transfer. This failure could place residents at risk of falls or injuries.
6 fire safety citations on file: 3 on June 12, 2025, 2 on April 18, 2024, 1 on February 18, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| June 12, 2025 | Fine | $15,015 |
| June 12, 2025 | Payment Denial | 16 days from July 11, 2025 |
| October 11, 2024 | Fine | $17,242 |
| August 6, 2024 | Fine | $8,827 |
| April 18, 2024 | Fine | $9,872 |
| October 30, 2023 | Fine | $2,797 |
| October 23, 2023 | Fine | $2,447 |
| October 17, 2023 | Fine | $2,098 |
| October 10, 2023 | Fine | $1,764 |
| September 18, 2023 | Fine | $3,174 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.57 | 3.39 | 3.86 |
| Registered nurses | 0.42 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.30 | 2.98 | 3.42 |
| Nurse aides | 2.86 | ||
| Licensed practical nurses | 1.29 | ||
| Nursing staff turnover (share who left in a year) | 33.9% | 55.3% | 45.8% |
| Registered nurse turnover | 14.3% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.68 on weekdays and 4.30 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.75 in April to June 2025 to 4.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.57 | 0.42 | 4.68 | 4.30 | 5.2% | 0 of 90 | 99 |
| Oct to Dec 2025 | 4.76 | 0.35 | 4.90 | 4.42 | 3.1% | 2 of 92 | 100 |
| Jul to Sep 2025 | 4.73 | 0.33 | 4.85 | 4.42 | 1.3% | 0 of 92 | 101 |
| Apr to Jun 2025 | 4.75 | 0.33 | 4.87 | 4.43 | 1.2% | 0 of 91 | 100 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 34.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 6.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.1 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for James L. West Center for Dementia Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.9% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 43 eligible stays.
9.6% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 52 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 61 eligible stays.
65.5% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 55 residents counted.
5.9% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 68 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 68 residents counted.
97.6% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 42 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| James L West Presbyterian Special Care Center | 5% or greater direct ownership interest | Organization | 100% | 01/01/1993 |
| Harding, Cheryl | Corporate officer | Individual | 02/26/2018 | |
| Baldridge, Hunter | Operational/managerial control | Individual | 09/15/2025 | |
| Manuel, Tanisha | Operational/managerial control | Individual | 08/19/2022 | |
| James L West Presbyterian Special Care Center | Adp of the SNF | Organization | 01/01/1993 | |
| Baldridge, Hunter | Adp of the SNF | Individual | 09/15/2025 | |
| Harding, Cheryl | Adp of the SNF | Individual | 02/26/2018 | |
| Knebl, Janice | Adp of the SNF | Individual | 08/01/1993 | |
| Manuel, Tanisha | Adp of the SNF | Individual | 08/19/2022 | |
| Ross, Sarah | Adp of the SNF | Individual | 08/20/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.