James L West Center for Dementia Care

1111 Summit Ave · Fort Worth, TX · 76102 · 8178771199

112 certified beds Non profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $41,084 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

7 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

7 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 34
Staffing 20% 75
Federal penalties 15% 0
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.763.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day4.42≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)9 · $63,236

Inspection citations (17 in the current record)

  • Actual harm · G June 12, 2025

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

    Corrected October 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 12, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected July 15, 2025 · Quality of Life and Care

  • Potential for harm · E June 12, 2025

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

    Corrected July 15, 2025 · Pharmacy Service

  • Potential for harm · E June 12, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 15, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 2025

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

    Corrected July 15, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J October 11, 2024 · found via complaint

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

    Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 11, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 11, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 11, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 11, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 6, 2024 · found via complaint

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

    Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 6, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected April 29, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 26, 2024 · found via complaint

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

    Corrected April 27, 2024 · Quality of Life and Care

  • Potential for harm · D April 18, 2024

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Corrected May 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 18, 2024

    Ensure each resident receives an accurate assessment.

    Corrected May 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 18, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 21, 2024 · found via complaint

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

    Corrected March 14, 2024 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
June 12, 2025Fine$15,015
June 12, 2025Payment Denial16 days
October 11, 2024Fine$17,242
August 6, 2024Fine$8,827
April 18, 2024Fine$9,872
October 30, 2023Fine$2,797
October 23, 2023Fine$2,447
October 17, 2023Fine$2,098
October 10, 2023Fine$1,764
September 18, 2023Fine$3,174

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 745019 · certified since April 9, 2023. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.