White Settlement Nursing Center
7820 Skyline Park Dr · White Settlement, TX · 76108 · 8172465531
108 certified beds For profit - Corporation Chain: Ruby Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 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.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $23,010 |
Inspection citations (35 in the current record)
-
Potential for harm · E April 1, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 23, 2026 · Nutrition and Dietary
-
Potential for harm · E April 1, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 23, 2026 · Environmental
-
Potential for harm · D December 5, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 6, 2025 · Quality of Life and Care
-
Potential for harm · D December 5, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 6, 2025 · Environmental
-
Potential for harm · D August 11, 2025 · found via complaint
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 August 12, 2025 · Resident Rights
-
Potential for harm · E June 17, 2025 · found via complaint
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 June 18, 2025 · Resident Rights
-
Potential for harm · D June 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 8, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 9, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
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 May 9, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 9, 2025 · Quality of Life and Care
-
Potential for harm · D May 8, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 9, 2025 · Pharmacy Service
-
Potential for harm · E May 8, 2025
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 May 9, 2025 · Nutrition and Dietary
-
Potential for harm · E May 8, 2025
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected May 9, 2025 · Environmental
-
Potential for harm · E May 8, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 9, 2025 · Environmental
-
Potential for harm · D May 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 9, 2025 · Infection Control
-
Immediate jeopardy · J February 15, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 16, 2025 · Resident Rights
-
Immediate jeopardy · J February 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 16, 2025 · Quality of Life and Care
-
Immediate jeopardy · J April 4, 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 January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 4, 2024
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 April 5, 2024 · Resident Rights
-
Potential for harm · D April 4, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected April 5, 2024 · Quality of Life and Care
-
Potential for harm · D April 4, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 5, 2024 · Quality of Life and Care
-
Potential for harm · D April 4, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 5, 2024 · Quality of Life and Care
-
Potential for harm · E April 4, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 5, 2024 · Pharmacy Service
-
Potential for harm · D April 4, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 5, 2024 · Pharmacy Service
-
Potential for harm · E April 4, 2024
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 April 5, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 15, 2025 | Fine | $9,113 |
| April 4, 2024 | Fine | $13,897 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455475 · certified since January 12, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.