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Nursing home report

James L West Center for Dementia Care

Fort Worth, TX · Medicare-certified · 112 beds

Needs attention
Abuse citationNon-profit
Data as of July 1, 2026
3 of 5 overall

James W. West Center for Dementia Care has an overall 3-star rating, with a 2-star health inspection score, 4-star staffing, and 5-star quality measures. It reports 4.57 nurse hours per resident per day, above the federal benchmark of 4.1, and had $41,084 in fines in the last 24 months plus a recent abuse citation.

Facility ratings

Health inspections

Staffing

4.5677 hrs/resident/day

Quality measures

Last inspection: June 12, 2025Penalties, last 24 months: $41,084recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5677.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
1.29
Nurse aides
2.86
Weekend nursing
4.30

Hours per resident per day.

Total staff turnover: 34%
Registered nurse turnover: 14%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

30%28.2%Improving

Residents with a fall causing major injury

4.5%3.4%Improving

Residents with pressure ulcers (bedsores)

1.9%2%No change

Residents with a urinary tract infection

4.7%0%Improving

Residents who lost too much weight

7.2%8.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

35.5%30.9%Improving

Residents whose ability to walk got worse

18%22.9%Worsening

Long-stay residents on antianxiety or sleep medication

30.6%27%Improving

Short-stay residents newly given an antipsychotic

7.7%2.7%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.5%23.1%Worsening

Residents with depressive symptoms

2.5%2.7%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

98.9%

Long-stay residents given the pneumonia vaccine

100%88.6%Worsening

Short-stay residents given the seasonal flu vaccine

92.7%

Short-stay residents given the pneumonia vaccine

98.7%69.7%Worsening

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: J

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. PENALTY

    A federal payment denial was recorded.

  3. PENALTY

    A federal fine of $15,015 was recorded.

  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,242 was recorded.

  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $8,827 was recorded.

  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 9 fines · $63,236 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Jun 12, 2025

    16 days
  • Federal fine

    Jun 12, 2025

    $15,015
  • Federal fine

    Oct 11, 2024

    $17,242
  • Federal fine

    Aug 6, 2024

    $8,827
  • Federal fine

    Apr 18, 2024

    $9,872
  • Federal fine

    Oct 30, 2023

    $2,797
  • Federal fine

    Oct 23, 2023

    $2,447
  • Federal fine

    Oct 17, 2023

    $2,098

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
98.9 residents on an average day (88% of 112 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 3 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.