WHITE SETTLEMENT, TX · Medicare-certified · 108 beds
Needs attention
For-profitChain member
Data as of September 1, 2026·
★★★★★3 of 5 overall
WHITE SETTLEMENT NURSING CENTER in White Settlement, TX has an overall rating of 3 out of 5 stars. Its health inspection rating is 2 stars, staffing is 3 stars with reported nurse staffing below the federal benchmark (3.69 vs 4.1 hours per resident per day), and it had $28,748 in fines in the last 24 months with a recent federal penalty.
Last inspection: July 30, 2026Penalties, last 24 months: $28,748recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.694.
Staffing detail
Registered nurses
0.43
Licensed practical nurses
0.93
Nurse aides
2.34
Weekend nursing
3.39
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 50%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.9%7.1%Worsening
Residents with a fall causing major injury
2.1%3.3%Worsening
Residents with pressure ulcers (bedsores)
0.8%4.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.4%2.6%Improving
Residents whose ability to walk got worse
2.9%0%Improving
Long-stay residents on antianxiety or sleep medication
15.9%14.5%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2%3.1%Worsening
Residents with depressive symptoms
0%1.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $19,635 was recorded.
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $9,113 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $42,645 in total fines.
Federal fine
Jul 30, 2026
$19,635
Federal fine
Feb 15, 2025
$9,113
Federal fine
Apr 4, 2024
$13,897
Operator & ownership
Ownership
For profit - Individual
Chain
Part of RUBY HEALTHCARE · 7 homes · 3 stars avg
Occupancy
90.5 residents on an average day (84% of 108 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 43 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.