01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-12 | 5 | 2025-06-12 | 3 |
| Cycle 2 | 2024-04-18 | 10 | 2024-04-18 | 2 |
| Cycle 3 | 2023-02-18 | 2 | 2023-02-18 | 1 |
CMS CCN 7450192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
James L. West Center For Dementia Care
1111 Summit Ave · Fort Worth, TX 76102 · Tarrant County
Certified beds112CMS provider file
Recent citation rows23current CMS citation release
Penalty rows10current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
23 rows in the current release
8 rows carry G–L scope/severity codes; 7 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-06-12 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-10-112025-06-12 · HEALTHF0690Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0293Severity C · widespread; potential for minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-06-12 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-07-112025-06-12 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-07-272024-10-11 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-10-12 · complaint2024-10-11 · HEALTHF0604Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-10-12 · complaint2024-10-11 · HEALTHF0607Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-10-12 · complaint2024-10-11 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-10-12 · complaint2024-10-11 · HEALTHF0610Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-10-12 · complaint2024-08-06 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-04-29 · complaint2024-08-06 · HEALTHF0607Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Past Non-Compliance · 2024-04-29 · complaint2024-04-26 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-04-27 · complaint2024-04-18 · HEALTHF0635Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Correction field: Deficient, Provider has date of correction · 2024-05-172024-04-18 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-05-172024-04-18 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-05-172024-04-18 · FIREK0916Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2024-05-292024-04-18 · FIREK0923Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-02-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-03-14 · complaint2023-02-18 · FIREK0911Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2023-04-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-06-12 | Fine | $15,015 | 0 |
| 2025-06-12 | Payment Denial | $0 | 16 |
| 2024-10-11 | Fine | $17,242 | 0 |
| 2024-08-06 | Fine | $8,827 | 0 |
| 2024-04-18 | Fine | $9,872 | 0 |
| 2023-10-30 | Fine | $2,797 | 0 |
| 2023-10-23 | Fine | $2,447 | 0 |
| 2023-10-17 | Fine | $2,098 | 0 |
| 2023-10-10 | Fine | $1,764 | 0 |
| 2023-09-18 | Fine | $3,174 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTEROrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/1993
- HARDING, CHERYLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/26/2018
- BALDRIDGE, HUNTERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/15/2025
- MANUEL, TANISHAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/19/2022
- JAMES L WEST PRESBYTERIAN SPECIAL CARE CENTEROrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/1993
- BALDRIDGE, HUNTERIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/15/2025
- HARDING, CHERYLIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/26/2018
- KNEBL, JANICEIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/01/1993
- MANUEL, TANISHAIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/19/2022
- ROSS, SARAHIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/20/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.57per resident day
RN hours0.42per resident day
Weekend nurse hours4.30per resident day
Staff turnover33.9%CMS reported field
06 / LOCAL RECORDS
Open the Fort Worth ledger →Other published facilities nearby
Arbor Lake Nursing & Rehabilitation, Llc123 beds · CMS overall 2/538 citation rowsArlington Heights Health And Rehabilitation Center170 beds · CMS overall 1/552 citation rowsAvir At Fort Worth120 beds · CMS overall 2/568 citation rowsCityview Nursing And Rehabilitation Center210 beds · CMS overall 2/565 citation rowsDfw Nursing & Rehab98 beds · CMS overall 1/595 citation rowsDowntown Health And Rehabilitation Center161 beds · CMS overall 1/564 citation rowsEstates Healthcare And Rehabilitation Center141 beds · CMS overall 1/582 citation rowsFort Worth Transitional Care Center136 beds · CMS overall 1/562 citation rows