James L West Center For Dementia Care
1111 SUMMIT AVE, Fort Worth, TX, 76102
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 112 · avg 101 residents/day
- Total nursing staff turnover
- 46.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 25% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 9 fines · $63,236 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 148475
- Service type
- Medicare Only
- Licensed capacity
- 112 beds
- Memory-care capacity
- 112 beds · state-certified
- Bed type breakdown
- 112 Medicare-only
- Current license effective
- January 1, 2024
- Current license expires
- August 5, 2026
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- James L West Presbyterian Special Care Center (Nonprofit Organization)
- Administrator
- Mack Baldridge
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (13 on record)
- Hunter m Baldridge
Operational/managerial Control · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- D0842·Jun 12, 2025
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.
- E0759·Jun 12, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Jun 12, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0690·Jun 12, 2025
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.
- G0600·Jun 12, 2025
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.
- J0610·Oct 11, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0609·Oct 11, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0607·Oct 11, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal penalties
By year
- 20251 fine · $15K · 1 payment denial
- 20243 fines · $36K
- 20235 fines · $12K
Most recent events
- Jun 12, 2025Payment denial · 16 days · starting Jul 11, 2025
- Jun 12, 2025Fine · $15K
- Oct 11, 2024Fine · $17K
- Aug 6, 2024Fine · $8,827
- Apr 18, 2024Fine · $9,872
- Oct 30, 2023Fine · $2,797
Largest single fine on record: $17K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Jun 12, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
James L West Center For Dementia Care is a 112-bed nonprofit nursing home in Fort Worth, Tarrant County, specializing exclusively in dementia care — all beds are Medicare-certified and state memory-care certified through May 2029. CMS rates it 2 stars overall and 2 stars on health inspections, with a substantiated abuse or neglect finding within the past 36 months and 9 fines totaling $63,236 since the last inspection cycle. Staffing rates 4 stars, and quality measures rate 4 stars for short stays.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. That designation appears on the CMS record regardless of overall performance in other areas, and it is not removed until the facility clears a subsequent inspection cycle without similar findings.
Nine CMS fines totaling $63,236 have been assessed — the state median across Texas nursing homes is $20,699, and about 30% of facilities have no fines at all. The count of nine is also higher than most: a single inspection cycle commonly produces one or two fines, so nine suggests a pattern of cited deficiencies rather than an isolated incident.
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 284 minutes of nursing care per day. The facility's resident population requires less hands-on care than a typical nursing home, so those staff hours stretch further than the raw minutes alone would suggest.
RN turnover here runs at roughly 2 in 10 registered nurses leaving in the past year — below the state's 25th-percentile cutoff, meaning RN retention is better than about three-quarters of nursing homes in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and corrective steps
CMS substantiated an abuse or neglect finding here within the past 36 months — ask what happened, what policy changed, and how staff are monitored now.
Nine fines since last inspection
Nine separate CMS fines totaling $63,236 were assessed — ask which deficiency categories generated the most citations and what the facility changed in response.
Memory-care staffing at night and weekends
Weekend nursing hours run at 4.418 hours per resident per day versus 4.725 on weekdays — ask how many dementia-trained staff are on the floor during overnight and weekend shifts.
Medicare-only bed structure
All 112 beds are Medicare-certified with no Medicaid beds listed — ask what happens to a resident whose Medicare benefit ends or who needs long-term Medicaid coverage.
Resident and family councils
Both a Resident Council and a Family Council are on record — ask how often each meets and how administration responds to concerns raised through those channels.
License renewal timeline
The state license expires August 5, 2026 — ask whether the renewal application has been submitted and whether any outstanding inspection findings could affect renewal.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.