White Settlement Nursing Center
7820 SKYLINE PARK DR, White Settlement, TX, 76108
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
- For profit - Corporation · Chain: Ruby Healthcare
- Certified beds
- 108 · avg 96 residents/day
- Total nursing staff turnover
- 46.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher 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)
- 2 fines · $23,010 total
State licensing & capacity
- License number
- 143850
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 108 Medicaid/Medicare
- Current license effective
- October 1, 2024
- Current license expires
- October 1, 2027
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Palo Pinto County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Advanced Hcs
- Administrator
- Ashley Finchum
Texas HHS licensing registry · as of April 16, 2026
About this community
White Settlement Nursing Center is a 108-bed Medicare/Medicaid nursing home in White Settlement, Tarrant County, licensed since 1971 and managed by Advanced Hcs under Palo Pinto County Hospital District. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse finding on record. Quality-of-care outcome measures rate 5 stars — the facility's strongest signal in an otherwise mixed regulatory picture.
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 at this facility within the past 36 months. That flag appears on the CMS Care Compare record and means an investigation concluded that harm or mistreatment occurred — not merely that a complaint was filed.
CMS rates staffing 3 stars here. Each resident receives about 211 minutes of nursing care per day — roughly 30 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, registered nurses account for about 22 per day, compared to 37 minutes at the 4-star threshold in Texas.
Two CMS fines totaling $23,010 have been issued. The combined amount is just above the Texas median of $20,699 across fined facilities; about 30% of Texas nursing homes received no fines at all during the same period.
Quality-of-care outcome measures — tracking things like pressure wounds, falls, and pain management for long-stay residents — rate 5 stars, the highest tier. Long-stay measures rate 5 stars and short-stay measures rate 4 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details on the abuse finding
CMS has a substantiated abuse or neglect finding on record here — ask what happened, when, and what specific policy or staffing changes followed.
RN coverage on nights and weekends
Reported RN time runs about 22 minutes per resident per day; ask how many registered nurses are on duty overnight and on weekends specifically.
How outcomes stay high with mixed staffing
Quality-of-care measures rate 5 stars while staffing rates 3 — ask how care plans are monitored and who reviews them when concerns arise.
Management company's role day to day
Advanced Hcs manages the facility under Palo Pinto County Hospital District ownership — ask which entity sets staffing levels and handles resident complaints.
Current bed availability
With 96 residents in 108 beds, the facility is running at about 89% occupancy — ask whether specific room types or care levels have a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.