B-
73/100

James L. West Center for Dementia Care Inspection Report, Violations & Safety Grade (Fort Worth, Texas)

1111 Summit Ave, Fort Worth, Texas 76102

Phone: 8178771199

CMS Overall:3/5

Overview & Bed Count

Certified Beds
112
Avg Residents/Day
100.6
Ownership
Non profit - Corporation
Provider Type
Medicare
County
Tarrant
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall3/5
Health2/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.440.44-0.00
Total Nurse Hours per Resident per Day4.763.42+1.35
CMS Staffing Rating5/51.9/5-
Nursing Staff Turnover29.5%50.8%-

Health Citation History

17 health citations on record

DateCategoryDescriptionSeverity
2025-06-12Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2025-06-12Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E – Moderate Harm Potential
2025-06-12Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2025-06-12Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-06-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-10-11Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-10-11Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.J – Immediate Jeopardy
2024-10-11Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2024-10-11Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.J – Immediate Jeopardy
2024-10-11Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2024-08-06Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-08-06Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2024-04-26Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2024-04-18Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2024-04-18Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.D – Moderate Harm Potential
2024-04-18Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-02-21Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential

Fire Safety Citation History

6 fire safety citations on record

DateCategoryDescriptionSeverity
2025-06-12Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-06-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-06-12Egress DeficienciesHave properly located and lighted "Exit" signs.C – Minimal Harm Potential
2024-04-18Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.C – Minimal Harm Potential
2024-04-18Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.C – Minimal Harm Potential
2023-02-18Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential

Total Penalties & Fines

$58,298
Total Fine Amount (CMS)
7
Number of Fines
8
Total Penalties
DateTypeFine AmountPayment Denial
2025-06-12Fine$15,015-
2025-06-12Payment Denial-16 days starting 2025-07-11
2024-10-11Fine$17,242-
2024-08-06Fine$8,827-
2024-04-18Fine$9,872-
2023-10-30Fine$2,797-
2023-10-23Fine$2,447-
2023-10-17Fine$2,098-

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