Skilled nursing · Fort Worth, TX

James L West Center for Dementia Care

1111 Summit Ave, Fort Worth, TX 76102

2 / 5CMS 112 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. James L West Center for Dementia Care carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 2-star, staffing at 4-star, quality measures at 4-star. Long-stay antipsychotic prescribing is at 30.8 percent versus a 14 percent national median. RN coverage is 0.35 hours per resident per day. Nurse turnover 41 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.35

National

0.78

Annual nurse turnover

This

41%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

30.8%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full record.

Federal CMS ratings

Overall★★★★★2 / 5

Health inspection★★★★★2 / 5

Staffing★★★★★4 / 5

Quality measures★★★★★4 / 5

Staffing

RN hours per resident, daily

This

0.35

Nat

0.78

Total nurse hours / resident, daily

This

4.76

Nat

3.62

Annual nurse turnover

This

41%

Nat

53%

Annual RN turnover

This

25%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

30.8%

Nat

14%

Sedative / sleep med

This

38.0%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

3.4%

Nat

1.6%

Penalties & status

Abuse finding on recordNot special focusInspection current$63,236 in fines (9)

Identity & licensing

CMS ID745019

OwnershipNon profit - Corporation

ChainIndependent

Beds112

Avg residents100

Citations · last 36 months

Flagged by CMS data
CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. This is one of the most serious flags CMS assigns.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Registered nurse hours are 0.35 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is 31% — above the national median of about 14%. CMS already excludes residents with primary psychotic diagnoses from this measure. Worth asking what specific behaviors the medication is targeting and what non-medication options were tried first.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 38%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for James L West Center for Dementia Care?

James L West Center for Dementia Care has an overall CMS Care Compare rating of 2 out of 5 stars. It scores 2 of 5 on health inspection, 4 of 5 on staffing, and 4 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has James L West Center for Dementia Care been cited for resident harm?

CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. It has $63,236 in federal fines across 9 penalties on record in the last 36 months. The full record for James L West Center for Dementia Care appears in the record section above.

Does James L West Center for Dementia Care use antipsychotic medications?

30.8 percent of long-stay residents at James L West Center for Dementia Care are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 38.0 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is James L West Center for Dementia Care's Palmelle Clarity Score?

James L West Center for Dementia Care has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact James L West Center for Dementia Care?

James L West Center for Dementia Care is located at 1111 Summit Ave, Fort Worth, TX 76102. Phone: (817) 877-1199. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is James L West Center for Dementia Care a special focus facility?

James L West Center for Dementia Care is not on the federal Special Focus Facility list, but it does have an abuse icon and $63,236 in federal fines on record. See the penalties and status section above.

What does F-689 mean on James L West Center for Dementia Care's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If James L West Center for Dementia Care has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does James L West Center for Dementia Care compare to other Fort Worth skilled nursing facilities?

James L West Center for Dementia Care holds a Palmelle Clarity Score of 0. The full Fort Worth directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Fort Worth directory to compare more facilities by score, staffing, and inspection record.

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