James L West Center for Dementia Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 57 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
Below average in Texas · Critically understaffed (RN) · Above recommended total nurse staffing · $63,236 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for families seeking specialized dementia expertise and valuable caregiver training. While the quality of clinical care and nursing is exceptionally high, be prepared for a higher price point and ensure you have direct lines of communication with the clinical staff to avoid any administrative delays.
Google Reviews
Google Reviews
57 reviews on Google“Families considering James L West Center can expect highly compassionate, specialized dementia care and an exceptional educational program for caregivers. While reviewers frequently praise the attentive nursing staff and the facility's ability to reduce family stress, some potential residents should be aware of the higher price point and isolated reports of poor communication from the marketing department.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and highly trained dementia care staff
- Exceptional caregiver education and support programs
- Comprehensive services including rehab, hospice, and adult day programs
- High staff-to-patient ratios compared to standard nursing homes
Concerns
- High cost of services (mentioned by 2 reviewers)
- Poor communication from administrative/marketing staff
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
The owner primarily uses highly empathetic, personalized, and professional templates to acknowledge specific details in positive reviews. When faced with negative reviews, the owner adopts a firm, defensive stance to correct the record and defend the facility's reputation.
Questions for Your Tour
- 1I noticed your team is very active in responding to feedback from families; how do you typically keep families updated on a resident's day-to-day changes?
- 2With your specialized training in dementia care, what specific activities do you have planned to keep residents engaged and stimulated?
- 3Since you offer a wide range of services like rehab and hospice, how do you ensure a smooth transition for a resident if their medical needs change?
- 4How do you manage medical emergencies or sudden health shifts during the overnight hours?
- 5I've heard wonderful things about the compassion of your caregivers; how do you ensure that high level of care is maintained during busy shifts?
- 6Could you help me understand the different service tiers and how the pricing structure works for your memory care program?
Personalized based on this facility's data
Key Review Excerpts
“The education team and support group saved me. They gave me hands on solutions and honest expectations of the difficult tasks ahead.”
“The care provided for our father was exceptional. Their patient to caregiver ratio is around 4-1 while your typical nursing home is going to be around 18-1 or even as high as 24-1.”
“My husband spent his last days @ JLW. He started in rehab and then had to move to hospice. Angels of all varieties work here.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
8
measures
4
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns of resident protection failures, with families filing 10 complaints that triggered federal investigations since 2022. The most serious recurring issues involve protecting residents from abuse and neglect, resident safety and accident prevention, and medication management errors. Multiple complaints about the same protection issues from August through October 2024 suggest persistent problems in safeguarding vulnerable residents, making a careful visit essential to assess current conditions.
Jun 12, 2025Routine8
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Oct 11, 2024Complaint5
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 6, 2024Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Apr 26, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 18, 2024Routine5
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.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Feb 21, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 12, 2025
$15,015
Payment Denial
Jun 12, 2025
16-day denial
Fine
Oct 11, 2024
$17,242
Fine
Aug 6, 2024
$8,827
Fine
Apr 18, 2024
$9,872
Fine
Oct 30, 2023
$2,797
Fine
Oct 23, 2023
$2,447
Fine
Oct 17, 2023
$2,098
Fine
Oct 10, 2023
$1,764
Fine
Sep 18, 2023
$3,174
Ownership & Operations
Who Operates This Facility
James L West Presbyterian Special Care Center
nonprofit
MACK BALDRIDGE
Ownership & Management
Owners
James L West Presbyterian Special Care Center
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
57 reviews from families & visitors
Official Website
Visit jameslwest.org
Medicare data downloads
Original nursing home datasets
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