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Nursing HomeMemory Care Investigative

James L West Center for Dementia Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1111 Summit Ave, Upper West Side · Fort Worth, TX 76102112 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 57 Google reviews

5
4
3
2
1
James L West Center for Dementia Care Nursing Home in Fort Worth, TX — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food5.0Staff10.0Clean9.0Activities9.0MedsN/AMemory10.0Comms6.0Value5.0

Strengths

  • 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

234'16(1)'18(3)'20(1)'22(2)'24(11)'26(14)

Distribution · 59 analyzed

5
53
4
1
3
0
2
2
1
3

How They Respond to Reviews

97%response rate
Good

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.

Family caregiver of a parent with Alzheimer's · 2026★★★★★

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.

Long-term resident's family · 2026★★★★★

My husband spent his last days @ JLW. He started in rehab and then had to move to hospice. Angels of all varieties work here.

Hospice patient's spouse · 2026★★★★★
Source: 57 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
4.76hrs
OK
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

RN 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

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
14.4%
TX
16.1%
Tarrant
13.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
15.4%
TX
9.4%
Tarrant
8.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.2%
Worse than Avg
Here
31.2%
US
19.5%
TX
18.4%
Tarrant
16.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.9%
Mixed vs Avgs
Here
2.9%
US
12.1%
TX
2.5%
Tarrant
2.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.0%
Worse than Avg
Here
21.0%
US
15.3%
TX
14.9%
Tarrant
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Worse than Avg
Here
91.8%
US
93.4%
TX
96.9%
Tarrant
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.7%
Better than Avg
Here
92.7%
US
79.7%
TX
88.0%
Tarrant
89.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility8.9%
Worse than Avg
Here
8.9%
US
1.6%
TX
1.5%
Tarrant
1.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.1%
Mixed vs Avgs
Here
84.1%
US
81.8%
TX
89.2%
Tarrant
91.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
10penalties
Near state avg (9.1)
11 complaint-triggered
$63,236 in fines

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, 2025Routine
8
0600Actual harm · IsolatedResolved (past non-compliance)

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.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0690Potential for harm · PatternCorrected

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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0842Potential for harm · IsolatedCorrected

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.

0293Minimal · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Oct 11, 2024Complaint
5
0600Immediate jeopardy · IsolatedCorrected

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.

0604Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0607Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609Potential for harm · IsolatedCorrected

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, 2024Complaint
2
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0607Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Apr 26, 2024Complaint
2
0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Apr 18, 2024Routine
5
0657Potential for harm · PatternCorrected

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.

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0916Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0923Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 21, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

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

Owner / Operator

James L West Presbyterian Special Care Center

Organization Type

nonprofit

Administrator

MACK BALDRIDGE

Ownership & Management

Owners

James L West Presbyterian Special Care Center

Owner · Organization

100%

Key personnel

Harding, CherylOfficer / DirectorBaldridge, HunterManagerManuel, TanishaManagerJames L West Presbyterian Special Care CenterAdp of the SnfBaldridge, HunterAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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