Settlers Ridge Care Center
Strong Medicare quality ratings; families often praise compassionate and professional nursing staff. Still worth an in-person visit.
based on 73 Google reviews
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What this means for your family
This facility offers a beautiful environment and a highly praised physical therapy team, which is excellent for rehabilitation. However, families should be extremely vigilant about nighttime care and medication administration, as multiple recent reviews highlight dangerous lapses in responsiveness and medical accuracy.
Google Reviews
Google Reviews
73 reviews analyzed“Families considering Settlers Ridge Care Center will find a polarizing landscape of experiences. While many long-term residents and their families praise the compassionate nursing staff and the beautiful, garden-like atmosphere, there are significant, recurring reports of inadequate nighttime staffing, poor medication management, and unpleasant odors in certain wings.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Beautiful facility with a lovely courtyard
- Effective physical therapy and rehab team
- Friendly and helpful administrative staff
Concerns
- Inadequate nighttime/weekend staffing and slow response to call buttons (mentioned by 4 reviewers)
- Unpleasant odors (urine/feces) in certain areas (mentioned by 3 reviewers)
- Issues with medication management and errors (mentioned by 3 reviewers)
- Poor communication from administration/admissions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides personalized responses to positive reviews, often using the reviewer's name and expressing gratitude. For negative reviews, they use a more formal, professional tone to acknowledge concerns and provide direct contact information for resolution.
Questions for Your Tour
- 1We noticed how much the administration values feedback from the community; how do you typically communicate important updates or changes to families?
- 2With the lovely courtyard and beautiful facility, what kind of daily social activities or outdoor time do residents get to enjoy?
- 3How does the nursing team ensure that call buttons are answered promptly, especially during the overnight hours or on weekends?
- 4What specific protocols do you have in place to ensure medication is administered accurately and safely every time?
- 5How does the facility manage cleanliness and air quality in the common areas to ensure a comfortable environment for everyone?
- 6Can you tell us more about the dining experience and how the menu is planned to keep mealtime enjoyable for residents?
Personalized based on this facility's data
Key Review Excerpts
“The caring staff makes this place home for my mom with Alzheimers. Our experience has been nothing but stellar. Highly recommend!”
“The PT team is second to none. All administrative staff, nurs”
“My mother was admitted today at 2pm from Baylor centennial with instruction after a hip replacement. It is 8:49pm she has not been given no pain meds, no raised toilet, no safety belt to be found and bed lowered to the floor.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with 32 deficiencies across recent surveys, including 10 triggered by family complaints about serious care issues. The most recurring problems involve quality of care and daily living assistance, infection control, and medication management. While all deficiencies show correction dates, the frequency of complaint-driven investigations and repeated issues with basic care suggest ongoing quality concerns that families should carefully evaluate.
Dec 15, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jun 18, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 20, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 20, 2025Routine1
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Nov 20, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Jan 25, 2024Routine9
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ownership & Operations
Who Operates This Facility
South Limestone Hospital District
for profit
PF SETTLERS RIDGE SNF OPS, LLC
WILLIAM COATES
Chain Affiliation
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.9/5 · Rank 1 of 13 (Best)
Ownership & Management
Owners
South Limestone Hospital District
Owner · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Chance, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fisher, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Langdon, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgehee, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Taylor, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
73 reviews from families & visitors
Official Website
Visit srsnf.com
Medicare data downloads
Original nursing home datasets
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