White Settlement Nursing Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 44 Google reviews
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What this means for your family
While some families find comfort in the advocacy of specific coordinators, the facility has a recurring pattern of serious hygiene and neglect issues. If you choose this facility, you must implement a rigorous daily check-in routine to ensure call lights are being answered and personal hygiene is being maintained.
Google Reviews
Google Reviews
44 reviews on Google“Families should approach this facility with significant caution due to serious allegations of neglect, hygiene issues, and medication errors. While some long-term residents' families praise specific administrators and the care provided by certain nurses, multiple reviewers have reported alarming conditions including residents left in soiled bedding and unresponsiveness to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate specific nursing staff
- Effective administrative advocacy
- Convenient location for local families
- Pleasant outdoor environment with a lake
Concerns
- Hygiene and cleanliness issues including soiled residents and dirty floors (mentioned by 3 reviewers)
- Unresponsiveness to call lights and medication delays (mentioned by 2 reviewers)
- Loss of resident personal property and clothing (mentioned by 3 reviewers)
- Poor communication with family members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 51 analyzed
How They Respond to Reviews
The owner uses highly templated, boilerplate responses that fail to address the specific allegations of medical neglect, safety issues, or communication failures. The responses focus on a standard invitation to contact the Administrator rather than acknowledging the gravity of the specific complaints.
Questions for Your Tour
- 1We noticed some lovely comments about the beautiful lake and outdoor space; how often are residents able to enjoy the garden area?
- 2What specific protocols do you have in place to ensure residents' personal clothing and belongings are tracked and kept safe?
- 3How does the nursing team manage medication schedules to ensure everything is administered promptly and accurately?
- 4Could you describe your process for communicating daily updates or changes in health status to family members?
- 5What steps does your housekeeping team take to ensure the resident rooms and common areas are kept consistently clean and hygienic?
- 6How does the staff respond to call lights during the night shift to ensure residents aren't left waiting?
Personalized based on this facility's data
Key Review Excerpts
“But what really sets them apart is their MDS Coordinator Ms. McClendon. She goes far beyond the paperwork, acting as a true advocate for every resident.”
“My mom was in her bed. Soak in urine. With no nurses inside. Got my mom out of bed, cleaned her up and took her out of there.”
“I was sometimes ignored when I pushed the call button, was not always given my prescribed medicine when I need it.”
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
16
measures
1
measures
Residents whose bladder or bowel control got worse
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 needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
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 families filing 17 complaints across surveys, including recent issues with resident safety and neglect protection. The most recurring problems involve maintaining a clean and comfortable environment, fire safety systems, and medication management. While the facility corrects deficiencies when cited, similar issues persist across multiple surveys, suggesting ongoing challenges with consistent care standards and facility maintenance.
Mar 16, 2026Complaint1
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Dec 5, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Aug 11, 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 17, 2025Complaint2
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.
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.
May 8, 2025Routine15
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Egress Deficiencies
Meet other general requirements.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 8, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Feb 15, 2025
$9,113
Fine
Apr 4, 2024
$13,897
Ownership & Operations
Who Operates This Facility
Palo Pinto County Hospital District
for profit
ADVANCED HCS
ASHLEY FINCHUM
Chain Affiliation
Ruby Healthcare
7 facilities nationwide
Chain avg rating: 3.3/5 · Rank 5 of 7
Ownership & Management
Owners
Palo Pinto County Hospital District
Owner (parent company) · 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
44 reviews from families & visitors
Official Website
Visit rubyhealthcaremgmt.com
Medicare data downloads
Original nursing home datasets
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