A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 58 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
White Settlement Nursing Center has a middle-range Medicare overall rating. Strengths include compassionate specific nursing staff. Some reviewers note concerns about hygiene and cleanliness issues including soiled residents and dirty floors (mentioned by 3 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 66 analyzed
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.
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.”
“The care at this facility are HORRIBLE! My mother-in-law has been waiting at least 4 YEARS to get some hearing aids!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
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 who lost too much weight
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
Detailed Medicare record · up to 3-year lookback
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
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.
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.
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.
Federal Penalties
Fine
Feb 15, 2025
$9,113
Fine
Apr 4, 2024
$13,897
Palo Pinto County Hospital District
for profit
ADVANCED HCS
ASHLEY FINCHUM
Ruby Healthcare
7 facilities nationwide
Chain avg rating: 3.3/5 · Rank 5 of 7
Owners
Palo Pinto County Hospital District
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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