With a score of 33/100, James L West Center For Dementia Care ranks in the bottom tier of Texas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at James L West Center For Dementia Care exceed national averages, with 4.73 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.33 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 18 deficiencies at James L West Center For Dementia Care, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.73 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.40 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.00 | 2.4 | Above Average |
| Weekend Total Nursing | 4.42 | 3.8 | Above Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jun 11, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventJun 11, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jun 11, 2025 · Pharmacy Service Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Jun 11, 2025 · Pharmacy Service Deficiencies
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJun 11, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.1% | 4.5% | Better |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 30.8% | 14.5% | Worse |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 44.8% | 14.0% | Worse |
| Excessive weight loss | 9.7% | 7.5% | Worse |
| New/worsened incontinence | 20.3% | 45.0% | Better |
⚠️ Penalties & Fines
9 penalties recorded by CMS
Total fines: $63,236
How This Grade Was Calculated
This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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