Elder Care Record

Texas › Tarrant County › White Settlement

White Settlement Nursing Center

7820 Skyline Park Dr, White Settlement, TX 76108

CCN 455475 · For-profit, corporation · 108 certified beds · chain Ruby Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

White Settlement Nursing Center is a For-profit, corporation nursing home in White Settlement, Texas, certified for 108 beds and caring for about 91 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 3 and quality measures 5.

Inspectors recorded 33 health deficiencies across the three most recent survey cycles (13, 13, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 30.6 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $23K.

Reported nurse staffing is 3.7 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 42.9%.

33health deficiencies, 3 survey cycles3 at actual harm or worse
$23Kfines listed by CMS2 penalties in period
3.7nurse hours per resident per daystate median 3.3
84%occupancy (residents ÷ beds)91 residents a day

Compared with county, state and nation

MeasureThis facilityTarrant Co. medianTexas medianUS average
Overall star rating3233.0
Health citations, 3 cycles33282528.7
Citations per 100 beds30.621.922.526.8
Total nurse hours per resident day3.73.33.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover42.9%53.4%52.1%45.8%
Fines listed$23,010$31,778$16,801—

County and state figures are medians across facilities (71 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 213
Cycle 37

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2025, 4 Apr 2024.

Severity mix: J ×3 D ×16 E ×13 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation23 Apr 2026
1 Apr 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation23 Apr 2026
5 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation6 Dec 2025
5 Dec 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation6 Dec 2025
11 Aug 2025F0584Honor 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.DComplaint investigation12 Aug 2025
17 Jun 2025F0584Honor 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.EComplaint investigation18 Jun 2025
17 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 May 2025
8 May 2025F0803Ensure 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.EStandard survey9 May 2025
8 May 2025F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.EStandard survey9 May 2025
8 May 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey9 May 2025
8 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 May 2025
8 May 2025F0693Ensure 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.DStandard survey9 May 2025
8 May 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey9 May 2025
8 May 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey9 May 2025
8 May 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation9 May 2025
15 Feb 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation16 Feb 2025
15 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation16 Feb 2025
4 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation17 Jan 2024
4 Apr 2024F0584Honor 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.EStandard survey5 Apr 2024
4 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Apr 2024
4 Apr 2024F0761Ensure 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.EStandard survey5 Apr 2024
4 Apr 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey5 Apr 2024
4 Apr 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey5 Apr 2024
4 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey5 Apr 2024
4 Apr 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey5 Apr 2024
4 Apr 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey5 Apr 2024
19 Dec 2023F0584Honor 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.DComplaint investigation20 Dec 2023
6 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation7 Nov 2023
28 Aug 2023F0697Provide safe, appropriate pain management for a resident who requires such services.EComplaint investigation29 Aug 2023
28 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation29 Aug 2023
28 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation29 Aug 2023
23 Feb 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey24 Feb 2023
23 Feb 2023F0584Honor 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.EStandard survey24 Feb 2023

Penalties

DateTypeAmountDetail
15 Feb 2025Fine$9,113
4 Apr 2024Fine$13,897

Staffing

Total nursing3.69 h
Nurse aides2.34 h
LPN0.93 h
RN0.43 h
Weekend total3.39 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.9%, RNs 50.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.1%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Palo Pinto County Hospital District. Chain: Ruby Healthcare (7 facilities).

OrganisationRole in the CMS recordInterestSince
Palo Pinto County Hospital District5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/01/2014
Advanced Hcs LLCOperational/managerial controlNOT APPLICABLE10/01/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Tarrant County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Allegiant Wellness and RehabCrowley605541118.3—24 Jul 2025
Crowley Nursing and RehabilitationCrowley1205421714.2$18K5 Jun 2025
Discovery Village At SouthlakeSouthlake415541536.6$13K4 Jun 2026
Grapevine Medical LodgeGrapevine13254286.1—15 Apr 2025
Heritage House At Keller Rehab & NursingKeller1205422016.7$23K28 Mar 2026
Hurst Plaza Nursing and RehabHurst1065521514.2$7K21 May 2026
La Dora Nursing and Rehabilitation CenterBedford625521016.1—24 Apr 2026
Stonegate Nursing and RehabilitationFort Worth1345422317.2$17K12 Feb 2026

All 71 facilities in Tarrant County

Questions and answers

How many deficiencies has White Settlement Nursing Center been cited for?

33 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has White Settlement Nursing Center been fined?

Yes. CMS lists fines totalling $23K in the period covered.

How does staffing at White Settlement Nursing Center compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates White Settlement Nursing Center?

It is part of the Ruby Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Palo Pinto County Hospital District and Advanced Hcs LLC. Individual owners and managers are not listed on this site.

When was White Settlement Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 8 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.