Quick answers
- Where is White Settlement Nursing Center?
- 7820 Skyline Park Dr, White Settlement, TX 76108, in Tarrant County, Texas.
- What is the phone number of White Settlement Nursing Center?
- (817) 246-5531, as listed by Medicare (CMS).
- What is the Medicare star rating of White Settlement Nursing Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has White Settlement Nursing Center been fined?
- Medicare lists 3 fines totaling $42,645.
- What did inspectors find at White Settlement Nursing Center?
- In its last three inspection cycles (November 6, 2023 to August 11, 2026), Medicare lists 40 health citations; the most serious was level J. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 6, 2023 to August 11, 2026), White Settlement Nursing Center had 40 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $42,645 in total (3 fines, the latest on July 30, 2026). Nurse staffing is 3.88 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 30, 2026 — 16 health citations
Inspections in this cycle: December 5, 2025 (complaint investigation); April 1, 2026 (complaint investigation); July 30, 2026 (standard health inspection); August 11, 2026 (complaint investigation).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 15 less serious citations (levels A to F)
F0584 Level E
“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.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level E
“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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0693 Level D
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
Previous cycle: May 8, 2025 — 13 health citations
Inspections in this cycle: February 15, 2025 (complaint investigation); May 8, 2025 (complaint investigation); May 8, 2025 (standard health inspection); June 17, 2025 (complaint investigation); August 11, 2025 (complaint investigation).
F0580 Level J
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0684 Level J
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0584 Level E
“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.”
F0803 Level E
“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.”
F0914 Level E
“Provide bedrooms that don't allow residents to see each other when privacy is needed.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0584 Level D
“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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: April 4, 2024 — 11 health citations
Inspections in this cycle: November 6, 2023 (complaint investigation); December 19, 2023 (complaint investigation); April 4, 2024 (complaint investigation); April 4, 2024 (standard health inspection).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 10 less serious citations (levels A to F)
F0584 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0584 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (36)
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
E0009 Level F
“Include a process for Emergency Preparedness collaboration.”
E0024 Level F
“Establish policies and procedures for volunteers.”
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
E0030 Level F
“List the names and contact information of those in the facility.”
E0031 Level F
“Provide emergency officials' contact information.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0343 Level F
“Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0522 Level E
“Have an externally vented heating system.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0200 Level E
“Meet other general requirements.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“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.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0222 Level F
“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.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0355 Level C
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Fines and payment denials
Total fines over about the last three years: $42,645 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 30, 2026 | Fine | $19,635 |
| February 15, 2025 | Fine | $9,113 |
| April 4, 2024 | Fine | $13,897 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.58 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.90 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.40 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.88 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.52 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.71 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 42.6% | 50.8% | 45.3% |
| RN turnover (per year) | 42.9% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 7 nursing homes: Ruby Healthcare.
Legal business name: Palo Pinto County Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Palo Pinto County Hospital District | Indirect owner | — | October 1, 2014 |
| Advanced HCS LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 108 |
| Average residents per day | 88.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – individual |
| Group or chain (affiliated entity) | Ruby Healthcare |
| Legal business name | Palo Pinto County Hospital District |
| First approved by Medicare/Medicaid | 1983-01-12 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 7820 Skyline Park Dr, White Settlement, TX 76108 |
| County | Tarrant County |
| State | Texas |
| Phone | (817) 246‑5531 |
| CMS Certification Number | 455475 |
| Name in Medicare records | WHITE SETTLEMENT NURSING CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Willow Ridge Wellness & Rehabilitation1.1 mi · Fort Worth, TX · 2 of 5 stars
- West Side Campus of Care1.5 mi · White Settlement, TX · 2 of 5 stars
- Ridgmar Medical Lodge1.6 mi · Fort Worth, TX · 1 of 5 stars
- Lake Lodge Nursing & Rehabilitation3.8 mi · Lake Worth, TX · 2 of 5 stars
- Arlington Heights Health and Rehabilitation Center3.9 mi · Fort Worth, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Wellbridge Healthcare Fort Worth5.6 mi · Fort Worth, TX · Psychiatric Hospital
- Medical City Fort Worth6.3 mi · Fort Worth, TX · Acute Care Hospital
- Baylor Scott and White Surgical Hospital Fortworth6.3 mi · Fort Worth, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13