SNF

WHITE SETTLEMENT NURSING CENTER

CCN: 455475 · WHITE SETTLEMENT, TX 76108 · Tarrant County

⚠ Abuse citation flag

Overview

Address
7820 SKYLINE PARK DR, WHITE SETTLEMENT, TX 76108
Phone
8172465531
Certified beds
108
Avg daily residents
96 (89% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-01-12
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.51 3.28 4.13 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.36 0.57 0.43 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.98 0.73 1.15 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.17 1.98 2.55 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.34 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.10 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.29
hrs / resident / day
RN (weekend)
0.55
hrs / resident / day
Total nurse (adjusted, weekend)
3.87
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.1%
annual
RN turnover
55.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.16
higher acuity than avg
Case-Mix Index Ratio
0.84
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-08 13 8 6 68 1 68
Cycle 2/3 (prior) 2024-04-04 19 9 11 233 1 233
Total weighted health score
109.3
lower is better
Infection-control citations
0
last cycle

Deficiencies (34)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

31 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-12-05 2025-12-06
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2025-12-05 2025-12-06
0584 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. D 2025-08-11 2025-08-12
0584 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. E 2025-06-17 2025-06-18
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-06-17 2025-05-22
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-08 2025-05-09
0693 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. D 2025-05-08 2025-05-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-05-08 2025-05-09
0759 Ensure medication error rates are not 5 percent or greater. D 2025-05-08 2025-05-09
0803 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. E 2025-05-08 2025-05-09
0914 Provide bedrooms that don't allow residents to see each other when privacy is needed. E 2025-05-08 2025-05-09
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2025-05-08 2025-05-09
0880 Provide and implement an infection prevention and control program. D 2025-05-08 2025-05-09
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. J 2025-02-15 2025-02-16
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2025-02-15 2025-02-16
0584 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. E 2024-04-04 2024-04-05
0685 Assist a resident in gaining access to vision and hearing services. D 2024-04-04 2024-04-05
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-04-04 2024-04-05
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-04-04 2024-04-05
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-04-04 2024-04-05
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-04-04 2024-04-05
0761 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. E 2024-04-04 2024-04-05
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2024-04-04 2024-04-05
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-04-04 2024-01-17
0584 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. D 2023-12-19 2023-12-20
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-11-06 2023-11-07
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2023-08-28 2023-08-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-08-28 2023-08-29
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2023-08-28 2023-08-29
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-06-06 2023-07-06
0880 Provide and implement an infection prevention and control program. D 2023-06-06 2023-07-06
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2023-03-29 2023-03-30
0584 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. E 2023-02-23 2023-02-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-02-23 2023-02-24

Penalties (2)

Fines issued
2
last 3 years
Total fines
$23,010
Date Type Fine amount
2025-02-15 Fine $9,113
2024-04-04 Fine $13,897

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 2.7% Medicaid 86.6% Other 10.6%

Operating performance

Operating Margin
-10.3%
Total Margin
4.4%
Occupancy Rate
83.7%
Cost per Resident Day
$30

Revenue & costs

Net Patient Revenue
$6.7M
Total Costs
$980K
Net Income
$337K

Balance sheet

Total Assets
$2.1M
Total Liabilities
$1.1M
Fund Balance
$984K
Current Ratio
1.21

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: RUBY HEALTHCARE

Chain ID
824
Facilities in chain
7
Legal business name
PALO PINTO COUNTY HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
3.3
Health
2.3
Staffing
3.0
QM
5.0

Owner / manager organizations (2)

Organization Role Association
PALO PINTO COUNTY HOSPITAL DISTRICT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/01/2014
ADVANCED HCS LLC OPERATIONAL/MANAGERIAL CONTROL since 10/01/2014

Owner / manager individuals (5)

Name Role Association
LICHTSCHEIN, TEDDY OPERATIONAL/MANAGERIAL CONTROL since 07/01/2021
MEISNER, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 07/01/2021
SCHEINER, ELIEZER OPERATIONAL/MANAGERIAL CONTROL since 07/01/2021
KORKMAS, ROSS CORPORATE OFFICER since 08/06/2019
KORKMAS, ROSS W-2 MANAGING EMPLOYEE since 08/06/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $30 metrics.cost_per_resident_day
Cost Report Current Ratio 1.21 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 86.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.7% metrics.medicare_day_share
Cost Report Net Income ($) $337,412 metrics.net_income
Cost Report Net Patient Revenue ($) $6,685,207 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 83.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -10.3% metrics.operating_margin
Cost Report Total Assets ($) $2,070,842 metrics.total_assets
Cost Report Total Costs ($) $980,153 metrics.total_costs
Cost Report Total Fund Balances ($) $983,852 metrics.fund_balance
Cost Report Total Liabilities ($) $1,086,990 metrics.total_liabilities
Cost Report Total Margin (%) 4.4% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.14707 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.55405 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.42638 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.12750 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.86945 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 96.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.72899 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.98123 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.57460 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.28482 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.89522 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 5.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.0 Chain Average Staffing Rating
Provider Information Chain ID 824 Chain ID
Provider Information Chain Name RUBY HEALTHCARE Chain Name
Provider Information City/Town WHITE SETTLEMENT City/Town
Provider Information CMS Certification Number (CCN) 455475 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Tarrant County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-01-12 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 32.7551 Latitude
Provider Information Legal Business Name PALO PINTO COUNTY HOSPITAL DISTRICT Legal Business Name
Provider Information Location 7820 SKYLINE PARK DR,WHITE SETTLEMENT,TX,76108 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -97.449 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 108 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.16366 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.84467 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 7820 SKYLINE PARK DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WHITE SETTLEMENT NURSING CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 910 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 68 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 8 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-08 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 68 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-04-04 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 233 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 11 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 233 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.54815 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 55.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.33867 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.97591 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.17295 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10199 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36276 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.51162 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 8172465531 Telephone Number
Provider Information Total Amount of Fines in Dollars 23010.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.29207 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 46.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 109.250 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 76108 ZIP Code