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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D24 | E10 | F3 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 14, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 28, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 28, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 2, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 12, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | 1 | Open → |
| Dec 21, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 2, 2026 | Civil money penalty (fine) | $12,428 | — | 455591|Fine|137635 |
| Mar 27, 2024 | Civil money penalty (fine) | $8,161 | — | 455591|Fine|112723 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K2 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D24 | E10 | F3 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2026 | Complaint |
| Aug 14, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 18, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
25 facilities in 1 states. CMS chain ID 224.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Focused Post Acute Care Partners LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Fpacp Ellis LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Focused Post Acute Care Partners LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Fpacp Ellis LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Feb 1, 2017 |
| Focused Post Acute Care Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Focused Post Acute Care Partners Management, LLC | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Focused Care at Mount Pleasant 1606 Memorial Ave, Mount Pleasant, TX 75455 CCN 455900Abuse icon | 122 | May 20, 2026 | 945 IJ1 harm1 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - Waxaha 151 Country Meadows Boulevard, Waxahachie, TX 75165 CCN 676421 | 4.5 km | 121 | Jul 25, 2026 | 372 IJ3 harm | $41k | |
| Pleasant Manor Healthcare and Rehabilitation 3650 S. Interstate 35 E, Waxahachie, TX 75165 CCN 675889 | 5.4 km | 132 | Apr 10, 2026 | 322 IJ | $24k | |
| Midtowne Meadows Health & Rehab 110 Dylan Way, Midlothian, TX 76065 CCN 745039 | 14.4 km | 121 | Sep 4, 2025 | 8 | $20k | |
| Midlothian Healthcare Center 900 George Hopper Rd, Midlothian, TX 76065 CCN 676374 | 14.6 km | 120 | Feb 6, 2026 | 293 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455591 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455591 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 23, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 17, 2026 | Complaint |
| Apr 28, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Apr 28, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| Apr 28, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Apr 28, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 1, 2026 |
| Apr 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 28, 2026 | Complaint |
| Mar 2, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Feb 8, 2026 | Complaint |
| Jan 13, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 6, 2026 | Complaint |
| Dec 9, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Dec 9, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 12, 2025 | Complaint |
| Dec 9, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 12, 2025 | Complaint |
| Jul 1, 2025 | F-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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 2, 2025 | Complaint |
| Jul 1, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 2, 2025 | Complaint |
| Feb 12, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Feb 12, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2025 |
| Feb 12, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2025 |
| Feb 12, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2025 |
| Feb 12, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 13, 2025 |
| Feb 12, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 13, 2025 |
| Feb 12, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Waiver granted Apr 3, 2025 |
| Dec 20, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 21, 2024 | Complaint |
| Dec 20, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 21, 2024 | Complaint |
| Nov 7, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 3, 2024 | Complaint |
| Nov 7, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 3, 2024 | Complaint |
| Oct 29, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Oct 29, 2024 | F-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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Oct 18, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Dec 3, 2024 | Complaint |
| Oct 18, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Dec 3, 2024 | Complaint |
| Oct 18, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 3, 2024 | Complaint |
| Apr 17, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Mar 27, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 28, 2024 | Complaint |
| Mar 27, 2024 | F-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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 28, 2024 | Complaint |
| Dec 21, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 29, 2024 |
| Dec 21, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 9, 2024 |
| Dec 21, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2024 |
| Dec 21, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | No plan of correction |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.44 (case-mix index 1.49).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2017 |
| Fpacp Ellis LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Dantrell Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 18, 2024 |
| Shawn Conley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Dustin Leek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2024 |
| Mark Mckenzie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Loretta Strubbe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2018 |
| Kasey White | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 20, 2025 |
| Shawn Conley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2018 |
| Mark Mckenzie | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2017 |
| Loretta Strubbe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2018 |
| Focused Post Acute Care Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Dantrell Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2025 |
| Dustin Leek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Kasey White | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 20, 2025 |
| $199k |
| Focused Care at Lamesa 1201 N 15th St, Lamesa, TX 79331 CCN 455936 | 80 | Jul 28, 2026 | 282 IJ | $11k |
| Focused Care at Clarksville 2407 West Main St., Clarksville, TX 75426 CCN 455944 | 120 | Feb 25, 2026 | 401 harm | $5,211 |
| Focused Care at Beechnut 12777 Beechnut St, Houston, TX 77072 CCN 675000 | 146 | Apr 17, 2026 | 3910 IJ | $90k |
| Focused Care at Allenbrook 4109 Allenbrook Dr, Baytown, TX 77521 CCN 675079 | 120 | Mar 13, 2026 | 201 IJ1 harm | $8,400 |
| Focused Care at Sherman 817 W Center, Sherman, TX 75090 CCN 675089 | 116 | Jul 28, 2026 | 678 IJ | $120k |
| Focused Care at Humble 93 Isaacks Rd, Humble, TX 77338 CCN 675127Abuse icon | 134 | Jul 15, 2026 | 385 IJ1 harm | $98k |
| Focused Care at Hamilton 1315 E State Hwy 22, Hamilton, TX 76531 CCN 675140 | 78 | Aug 6, 2026 | 18 | — |