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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E6 | F8 |
| Minimal | A· | B· | C· |
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 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 30, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 30, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Sep 27, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 6, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Dec 4, 2023 | Health | Health Complaint, Infection Control | 1 | Potential harm | — | Open → |
| Jul 26, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 26, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E6 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 18, 2026 | Complaint |
| Aug 6, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 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 61 facilities.
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 |
|---|---|---|---|---|---|
| Hamilton County Hospital District | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hamilton County Hospital District | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2019 |
| Michael Collett | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 29, 2019 |
| Karen Craig | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 12, 2022 |
| William Forrest | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 20, 1992 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490 | 109 | Dec 4, 2025 | 401 IJ | $8,410 | |
| Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560 | 122 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Focused Care of Waxahachie 1413 W Main St, Waxahachie, TX 75165 CCN 455591Abuse icon | 152 | Aug 14, 2026 | 433 IJ1 harm1 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954 | 0.9 km | 76 | Jun 11, 2026 | 192 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675140 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675140 | 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
| Sep 27, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 3, 2025 |
| Sep 27, 2024 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2025 |
| Sep 27, 2024 | 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 Oct 10, 2024 |
| Sep 27, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 10, 2024 |
| Dec 4, 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 Dec 5, 2023 | ComplaintInfection control |
| Jul 26, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 22, 2024 |
| Jul 26, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 22, 2024 |
| Jul 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2024 |
| Jul 26, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 4, 2024 |
| Jul 26, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 22, 2024 |
| Jul 26, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2024 |
| Jul 26, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jul 26, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jul 26, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jul 26, 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 Jul 31, 2023 |
| Jul 26, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.65 (case-mix index 1.40).
| Neil Muxworthy | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 20, 1996 |
| Robert Witzsche | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 28, 1998 |
| Focused Post | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Focused Post Acute Care Partners II LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Focused Post Acute Care Partners Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Fpacp Hamilton LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Hamilton County Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Shawn Conley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Jon English | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Tiffany English | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 30, 2020 |
| James Lee | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Mark Mckenzie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Carrie Pratt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2017 |
| Loretta Strubbe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Grady Hooper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2015 |
| Focused Post | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Focused Post Acute Care Partners II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2025 |
| Fpacp Hamilton LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 18, 2025 |
| Hamilton County Hospital District | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2025 |
| Shawn Conley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Jon English | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Tiffany English | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2020 |
| James Lee | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Mark Mckenzie | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Carrie Pratt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 18, 2025 |
| Aug 5, 2026 |
412 IJ5 open |
| $17k |
| Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579 | 128 | Jun 24, 2026 | 581 IJ | $44k |
| Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726 | 108 | Apr 16, 2026 | 33 | — |
| Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate | 139 | Jun 4, 2026 | 584 IJ | $183k |
| Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954 | 76 | Jun 11, 2026 | 192 open | — |
| Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962 | 115 | Feb 9, 2026 | 491 IJ | $8,021 |
| Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985 | 132 | Apr 14, 2026 | 33 | — |
| $21k |
| Focused Care at Mount Pleasant 1606 Memorial Ave, Mount Pleasant, TX 75455 CCN 455900Abuse icon | 122 | May 20, 2026 | 945 IJ1 harm1 open | $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 |