Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E8 | F1 |
| Minimal | A· | B· | C5 |
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 12, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 12, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 11, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Apr 22, 2025 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Jul 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2024 | Fire safety | Fire Safety Standard | 2 | Minimal | 1 | Open → |
| May 15, 2024 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Oct 16, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 22, 2025 | Civil money penalty (fine) | $248,757 | — | 675398|Fine|113846 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E8 | F1 |
| Minimal | A· | B· | C5 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 12, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 12, 2026 | |
| Aug 12, 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 | D · Potential harm Isolated | Corrected Aug 13, 2026 | |
| Aug 12, 2026 | F-0812 |
“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 |
|---|---|---|---|---|---|
| Fpacp Timpson, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fpacp Timpson, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 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 | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Fpacp Timpson, LLC | Organization | Operational / managerial control |
| 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 |
|---|---|---|---|---|---|---|
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 2.6 km | 137 | Jul 23, 2025 | 271 IJ | $9,113 | |
| Pine Grove Nursing Center 246 Haley Dr, Center, TX 75935 CCN 675230 | 2.6 km | 120 | Dec 10, 2025 | 201 harm | $8,407 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675398 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675398 | 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
| D · Potential harm Isolated |
| Corrected Aug 13, 2026 |
| Aug 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 13, 2026 |
| Aug 12, 2026 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2026 |
| Aug 12, 2026 | 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 revisit needed |
| Nov 18, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 19, 2025 | Complaint |
| Jun 11, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2025 |
| Jun 11, 2025 | 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 Jun 17, 2025 |
| Jun 11, 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 Jun 12, 2025 |
| Jun 11, 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 Jun 12, 2025 |
| Jun 11, 2025 | 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 22, 2025 |
| Jun 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 17, 2025 |
| Jun 11, 2025 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 17, 2025 |
| Jun 11, 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 | No revisit needed |
| Jun 11, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jun 18, 2025 |
| Apr 22, 2025 | 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 Apr 23, 2025 | Complaint |
| Apr 22, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Apr 23, 2025 | Complaint |
| Apr 22, 2025 | 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 | Corrected Apr 23, 2025 | Complaint |
| Apr 22, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 23, 2025 | Complaint |
| Apr 22, 2025 | 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 Apr 23, 2025 | Complaint |
| Apr 22, 2025 | 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 Apr 23, 2025 | Complaint |
| Jul 6, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 22, 2024 | Complaint |
| May 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 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 Jun 1, 2024 |
| May 15, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 2024 | 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 Jun 1, 2024 |
| May 15, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 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 | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 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 | E · Potential harm Pattern | Corrected Jun 1, 2024 |
| May 15, 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 | F · Potential harm Widespread | Corrected Jun 1, 2024 |
| May 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 1, 2024 |
| May 15, 2024 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 2024 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 1, 2024 |
| May 15, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | C · Minimal Widespread | No plan of correction |
| May 15, 2024 | 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 |
| Oct 16, 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 Oct 17, 2023 | Complaint |
| Oct 16, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2023 | Complaint |
| Oct 3, 2023 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 4, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.29 (case-mix index 1.49).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2017 |
| Hollie Adams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 27, 2022 |
| Shawn Conley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Carey Lindemann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Mark Mckenzie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Cicely Moore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Loretta Strubbe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Shawn Conley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2017 |
| 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 15, 2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2017 |
| Hollie Adams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 15, 2025 |
| Carey Lindemann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2022 |
| Cicely Moore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2017 |
| $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 |