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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D25 | E13 | F4 |
| 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 12, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| May 22, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Nov 6, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 14, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 14, 2025 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Mar 7, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 26, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 26, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D25 | E13 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 12, 2026 | 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 Sep 4, 2026 | Complaint |
| Aug 12, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 4, 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 |
|---|---|---|---|---|---|
| Fpacp Houston LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 20, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fpacp Houston LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | May 20, 2019 |
| Focused Post Acute Care Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Focused Post Acute Care Partners Management, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Fpacp Houston 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 |
|---|---|---|---|---|---|---|
| Houston Transitional Care 8550 Jason Street, Houston, TX 77074 CCN 676435 | 3.5 km | 70 | Jun 24, 2026 | 25 | — | |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 4.1 km | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k | |
| Focused Care at Beechnut 12777 Beechnut St, Houston, TX 77072 CCN 675000 | 4.2 km | 146 | Apr 17, 2026 | 3910 IJ | $90k | |
| West Houston Rehabilitation and Healthcare Center 13428 Bissonnet, Houston, TX 77083 CCN 676381Abuse icon | 5.2 km | 124 | Aug 5, 2026 | 397 IJ | $205k | |
| Clarewood House Extended Care Center 7400 Clarewood Dr, Houston, TX 77036 CCN 676021 | 5.6 km | 60 | Jul 30, 2026 | 8 | — | |
| Sharpview Residence and Rehabilitation Center 7505 Bellerive, Houston, TX 77036 CCN 455333 | 5.7 km | 134 | May 27, 2026 | 251 IJ | $8,431 | |
| Seven Acres Jewish Senior Care Services 6200 North Braeswood Blvd, Houston, TX 77074 CCN 676152 | 6.2 km | 144 | Jun 25, 2026 | 301 IJ | $25k | |
| Treemont Health Care Center 2501 Westerland Dr, Houston, TX 77063 CCN 676009 | 7.2 km | 70 | May 6, 2026 | 21 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676116 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676116 | 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
| Aug 12, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 4, 2026 | Complaint |
| Jun 16, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 9, 2026 | Complaint |
| May 22, 2026 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 30, 2026 |
| May 22, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2026 |
| May 22, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2026 |
| May 22, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2026 |
| May 22, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2026 |
| May 22, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2026 |
| May 22, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2026 |
| May 22, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2026 |
| May 22, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2026 |
| May 22, 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| May 22, 2026 | F-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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| May 22, 2026 | 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 Jun 25, 2026 |
| May 22, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Nov 6, 2025 | 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 Jan 7, 2026 | Complaint |
| Nov 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 7, 2026 | Complaint |
| Mar 14, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 14, 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 Apr 5, 2025 |
| Mar 14, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 5, 2025 | Complaint |
| Mar 14, 2025 | 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 Apr 5, 2025 |
| Mar 14, 2025 | F-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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 5, 2025 | Complaint |
| Mar 14, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 5, 2025 | Complaint |
| Mar 14, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 5, 2025 | Complaint |
| Mar 14, 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 | F · Potential harm Widespread | Corrected Apr 5, 2025 |
| Mar 14, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 5, 2025 |
| Mar 7, 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 | Past non-compliance Feb 20, 2024 | Complaint |
| Mar 7, 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 | D · Potential harm Isolated | Past non-compliance Aug 3, 2024 | Complaint |
| Apr 11, 2024 | 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 | E · Potential harm Pattern | Corrected May 7, 2024 | Complaint |
| Jan 26, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2024 |
| Jan 26, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Jan 26, 2024 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 24, 2024 |
| Jan 26, 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 Feb 24, 2024 |
| Jan 26, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 24, 2024 |
| Jan 26, 2024 | 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 Feb 23, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.15 (case-mix index 1.45).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| May 20, 2019 |
| Keisha Bailey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 9, 2024 |
| Sabrina Carson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2022 |
| Shawn Conley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Mark Mckenzie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Michael Ngo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Robbie Robinson-Cobbin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 11, 2024 |
| Loretta Strubbe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2019 |
| Shawn Conley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 7, 2019 |
| Mark Mckenzie | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 7, 2019 |
| Loretta Strubbe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 7, 2019 |
| Focused Post Acute Care Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| Keisha Bailey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 9, 2024 |
| Michael Ngo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2019 |
| Robbie Robinson-Cobbin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2025 |
| $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 |