F57

FOCUSED CARE OF WAXAHACHIE

Grade F 57/100 composite score

For profit - Individual

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

152

Ownership

For profit - Individual

Total Fines

$263,829

Last Survey

N/A

1413 W MAIN ST, WAXAHACHIE, TX 75165
9729372298

Get Pricing & Availability for FOCUSED CARE OF WAXAHACHIE

Request current pricing, availability, and tour information from FOCUSED CARE OF WAXAHACHIE in WAXAHACHIE, Texas.

Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.20h
LPN
1.21h
CNA
1.50h
Total
2.91h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FOCUSED POST ACUTE CARE PARTNERS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2016

FPACP ELLIS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2017

CONLEY, SHAWN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2018

15%

MCKENZIE, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2017

70%

STRUBBE, LORETTA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2018

15%

FOCUSED POST ACUTE CARE PARTNERS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

FPACP ELLIS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

ANDERSON, DANTRELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

CONLEY, SHAWN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

LEEK, DUSTIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2024

MCKENZIE, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2017

STRUBBE, LORETTA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2018

WHITE, KASEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

CONLEY, SHAWN

IndividualCORPORATE OFFICERSince May 2018

MCKENZIE, MARK

IndividualCORPORATE OFFICERSince Feb 2017

STRUBBE, LORETTA

IndividualCORPORATE OFFICERSince Jul 2018

Penalties & Fines (5)

$263,829total fines
DateTypeDescriptionAmount
Oct 18, 2024Fine$32,583
Mar 27, 2024Fine$8,161
Jul 17, 2023Fine$151,778
Jul 17, 2023Payment Denial
Mar 13, 2023Fine$71,307

Health Inspection Deficiencies (41)

July 1, 2025Health2 deficiencies
0584DMinimal harm, Isolated

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

Corrected Jul 2, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jul 2, 2025
February 12, 2025Health5 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 13, 2025
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 13, 2025
0656DMinimal harm, Isolated

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

Corrected Feb 13, 2025
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Feb 13, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Feb 13, 2025
December 20, 2024Health2 deficiencies
0558EMinimal harm, Pattern

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Dec 21, 2024
0656EMinimal harm, Pattern

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

Corrected Dec 21, 2024
November 7, 2024Health2 deficiencies
0552EMinimal harm, Pattern

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Dec 3, 2024
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 3, 2024
October 29, 2024Health2 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Dec 3, 2024
0584DMinimal harm, Isolated

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

Corrected Dec 3, 2024
October 18, 2024Health3 deficiencies2 severe
0600KImmediate jeopardy, Pattern

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

Corrected Dec 3, 2024
0656KImmediate jeopardy, Pattern

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

Corrected Dec 3, 2024
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 3, 2024
April 17, 2024Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 18, 2024
March 27, 2024Health2 deficiencies
0656EMinimal harm, Pattern

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

Corrected Mar 28, 2024
0761DMinimal harm, Isolated

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

Corrected Mar 28, 2024
December 21, 2023Health7 deficiencies
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 9, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 9, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 9, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 9, 2024
0882FMinimal harm, Widespread

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Jan 9, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jan 9, 2024
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Jan 9, 2024
August 30, 2023Health2 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Sep 22, 2023
0624DMinimal harm, Isolated

Prepare residents for a safe transfer or discharge from the nursing home.

Resident Rights Deficiencies

Corrected Sep 22, 2023
July 17, 2023Health1 deficiency1 severe
0600KImmediate jeopardy, Pattern

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

Corrected Jul 18, 2023
March 13, 2023Health4 deficiencies2 severe
0600KImmediate jeopardy, Pattern

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

Corrected Mar 14, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 14, 2023
0656EMinimal harm, Pattern

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

Corrected Mar 14, 2023
0699GActual harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Mar 14, 2023
January 18, 2023Health1 deficiency
0693DMinimal harm, Isolated

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

Corrected Jan 19, 2023
October 13, 2022Health7 deficiencies
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Nov 25, 2022
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Nov 25, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Nov 25, 2022
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 25, 2022
0804FMinimal harm, Widespread

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Nov 25, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 25, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 25, 2022

Request Information from FOCUSED CARE OF WAXAHACHIE

Get pricing, schedule a tour, or ask about availability.

Request information from FOCUSED CARE OF WAXAHACHIE

Frequently Asked Questions

What is the CareGrader rating for FOCUSED CARE OF WAXAHACHIE?

FOCUSED CARE OF WAXAHACHIE in WAXAHACHIE, Texas has a CareGrader grade of F (Poor), with a composite score of 56.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for FOCUSED CARE OF WAXAHACHIE?

FOCUSED CARE OF WAXAHACHIE has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FOCUSED CARE OF WAXAHACHIE have?

FOCUSED CARE OF WAXAHACHIE has 41 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has FOCUSED CARE OF WAXAHACHIE been fined?

Yes. FOCUSED CARE OF WAXAHACHIE has $263,829 in total fines from CMS enforcement actions across 5 penalties.

How many beds does FOCUSED CARE OF WAXAHACHIE have?

FOCUSED CARE OF WAXAHACHIE has 152 certified beds with approximately 67 current residents (44% occupancy). The facility is located at 1413 W MAIN ST, WAXAHACHIE, Texas 75165. It is a for profit - individual facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.