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Focused Care at Clarksville

2407 West Main St., Clarksville, TX 75426 · Red River County · (903) 427-3821

120 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455944 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 25, 2026, inspectors cited 6 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 32 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $5,211 in the last three years; the largest was $5,211, and the latest is dated October 5, 2024.

Nurses and nurse aides worked 2.80 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

32.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Focused Post Acute Care Partners, an affiliated group of 25 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
15E
1F
Potential for minimal harm
0A
0B
0C
February 25, 2026Standard inspection · 6 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents assessments accurately reflected the resident's status for 3 of 15 residents (Residents #7, #8 and #36) reviewed for accuracy of assessments. 1. The facility failed to accurately complete the MDS assessment to indicate Resident #7's PASRR status was positive. 2. The facility failed to accurately complete the MDS assessment to indicate Resident #8's tobacco use.3. The facility failed to accurately complete the MDS assessment to indicate Resident #36's PASRR status was positive. These failures could place residents at risk of not receiving the appropriate care and services to maintain their highest level of well-being.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 1 medication rooms and 1 of 2 medication carts for 4 of 18 residents reviewed for pharmacy services (Resident #8, #42, #43 and #52). 1. The facility failed to perform an inventory of controlled substances of the medication cart upon transfer of keys between staff.2. The facility failed to ensure expired mediations were removed from all medication carts and medication rooms. These failures could place residents at increase risks of drug diversion and of receiving medications that were not at their intended potency and potential adverse reactions or side effects. 1. [...]
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections 2 of 2 residents observed for incontinent care (Residents #5 and #32), for 1 of 1 resident observed for wound care (Resident #5), and 1 of 1 resident for transfers (Resident #32). * CNA F and CNA G used gloves pulled from their pockets, CNA G touched clean items without hand hygiene between glove changes, CNA F did not do hand hygiene between glove changes, and CNA G did not wash her hands before leaving the room when they provided incontinent care and Hoyer lift transfer on Resident #32. [...]
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 20 residents (Resident #36) reviewed for care plans. The facility failed to ensure that Resident #36's care plan addressed his PASRR positive status. This failure could place residents at risk of not receiving appropriate interventions to meet their current needs.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary medications (is a medication used: for excessive duration) for 2 of 5 residents (Residents #5 and #32) reviewed for unnecessary medications. * The facility did not have a stop date for Resident #5's Methenamine Hippurate (antibiotic) * The facility did not have a stop date for Resident #32's Bactrim DS (antibiotic) These failures could place residents at risk for antibiotic resistance infections due to excessive use of antibiotics.
  6. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 stove in the kitchen reviewed for essential equipment. * The facility did not ensure the gas stove was in safe operating condition. The two right burners would not ignite when the knobs were turned. This failure could place the residents at risk of a fire for not having safe operating equipment.
May 21, 2025Complaint inspection · 1 citation
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the right to be free from Misappropriation of Resident Property for 6 of 18 residents (Resident #'s 1,2,3,4,5, and 6). 1. The facility failed to prevent the misappropriation of bottle of megace (Resident #1) and (Resident #4), card of Zofran (Resident #5) and (Resident #3), card of Pantoprazole (Resident #6), card of montelukast (no legible name), Nystatin, Xyzal (no legible name), card of Flexeril (no legible name), (CMA H) removed the medication from the nurses' cart, without authorization, for personal gain. 2. The facility failed to ensure that Resident #2 was not subject to financial misappropriation or exploitation from Housekeeper A from the time period 2/11/2025 to 2/17/2025. Housekeeper A accepted cash in the amount of $60 from Resident #2. The noncompliance was identified as PNC. [...]
December 4, 2024Standard inspection · 5 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, and in that: 1) The facility failed to date all food items. 2) Dietary staff failed to dispose of expired foods items 3)The facility failed to ensure proper infection control measures when a resident self-served ice from the ice chest cooler located on Hall 2 on 12/2/2024, 12/03/2024 and 12/04/2024. These failures could place residents at risk for food contamination and foodborne illness.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the residents' environment remained as free of accident hazards as possible for 1 of 2 residents (Resident #13) reviewed for accident hazards. The facility failed to ensure the cigarettes for Resident #13 were properly secured in the designated locked box behind the nurse's station. The facility failed to ensure Resident #13 was smoking with supervision when she was found outside in the smoking area on 12/04/24 smoking alone. These failures could place residents at risk for injuries.
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 1 of 19 residents reviewed for medication storage. (Resident #14). The facility failed to ensure Resident #14's vagisil maximum strength cream (used for vaginal itching), preparation H hemorrhoidal ointment (used for relief of swelling, burning, or pain from hemorrhoids), Asper creme lidocaine roll on (used for pain), fluticasone 50mcg nasal spray (used for allergies), and 2 bottles of Systane eye drops were stored and locked in an area not accessible to unauthorized staff, residents, or visitors. These failures could place residents at risk of injury.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 1 of 3 residents (Residents #17). 1. CNA A and CNA B failed to use enhanced barrier precautions by donning a gown when performing foley care on Resident #17 on 12/03/2024. 2. CNA A and CNA B failed to change their gloves after performing foley care on Resident #17 and touched the resident and clean surfaces on 12/03/2024. These failures could place residents at risk of exposure to communicable diseases, cross-contamination and infections.
  5. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public, for 1 of 19 residents (Resident #14) reviewed for physical environment. The facility failed to ensure Resident #14's bathroom toilet was functioning properly. The facility failed to ensure Resident #14's bathroom toilet was not briskly running or leaking water for her to use safely. This failure could place residents at-risk of falls and further injuries due to an unsafe environment.
November 21, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the right to be free from misappropriation of resident property for 1 of 3 (Resident # 1) residents reviewed for misappropriation of resident property. The facility failed to prevent a drug diversion (misappropriation) of Resident #1's-controlled medications on [DATE], Hydrocodone-Acetaminophen 7.5-325MG (narcotic pain reliever), Hydrocodone-Acetaminophen10-325MG, and Lorazepam (controlled anti-anxiety medication) 0.5 MG, after she expired on [DATE]. The medications were not found. The non-compliance was identified as past non-compliance. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for decreased quality of life, misappropriation of property, misappropriation of physician ordered medications and dignity.
October 5, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to protect a resident's right to be free from abuse for 2 of 4 residents (Resident #1 and Resident #2) reviewed for abuse. The facility failed to protect Resident #1 from inappropriate sexual touching by Resident #2. This failure could place residents at risk of for psychosocial harm and a diminished quality of life.
November 2, 2023Standard inspection, Complaint inspection · 18 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service in the facility's only kitchen The facility failed to ensure that kitchen staff appropriately restrained their hair with the hairnet. The facility failed to ensure cans were free from damage. These failures could place residents at risk of cross contamination and foodborne illness.
  2. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure the right to formulate an advanced directive was provided for 3 of 20 residents (Residents #4, #16 and #24) reviewed for advanced directives. 1. The facility did not ensure Resident #4's OOH-DNR included the physician signature and physician date the document was signed. 2. The facility did not ensure Resident #16's OOH-DNR included the witness 2 signature, physician license number, and physician date the document was signed. 3. The facility did not ensure Resident #24's OOH-DNR included the witness 1 signature. These failures could place residents at risk of not receiving care and services to meet their needs.
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure that the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 6 of 20 residents (Resident #8, Resident #13, Resident #19, Resident #25, Resident #47, and Resident #52) reviewed for accidents and supervision. The facility did not ensure Resident #52 smoked in the designated smoking area while being supervised during the smoke break. The facility did not ensure PTA F used the gait belt appropriately while ambulating Resident #25. The facility failed to ensure the safety of Resident #13 by not moving the Resident to another location/bed prior to removing/working on the bed. [...]
  4. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview, and record review the facility failed to ensure the medical record of each resident was accurately documented in accordance with accepted professional standards and practices for 3 of 20 residents (Residents #4, #9 and #24) reviewed for medical records. 1. The facility did not ensure Resident #4's behaviors were adequately monitored regarding her antianxiety medication. The facility did not ensure Resident #4's side effects were adequately monitored regarding her antianxiety, antidepressant and antipsychotic medications. 2. The facility did not ensure Resident #9's behaviors were adequately monitored regarding her antianxiety medication. The facility did not ensure Resident #9's side effects were adequately monitored regarding her antianxiety and antidepressant medications. 3. [...]
  5. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents were free of significant medication errors for 1 of 9 residents reviewed for insulin administration. (Resident #52) The facility did not ensure LVN P and RN Q administered Resident #52's Humalog (insulin lispro) KwikPen (insulin medication) according to the manufacturer's instructions. This failure could place the resident at risk of medical complications and not receiving the therapeutic effects of their medications.
  6. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards for 3 of 20 residents (Resident #8, Resident #9, and Resident #40) and 1 of 1 empty resident's room reviewed for drugs and biologicals. The facility failed to ensure Resident #8's Afrin (nasal spray medication) was stored properly. The facility failed to ensure Resident #40's Azelastine (nasal spray medication) was stored properly. The facility did not ensure a Plavix pill (antiplatelet) was stored in a locked container and original packaging. The facility did not ensure Resident #9's multivitamins, ear drops, and triple antibiotic ointment were properly safe and secured. These failures could place residents at risk of medication misuse and diversion.
  7. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide food that was palatable and served at an appetizing temperature 1 of 1 lunch meal reviewed for palatability and temperature. The facility failed to provide palatable food served at an appetizing temperature or taste to Resident #41, Resident #28, and Resident #19 who complained the food was served cold and did not taste good. The facility failed to ensure the Dietary Manager followed the recipe for pureeing the Swiss steak and California Blend Vegetables (the lunch menu). This failure could place residents who ate food from the kitchen at risk of weight loss, altered nutritional status, and diminished quality of life.
  8. E
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident received and the facility provided at least three meals daily, at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests and plan of care for 2 of 2 meals (Lunch on 10/30/2023 AND 10/31/2023) observed for frequency of meals. The facility failed to serve the 10/30/2023 and 10/31/2023 lunch meal on time at the scheduled time. This failure could place residents at risk for decreased meal satisfaction, decreased intake, loss of appetite, side effects from medication given without food, and diminished quality of life.
  9. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 27, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents (Resident #28) and 4 of 4 staff (CNA G, CNA H, Community Cleanliness Provider O and Clinical Reimbursement Coordinator) reviewed for infection control. 1. The facility failed to ensure CNA G and CNA H changed gloves and performed hand hygiene while providing incontinent care to Resident #28. The facility failed to ensure CNA G and CNA H did not touch the multi-use wipes container with their dirty gloves. 2. The facility failed to ensure the Clinical Reimbursement Coordinator sanitized her hands between each resident meal tray while passing meal trays on Hall 1. 3. [...]
  10. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview and record review, the facility failed to promote antibiotic stewardship by ensuring the appropriate use of antibiotic therapy and providing written rationale, by the provider, when an antibiotic was used despite criteria, to determine the appropriate the use of an antibiotic for 3 of 3 residents (Residents #13, #36, and #44) reviewed for antibiotic use. The facility failed to ensure Residents #13, #36, and #44 had documented signs and symptoms, appropriate lab work, and diagnoses to support the use of prescribed antibiotics. This failure could place residents receiving antibiotics at risk for unnecessary antibiotic use, inappropriate antibiotic use, and increased antibiotic-resistant infections.
  11. E
    Have policies on smoking.
    F926 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to follow their own established smoking policy for the facility's only smoking area and 1 of 12 residents (Resident #52) reviewed for smoking policies. 1. The facility did not ensure Resident #52 smoked in the designated smoking area with appropriate supervision. 2. The facility did not ensure cigarette butts were disposed of in metal containers in the smoking area. 3. The facility did not ensure plastic trash was placed in the appropriate trash containers in the smoking area. These failures could place residents at risk of an unsafe smoking environment.
  12. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observations, interviews, and record review the facility failed to treat each resident with respect and dignity and provide care in a manner that promoted maintenance or enhancement of his or her quality of life for 2 of 2 residents (Resident #25 and Resident #159) reviewed for resident rights. 1. The facility did not ensure CNA B knocked, introduced herself, and explained the procedure prior to entering Resident #25's room and providing care. 2. The facility did not ensure CNA B knocked prior to entering Resident #159's room.
  13. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 20 residents (Resident #10) reviewed for reasonable accommodation of needs. The facility did not ensure Resident #10's call light was within reach. This failure could place residents at risk for unmet needs and decreased quality of life.
  14. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, and comfortable homelike environment for 1 of 20 residents (Resident #28) reviewed for environment. The facility failed to ensure Resident #28's door was properly functioning. This failure could place residents at risk for an uncomfortable, unhomelike environment, and a diminished quality of life.
  15. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interviews and record review the facility failed to ensure an accurate MDS was completed for 1 of 20 residents (Resident's #14) reviewed for MDS assessment accuracy. 1. The facility did not ensure Resident #14's most recent MDS assessment reflected his hospice services during the 14-day look-back period. This failure could place residents at risk for not receiving care and services to meet their needs.
  16. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to develop or implement a comprehensive person-centered care plan to meet resident's medical, nursing, mental and psychosocial needs identified in the comprehensive assessment for 2 of 20 residents reviewed for care plans. (Resident #5 and Resident #13) 1. The facility did not implement Resident #5's care plan or accurately reflect her diet preferences. 2. The facility failed to develop and implement a care plan for Resident #13's Hospice care services. These failures could place residents at risk of not having individual needs met and a decreased quality of life.
  17. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure necessary services to maintain grooming and personal hygiene were provided for 2 of 5 residents reviewed for ADLs. (Resident #41 and Resident #210) 1. The facility did not ensure Resident #41 received nail care. 2. The facility failed to ensure Resident #210 received his shower as scheduled. These failures could place residents at risk of not receiving services or care, decreased quality of life, and decreased self-esteem.
  18. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate dispensing and administering of all drugs and biologicals to meet the needs of each resident for 1 of 20 residents (Residents #28) reviewed for pharmacy services. The facility failed to ensure Resident #28 received insulin as prescribed. The facility failed to ensure Resident #28's blood sugar was rechecked in an hour. These failures could place residents at risk for hospitalizations, not receiving services to meet their needs, and a decreased quality of life.

Fire safety inspections

8 fire safety citations on file: 2 on February 25, 2026, 5 on December 4, 2024, 1 on November 2, 2023.

Every fire safety citation8 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 25, 2026 · Corrected (the home has a date of correction)
  2. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 25, 2026 · no revisit needed
  3. E
    Provide properly protected cooking facilities.
    K 324 · December 4, 2024 · Corrected (the home has a date of correction)
  4. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 4, 2024 · Corrected (the home has a date of correction)
  5. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 4, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · December 4, 2024 · Corrected (the home has a date of correction)
  7. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 4, 2024 · Waiver
  8. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 2, 2023 · Waiver

Fines and payment denials

DatePenaltyAmount or length
October 5, 2024Fine $5,211

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)2.803.393.86
Registered nurses0.450.430.69
All nursing staff on weekends2.422.983.42
Nurse aides1.62
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)32.6%55.3%45.8%
Registered nurse turnover28.6%54.6%42.9%
Administrators who left0

CMS expects 3.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.95 on weekdays and 2.42 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.97 in April to June 2025 to 2.80 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.800.452.952.42 0.0%0 of 9055
Oct to Dec 20252.890.413.012.56 0.0%0 of 9254
Jul to Sep 20252.790.382.902.50 0.0%0 of 9257
Apr to Jun 20252.970.413.092.68 0.0%0 of 9156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Focused Care of Clarksville CNA training on CareerFunded, our sister site for career training.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Focused Care at Clarksville. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.315.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.43.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.414.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.73.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.99.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.12.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Focused Care at Clarksville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.2% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 52 eligible stays.

Potentially preventable readmissions

10.6% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 62 eligible stays.

Infections that led to a hospital stay

9.2% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.

New or worsened pressure ulcers

10.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1. CMS links this home to Focused Post Acute Care Partners, a group of 25 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Chambers County Public Hospital District No. 1Direct ownership interestOrganization05/01/2021
Abernathy, MaryManaging control - governing bodyIndividual05/01/2024
Humphrey, EricManaging control - governing bodyIndividual05/01/2024
Legg, StephenManaging control - governing bodyIndividual01/01/2024
McKenzie, MarkManaging control - governing bodyIndividual05/01/2024
Tinnerman, LindaManaging control - governing bodyIndividual12/15/2020
Turner, LeslieManaging control - governing bodyIndividual01/01/2024
Cooper, KimberlyCorporate officerIndividual01/29/2024
Chambers County Public Hospital District No. 1Operational/managerial controlOrganization05/01/2021
Focused Post Acute Care Partners LLCOperational/managerial controlOrganization05/01/2021
Focused Post Acute Care Partners Management, LLCOperational/managerial controlOrganization05/01/2021
Fpacp Clarksville LLCOperational/managerial controlOrganization05/01/2021
Brown, RuthOperational/managerial controlIndividual05/01/2021
Castle, LisaOperational/managerial controlIndividual03/27/2023
Conley, ShawnOperational/managerial controlIndividual05/01/2021
Cooper, KimberlyOperational/managerial controlIndividual01/29/2024
McKenzie, MarkOperational/managerial controlIndividual05/01/2021
Muthappa, DeepakOperational/managerial controlIndividual05/01/2021
Newton, ElizabethOperational/managerial controlIndividual02/22/2024
Strubbe, LorettaOperational/managerial controlIndividual05/01/2021
Weiselogel, MelisaOperational/managerial controlIndividual05/18/2021
Focused Post Acute Care Partners LLCAdp of the SNFOrganization06/11/2025
Focused Post Acute Care Partners Management, LLCAdp of the SNFOrganization06/11/2025
Fpacp Clarksville LLCAdp of the SNFOrganization06/11/2025
Brown, RuthAdp of the SNFIndividual06/11/2025
Castle, LisaAdp of the SNFIndividual03/27/2023
Conley, ShawnAdp of the SNFIndividual05/01/2021
McKenzie, MarkAdp of the SNFIndividual05/01/2021
Muthappa, DeepakAdp of the SNFIndividual05/01/2021
Strubbe, LorettaAdp of the SNFIndividual05/01/2021
Weiselogel, MelisaAdp of the SNFIndividual05/18/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on February 25, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 25, 2026: "Ensure each resident receives an accurate assessment."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on February 25, 2026: "Provide and implement an infection prevention and control program."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on December 4, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.42 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

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Common questions

What is Focused Care at Clarksville's Medicare star rating?
CMS rates Focused Care at Clarksville 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Focused Care at Clarksville get at its last inspection?
6 health deficiencies at the standard inspection on February 25, 2026. The Texas average is 9.4.
Has Focused Care at Clarksville been fined?
Yes. CMS lists 1 fine totaling $5,211 in the last three years.
Does Focused Care at Clarksville accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Focused Care at Clarksville?
CMS lists 31 owners and managers, and links the home to Focused Post Acute Care Partners. Legal business name: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1.

Sources

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