Find a nursing home

Home / Texas / Center

Focused Care of Center

501 Timpson, Center, TX 75935 · Shelby County · (936) 598-2483

92 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675398 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 12, 2026, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 35 health citations since October 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 2 fines totaling $262,154 in the last three years; the largest was $248,757, and the latest is dated April 22, 2025.

Nurses and nurse aides worked 3.50 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

32.8% 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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
2K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
6E
1F
Potential for minimal harm
0A
0B
1C
August 12, 2026Standard inspection · 4 citations
  1. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 13, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to be adequately equipped to allow residents to call for staff through a communication system which relayed the call directly to a staff member or to a centralized staff work area from toilet and bathing facilities for 3 of 20 residents (Resident #45, Resident #17, and Resident #41) reviewed for call lights. The facility failed to ensure Resident #17's emergency call light string in the bathroom would reach the floor as it was approximately four feet above the floor on 8/10/2026. The facility failed to ensure Resident #41's emergency call light string in the bathroom would reach the floor as it was approximately two feet above the floor on 8/10/2026. The facility failed to ensure Resident #45's emergency call light string in the bathroom would reach the floor. [...]
  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) August 13, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the residents' environment remains as free of accident hazards as possible for 1 of 10 residents (Resident #5) reviewed for safe transfers. The facility failed to ensure CNA C used a mechanical lift to transfer Resident #5 on 8/11/2026. This failure could place residents at risk of falls or injuries.
  3. D
    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, isolated · Corrected (the home has a date of correction) August 13, 2026
    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 food safety requirements and kitchen sanitation. The facility failed to ensure the ice machine was properly cleaned on 8/10/2026 at 9:30 AM. The facility failed to ensure the water filter for the ice machine was clean on 8/10/2026 at 9:30 AM. These failures could place residents who eat from the kitchen at risk of foodborne illnesses.
  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) August 13, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, 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 2 of 6 residents (Resident #16 and Resident #5) reviewed for infection control. The facility failed to ensure CNA B washed or sanitized her hands or changed gloves while performing incontinent care for Resident #16 on 8/10/2026. The facility failed to ensure CNA C washed or sanitized her hands, change gloves, did not place dirty linens on the floor, and clean the resident properly when incontinent care was provided to Resident #5 on 8/11/2026. These failures could place residents at risk of exposure to communicable diseases and infections.
November 18, 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 · Corrected (the home has a date of correction) November 19, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure the right to be free from misappropriation of resident property for 5 of 10 residents (Resident #1, Resident #5, Resident #6, Resident #8, and Resident #12) reviewed for misappropriation of resident property. The facility failed to ensure the [NAME] did not use Resident #1, #5, #6, #8, and #12's food debit card for personal use on 6/28/2025, 7/26/2025, 8/26/2025, and 8/31/2025. This failure could place residents at risk for decreased quality of life, misappropriation, and dignity.
June 11, 2025Standard inspection · 7 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) June 22, 2025
    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 safely. The facility did not ensure walls, floors, and equipment were not dirty with a buildup of grease, food and dust on 6/09/2025 and 6/10/2025 in the facility only kitchen. These failures could place residents who received their meals from the kitchen at risk for food-borne illness and food contamination.
  2. 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 · Corrected (the home has a date of correction) June 17, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 of 6 residents (Resident #17) reviewed for resident rights. The facility failed to ensure the window blinds were closed when personal care was provided on 6/10/2025. These failures could place residents at risk of decreased feelings of self-worth and decreased quality of life.
  3. 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 · Corrected (the home has a date of correction) June 12, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents for 1 of 2 shower rooms (Hall 100) observed for resident environment. The facility failed to ensure the shower rooms in the facility were clean. There was a black substance on the bathroom tiles and walls on 6/10/2025. This failure could place residents at risk for an unsafe environment and unsanitary environment.
  4. 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 · Corrected (the home has a date of correction) June 12, 2025
    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 vaccine/medication storage refrigerators reviewed for pharmacy procedures. The facility failed on 06/11/2025 to remove expired tuberculin skin testing (TST) solution from the vaccine/medication refrigerator. This failure could place residents who receive medications at risk of not receiving the intended therapeutic benefit of the medications.
  5. 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) June 17, 2025
    Inspectors wroteBased on observations, interviews, and record reviews 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 6 staff (CNA H) reviewed for infection control. The facility failed to ensure CNA H washed or sanitized her hands when passing out meal trays to residents on Hall 500 on 6/9/2025. These failures could place residents at risk of exposure to infectious diseases due to improper infection control practices.
  6. D
    Have policies on smoking.
    F926 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 17, 2025
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure it formulated, adopted, and enforced policies regarding smoking, smoking areas, and smoking safety that also consider non-smoking residents for 1 of 2 smoking areas (secured unit smoking area) reviewed for smoking safety. The facility failed to ensure paper and plastic trash were not discarded into the fire safety can on 6/09/2025. This failure could place residents at risk of injury, burns, and an unsafe smoking environment.
  7. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 18, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure nurse staffing data was posted daily and readily accessible to residents and visitors with all required information for 2 of 2 days reviewed (6/10/2025 and 6/11/2025) for nurse staffing posting. The facility failed to post accurate daily staffing information on 6/10/2025 and 6/11/2025. This failure could place residents, families, and visitors at risk of not being informed of the census and number of staff working each day to provide care on all shifts.
April 22, 2025Complaint inspection · 6 citations
  1. K
    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 · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 4 of 7 residents (Resident #3, Resident #4, Resident #5 and Resident #6) reviewed for abuse and neglect. 1. The facility failed to prevent a Resident-to-Resident altercation when Resident #3 and Resident #4 began fighting and both residents fell to the ground in the smoking area on 11/30/2024. 2. The facility failed to protect Resident #6 from abuse from an Unidentified Resident on 1/5/2025 when an Unidentified Resident grabbed Resident #6 by the arm and threatened him. 3. The facility failed to prevent a Resident-to-Resident altercation when Resident #5 hit Resident #3 with a walker and then began fighting and both residents fell to the ground in the dining room on 2/15/2025. 4. [...]
  2. K
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2025
    Inspectors wroteBased on interview and record review the facility failed to have evidence that all alleged violations were thoroughly investigated and prevented further abuse, neglect, exploitation, or mistreatment while the investigation was in progress for 3 of 7 residents (Residents #3, Resident #4 and Resident #6) reviewed for abuse/neglect. The facility failed to prevent further potential abuse and mistreatment of Resident #4 and Resident #6 by allowing the alleged perpetrator Resident #3 to remain in the facility and to have direct contact with the residents. An Immediate Jeopardy (IJ) situation was identified on 4/16/2025. While the IJ was removed on 4/17/2025, the facility remained out of compliance at a scope of a pattern with the potential for more than minimal harm due to the facility need to evaluate the effectiveness of the corrective systems. [...]
  3. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 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 2 of 7 (Resident #1 and Resident #2) residents reviewed for supervision. The facility failed to ensure the secured unit courtyard gates were locked after lawn care services on 6/3/2024. On 6/3/2024 Resident #1 eloped from the facility grounds through an unlocked gate in the courtyard of the secured unit. A good Samaritan encountered Resident #1 at a nearby doctor's office and Resident #1 was returned to the facility. The facility failed to provide adequate supervision for Resident #2. On 1/3/2025 Resident #2 eloped from the facility through the front door. [...]
  4. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an effective pest control program to ensure the facility is free of pests and rodents in 1 of 1 facility kitchens. The facility failed to address the roaches in the facility kitchen, which staff was aware of and had reported to the Dietary Manager and ADM. This failure could place all residents who eat meals prepared in the facility kitchen at risk of food borne illness and cross contamination.
  5. 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) April 23, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 1 of 8 residents (Resident #8) reviewed for accomodation of needs. The facility failed to ensure Resident #8's call light in the room was left within reach on 4/17/2024. This failure could place residents at risk of injury, pain, hospitalization, and a diminished quality of life.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to the administrator of the facility and to other officials, which included to the State Survey Agency, in accordance with State law through established procedures for 3 of 7 residents (Resident #3, Resident #4 and Resident #6) reviewed for abuse. 1. The facility failed to immediately report an allegation of resident-to-resident abuse to HHSC after the allegation was made on 11/30/2024. [...]
July 6, 2024Complaint inspection · 1 citation
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · 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) July 22, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care for 1 of 3 residents reviewed for baseline care plans. (Resident #1) The facility failed to develop a baseline care plan that addressed Resident #1's use of a fall mat at bedside and bed in the lowest position. This failure could place residents at risk of not receiving care and services to meet their needs. [...]
May 15, 2024Standard inspection · 13 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 · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 kitchen observed for kitchen sanitation. The kitchen floor, walls, and handles of the refrigerator had buildup of a sticky substance on 5/13/2024. There was a fan in use in the kitchen with dark thick substance on the fan blades and fan cover on 5/13/2023. The drink dispenser located in the kitchen had undated boxes of concentrate liquid and the orange liquid concentrate was on the floor and connected to the machine on 5/13/2024. The coffee dispenser had undated boxes of coffee concentrate connected to the machine and the machine had dried dark brown substance on the inside on 5/13/2024. The kitchen refrigerator stored unlabeled and expired objects on 5/13/2024. [...]
  2. 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 · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled and stored in accordance with currently accepted professional principles and the expiration date when applicable for 2 of 4 medication carts (500 hallway medication cart and 600 hallway medication cart) were reviewed for labeling and storage. The facility failed to properly label 3 vials of glucometer strips with an opened date. The facility failed to discard expired high and low glucose check solutions. This failure could place residents who receive medications at risk for receiving outdated medications and could result in residents not receiving the intended therapeutic effects of their medications and health decline.
  3. E
    Develop, implement, and/or maintain an effective training program for all new and existing staff members.
    F940 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop, implement, and maintain an effective training program for 5 of 14 employees (Administrator, Director of Resident Support Service, Director of Life Enrichment, DM, and CNA J) reviewed for training. The facility failed to ensure the Administrator was trained on restraint reduction annually. The facility failed to ensure the Director of Resident Support Service was trained on restraint reduction annually. The facility failed to ensure the Director of Life Enrichment was trained on restraint reduction annually. The facility failed to ensure the DM was trained on fall prevention and restraint reduction annually. The facility failed to ensure CNA J was trained on fall prevention annually. [...]
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 1 of 12 residents (Resident #58) reviewed for call lights. The facility failed to ensure Resident #58's call light was within reach on 5/13/2024 and 5/14/2024. This could affect residents who used their call light or desire to use the call light and place them at risk of not being able to notify staff of their needs.
  5. 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 · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide comfortable and safe temperature levels for 1 of 12 residents (Resident #1) reviewed for comfortable environment. The facility failed to prevent the temperature from being 67°F in Resident #1's room on 5/13/2024. This failure placed the residents at risk for harm by a diminished quality of life and discomfort.
  6. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interviews and record reviews the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 2 of 7 residents (Resident #58 and #61) reviewed for baseline care plans. The facility failed to complete a baseline care plan within 48 hours of admission on Resident # 58 and provide a care plan summary to the resident or representative. The facility failed to complete a baseline care plan within 48 hours of admission on Resident # 61 and provide a care plan summary to the resident or representative. This failure could place residents at risk of not receiving correct and/or necessary care/treatment.
  7. 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) June 1, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide the necessary services to maintain personal hygiene for 1 of 6 resident reviewed for ADLs. (Resident #62) The facility failed to remove Resident #62's unwanted facial hair. This failure could place residents who required assistance from staff for ADLs at risk of not receiving care and services to meet their needs which could result in feelings of poor self-esteem, lack of dignity, and health.
  8. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and offered a therapeutic diet when there was a nutritional problem, and the healthcare provider orders a therapeutic diet for 1 of 3 residents (#33) reviewed for weight loss and nutrition. The facility failed to provide Resident #33 with nutritional supplements as indicated by the physician orders for health shakes. These failures could place residents at risk for unplanned weight loss, malnutrition, and failure to thrive.
  9. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interview and record review the facility failed to review the work of each Certified Nurse Assistant (CNA) at least once every 12 months, for 1 of 6 (CNA G) reviewed for annual competency evaluations. The facility failed to complete a performance review of CNA G and conduct inservices based on the results of the review. This deficient practice could affect residents and place them at risk of not receiving consistent, appropriate interventions necessary to meet the residents' needs.
  10. 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 · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interviews and record review the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation and follow a policy to provide pharmacy services in accordance with State and Federal laws or rules of the Drug Enforcement Administration for 2 of 12 months (January 2024 and February 2024) reviewed for pharmacy services. The facility failed to document the required number of witness signatures for the drug destruction on 01/10/2024 and 02/06/2024. This failure could put residents at risk for misappropriation and drug diversion.
  11. 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) June 1, 2024
    Inspectors wroteBased on observations, interviews, and record reviews 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 2 of 4 residents (Resident #29 and Resident #39) and 2 of 5 staff (CNA D and CNA H) reviewed for infection control. CNA D did not change gloves and sanitize/wash hands when providing incontinent care to Resident #29 on 5/13/2024. CNA H did not sanitize or wash her hands after changing gloves when providing incontinent care to Resident #39 on 5/14/2024. These failures could place residents at risk of exposure to communicable diseases and infections.
  12. D
    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
    F945 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide the mandatory training on standards, policies, and procedures for an infection prevention and control program for 1 of 14 staff (CNA J) reviewed for training. The facility failed to ensure infection prevention and control training was provided CNA J on hire. This failure could place residents at risk of the spread of illness due to lack of staff training.
  13. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide the required compliance and ethics training for 1 of 14 employees (CNA J) reviewed for training. The facility failed to ensure compliance and ethics training was provided to CNA J. This failure could affect residents and place them at risk of staff not being aware of facility standards/policies due to lack of staff training.
October 16, 2023Complaint inspection · 2 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · 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) October 17, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to develop a person-centered comprehensive care plan to address medical needs for 1of 8 residents (Resident #1) reviewed for comprehensive care plans. The facility failed to ensure Resident #1's care plan was revised to reflect measurable objectives, interventions, and time frames to promote skin wellness, and prevention and healing pressure ulcers. This failure could place the resident at increased risk of not receiving necessary care, and a decreased quality of life.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · 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) October 17, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure services provided or arranged by thge facility as outlined by the comprehensive care plan meets professional standards of quality for 1 of 8 residents (Resident #1) reviewed for skin assessments. The facility failed to ensure Resident #1 received a weekly skin assessment. This failure could place the resident at increased risk of not having their individual needs met.
October 3, 2023Complaint inspection · 1 citation
  1. J
    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.
    F700 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 4, 2023
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure correct installation, use, and maintenance of bed rails for two of twenty-one residents (Resident #1 and Resident #2) reviewed for bed rails. The facility failed to follow the manufacturers' recommendations and specifications for installing bed rails and developing care plan interventions for risk of entrapment. The facility assist bars installed on Resident #1 and Resident #2 ' s bed were not intended for use and care plans did not include risk for entrapment per manufacturer ' s specifications. Resident #1 expired at the facility after CNA A found him in his room with his neck between the assist bar and bed face down with his legs on the floor mat. An IJ was identified on 10/02/2023. The IJ template was provided to the facility on [DATE] at 2:12 p.m. [...]

Fire safety inspections

6 fire safety citations on file: 2 on August 12, 2026, 2 on June 11, 2025, 2 on May 15, 2024.

Every fire safety citation6 citations
  1. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 12, 2026 · Not yet corrected
  2. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 12, 2026 · Not yet corrected
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 11, 2025 · Corrected (the home has a date of correction)
  4. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 11, 2025 · no revisit needed
  5. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 15, 2024 · Not yet corrected
  6. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 15, 2024 · Waiver

Fines and payment denials

DatePenaltyAmount or length
April 22, 2025Fine $248,757
October 3, 2023Fine $13,397

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)3.503.393.86
Registered nurses0.340.430.69
All nursing staff on weekends3.042.983.42
Nurse aides1.97
Licensed practical nurses1.19
Nursing staff turnover (share who left in a year)32.8%55.3%45.8%
Registered nurse turnover20.0%54.6%42.9%
Administrators who left0

CMS expects 3.92 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 3.69 on weekdays and 3.04 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 3.28 in April to June 2025 to 3.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.500.343.693.04 0.0%0 of 9056
Oct to Dec 20253.490.323.673.05 0.0%0 of 9262
Jul to Sep 20253.440.313.613.00 0.0%0 of 9264
Apr to Jun 20253.280.213.422.95 0.0%0 of 9166
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.

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.

Work here? Share your pay anonymously

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

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
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
23.615.813.9
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
1.30.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.33.2
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
8.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.23.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.09.615.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Focused Care of Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.0% 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

51.0% 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. 32 eligible stays.

Potentially preventable readmissions

9.9% 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. 44 eligible stays.

Infections that led to a hospital stay

7.3% 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. 25 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. 4 residents counted.

Falls with major injury

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: 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. 14 residents counted.

New or worsened pressure ulcers

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: 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. 14 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. 5 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: FPACP TIMPSON, LLC. CMS links this home to Focused Post Acute Care Partners, a group of 25 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Fpacp Timpson, LLC5% or greater direct ownership interestOrganization100%02/01/2017
Conley, ShawnCorporate officerIndividual02/01/2017
McKenzie, MarkCorporate officerIndividual02/01/2017
Strubbe, LorettaCorporate officerIndividual07/01/2018
Focused Post Acute Care Partners LLCOperational/managerial controlOrganization02/01/2017
Focused Post Acute Care Partners Management, LLCOperational/managerial controlOrganization02/01/2017
Fpacp Timpson, LLCOperational/managerial controlOrganization02/01/2017
Adams, HollieOperational/managerial controlIndividual06/27/2022
Conley, ShawnOperational/managerial controlIndividual02/01/2017
Lindemann, CareyOperational/managerial controlIndividual06/01/2022
McKenzie, MarkOperational/managerial controlIndividual02/01/2017
Moore, CicelyOperational/managerial controlIndividual02/01/2017
Strubbe, LorettaOperational/managerial controlIndividual02/01/2017
Focused Post Acute Care Partners LLCAdp of the SNFOrganization04/15/2025
Focused Post Acute Care Partners Management, LLCAdp of the SNFOrganization02/01/2017
Adams, HollieAdp of the SNFIndividual04/15/2025
Lindemann, CareyAdp of the SNFIndividual06/01/2022
Moore, CicelyAdp of the SNFIndividual02/01/2017

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 11, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  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 August 12, 2026: "Provide and implement an infection prevention and control program."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on November 18, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Focused Care of Center's Medicare star rating?
CMS rates Focused Care of Center 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Focused Care of Center get at its last inspection?
4 health deficiencies at the standard inspection on August 12, 2026. The Texas average is 9.4.
Has Focused Care of Center been fined?
Yes. CMS lists 2 fines totaling $262,154 in the last three years.
Does Focused Care of Center 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 of Center?
CMS lists 18 owners and managers, and links the home to Focused Post Acute Care Partners. Legal business name: FPACP TIMPSON, LLC.

Sources

Find a nursing home Read an inspection