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Focused Care Of Waxahachie

1413 W Main St, Waxahachie, TX 75165
9729372298
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

4.0/5

Quality Measures

vs State Average: 3.8/5

4 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Dec 9, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Dec 9, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E
Dec 9, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E
Jul 1, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable. D
Jul 1, 2025 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. D
Score
1.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
2.7 Total Nurse Hours / Resident / Day
57.1% RN Turnover Rate
Score
4.0
State Average
3.8
National Average
3.6
4.0 Long-Stay QM Rating
Short-Stay QM Rating
67.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST FOCUSED POST ACUTE CARE PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST FPACP ELLIS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CONLEY, SHAWN
5% OR GREATER INDIRECT OWNERSHIP INTEREST MCKENZIE, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST STRUBBE, LORETTA
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL FPACP ELLIS LLC
OPERATIONAL/MANAGERIAL CONTROL ANDERSON, DANTRELL
OPERATIONAL/MANAGERIAL CONTROL CONLEY, SHAWN
Recent Penalties
Date Type Fine
Mar 27, 2024 Fine $8,161
Jul 17, 2023 Fine $151,778
Jul 17, 2023 Payment Denial $0
Mar 13, 2023 Fine $71,307

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