FOCUSED CARE AT HUNTSVILLE
1302 NOTTINGHAM ST, HUNTSVILLE, TX 77340 · CCN 675433
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 88
- Avg residents/day
- 70.1
- Phone
- 9362956313
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-07 | 11 | 9.1 | 9.5 | +1.9 worse |
| 2 | 2024-04-17 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2023-03-08 | 3 | 8.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.44 | 55.6% |
| RN staffing (reported) | 0.39 | — |
| Total nurse staffing (adjusted) | 2.78 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- Facilities in chain
- 25
- Chain avg overall
- 2.20 / 5
Inspection citations (21)
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-11-19 · Health · corrected 2025-11-20
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-19 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0584Honor 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.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-07 · Health · corrected 2025-05-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-09 · Health · corrected 2025-01-06
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-09 · Health · corrected 2024-05-28
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-09 · Health · corrected 2025-01-06
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-17 · Health · corrected 2024-05-08
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-04-17 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-08 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-08 · Health · corrected 2023-04-07
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-08 · Health · corrected 2023-04-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCKENZIE, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2018-07-01 |
| STRUBBE, LORETTA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2018-07-01 |
| CONLEY, SHAWN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2018-07-01 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| FPACP HUNTSVILLE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| AGIDIUS, SARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-07 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| GEORGE, BRANNON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| MCKAY, AIMEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-01 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-01 |
| WILSON, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-01 |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — | 2017-02-01 |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — | 2018-07-01 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-20 |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — | 2018-07-01 |
| FPACP HUNTSVILLE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-02-01 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
Other facilities in HUNTSVILLE
| Name | Overall | Beds |
|---|---|---|
| MRC CREEKSIDE | ★★★★★ | 66 |
| HUNTSVILLE HEALTH CARE CENTER | ★★★★☆ | 92 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.