Starfile / Texas

Focused Care at Mount Pleasant

1606 Memorial Ave, Mount Pleasant, TX 75455 · CCN 455900

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Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$240,688

Number of fines

5

Number of penalties

7

Payment denials

2

Chain

Chain

FOCUSED POST ACUTE CARE PARTNERS

Facilities in chain

25

Chain avg overall

2.20 / 5

Inspection citations (84)4 immediate jeopardy1 actual harm

1. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2026-01-13 · Health · corrected 2026-02-02

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

3. DF0641Ensure each resident receives an accurate assessment.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

4. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

5. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-26 · Health · corrected 2025-11-27

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

8. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-08 · Health · corrected 2025-10-01

   Potential for more than minimal harm

9. 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.2025-07-02 · Health · corrected 2025-08-01

   Potential for more than minimal harm

10. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

11. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

12. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

15. FF0908Keep all essential equipment working safely.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

16. DF0926Have policies on smoking.2025-07-02 · Health · corrected 2025-08-01

    Potential for more than minimal harm

17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-17 · Health · corrected 2025-04-22

    Potential for more than minimal harm

18. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-13 · Health · corrected 2025-03-10

    Potential for more than minimal harm

19. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-19 · Health · corrected 2024-09-27

    Potential for more than minimal harm

20. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

21. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

22. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

23. DF0578Honor 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.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

24. JF0583Keep residents' personal and medical records private and confidential.2024-05-24 · Health · corrected 2024-05-25

    Immediate jeopardy

25. 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.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

26. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

27. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-24 · Health · corrected 2024-05-25

    Immediate jeopardy

28. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

32. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

33. EF0759Ensure medication error rates are not 5 percent or greater.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

34. DF0760Ensure that residents are free from significant medication errors.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

35. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

36. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

37. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

38. DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

39. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

40. EF0880Provide and implement an infection prevention and control program.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

41. EF0881Implement a program that monitors antibiotic use.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

42. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-05-24 · Health · corrected 2024-06-25

    Potential for more than minimal harm

43. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-03-24 · Health · corrected 2024-04-23

    Potential for more than minimal harm

44. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-24 · Health · corrected 2024-04-23

    Potential for more than minimal harm

45. DF0558Reasonably accommodate the needs and preferences of each resident.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

46. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

47. EF0584Honor 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.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

48. DF0610Respond appropriately to all alleged violations.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

49. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

50. GF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-14 · Health · corrected 2024-03-14

    Actual harm

51. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-02-14 · Health · corrected 2024-03-14

    Potential for more than minimal harm

52. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-09 · Health · corrected 2023-11-02

    Potential for more than minimal harm

53. DF0761Ensure 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.2023-10-09 · Health · corrected 2023-11-02

    Potential for more than minimal harm

54. LF0880Provide and implement an infection prevention and control program.2023-10-09 · Health · corrected 2023-11-30

    Immediate jeopardy

55. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-03-25 · Health · corrected 2023-03-25

    Potential for more than minimal harm

56. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-25 · Health · corrected 2023-03-25

    Potential for more than minimal harm

57. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-25 · Health · corrected 2023-03-25

    Potential for more than minimal harm

58. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

59. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

60. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

61. 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.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

62. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

63. EF0610Respond appropriately to all alleged violations.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

64. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

65. DF0641Ensure each resident receives an accurate assessment.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

66. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

67. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

68. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

69. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

70. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

71. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

72. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

73. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

74. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

75. DF0759Ensure medication error rates are not 5 percent or greater.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

76. DF0761Ensure 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.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

77. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

78. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

79. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

80. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

81. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

82. EF0880Provide and implement an infection prevention and control program.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

83. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-03-09 · Health · corrected 2023-03-10

    Potential for more than minimal harm

84. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-03 · Health · corrected 2023-03-04

    Immediate jeopardy

Ownership

Other facilities in Mount Pleasant

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.