FOCUSED CARE AT ORANGE
4201 FM 105, ORANGE, TX 77630 · CCN 676094
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 103.8
- Phone
- 4097458085
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 | 2025-04-25 | 8 | 9.1 | 9.5 | -1.1 better |
| 2 | 2024-03-06 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2023-01-24 | 6 | 8.1 | 9.3 | -2.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.39 | 38.4% |
| RN staffing (reported) | 0.21 | 40.0% |
| Total nurse staffing (adjusted) | 3.50 | — |
Fines & penalties
- Total fines
- $193,434
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- Facilities in chain
- 25
- Chain avg overall
- 2.20 / 5
Inspection citations (29)4 immediate jeopardy
- EF0760Ensure that residents are free from significant medication errors.2025-11-18 · Health · corrected 2025-11-25
Potential for more than minimal harm
- 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.2025-04-25 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-25 · Health · corrected 2025-04-26
Potential for more than minimal harm
- KF0700Try 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.2025-04-25 · Health · corrected 2025-04-26
Immediate jeopardy
- 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.2025-04-25 · Health · corrected 2025-04-26
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.2025-04-25 · Health · corrected 2025-04-26
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2025-04-16 · Health · corrected 2025-04-15
Immediate jeopardy
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-03-25 · Health · corrected 2025-03-26
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-24 · Health · corrected 2024-11-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-24 · Health · corrected 2025-01-25
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-01-24 · Health · corrected 2025-01-25
Potential for more than minimal harm
- JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-24 · Health · corrected 2025-01-25
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-24 · Health · corrected 2025-01-25
Immediate jeopardy
- EF0578Honor 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.2024-03-06 · Health · corrected 2024-03-12
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-06 · Health · corrected 2024-03-29
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.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- 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.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-03-06 · Health · corrected 2024-03-07
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2024-03-06 · Health · corrected 2024-03-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-03-06 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-15 · Health · corrected 2024-02-20
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-01-24 · Health · corrected 2023-01-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-01-24 · Health · corrected 2023-01-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-24 · Health · corrected 2023-01-31
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.2023-01-24 · Health · corrected 2023-01-31
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-01-24 · Health · corrected 2023-01-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-02-01 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| FPACP ORANGE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| COOPER, KIMBERLY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-29 |
| DAVIDSON, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| FONTENOT, CINDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-09-21 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| NEWTON, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-22 |
| PALANG, RONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 |
| POLK, KARTEEDRIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-15 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
Other facilities in ORANGE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.