Focused Care at Webster
17231 Mill Forest, Webster, TX 77598 · CCN 675848
Abuse icon
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
- 74.2
- Phone
- 2814885224
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 | 2025-01-30 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2023-12-09 | 9 | 9.4 | 9.8 | -0.4 better |
| 3 | 2022-09-23 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.63 | 67.7% |
| RN staffing (reported) | 0.44 | 60.0% |
| Total nurse staffing (adjusted) | 3.64 | — |
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 (28)2 immediate jeopardy1 actual harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-11-18 · Health · corrected 2025-12-20
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-11-18 · Health · corrected 2025-12-20
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-08 · Health · corrected 2025-10-31
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-08 · Health · corrected 2025-10-31
Immediate jeopardy
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-01-30 · Health · corrected 2024-12-31
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0790Provide routine and 24-hour emergency dental care for each resident.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-30 · Health · corrected 2025-01-31
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.2024-11-21 · 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.2024-10-25 · Health · corrected 2024-11-25
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-25 · Health · corrected 2024-11-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-25 · Health · corrected 2024-11-25
Potential for more than minimal harm
- HF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-01 · Health · corrected 2024-02-21
Actual harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-12-09 · Health · corrected 2024-01-08
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-09 · Health · corrected 2024-01-08
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-09 · Health · corrected 2024-01-08
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-09 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2022-09-23 · Health · corrected 2022-10-14
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.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-23 · Health · corrected 2022-10-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MCKENZIE, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2019-03-07 |
| STRUBBE, LORETTA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2019-05-20 |
| CONLEY, SHAWN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2019-05-20 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| FPACP WEBSTER LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| BROSSETTE, KEITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-27 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| FOSTER, STACY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| HOYA, SHERRI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-01 |
| LOCKHART, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-01 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — | 2019-05-20 |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — | 2019-05-20 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-03-07 |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — | 2019-05-20 |
| FPACP WEBSTER LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-05-20 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
Other facilities in Webster
| Name | Overall | Beds |
|---|---|---|
| Regency Village | ★☆☆☆☆ | 122 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.