FOCUSED CARE AT WESTWOOD
8702 COURSE DRIVE, HOUSTON, TX 77099 · CCN 676116
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 125
- Avg residents/day
- 98.8
- Phone
- 2107054560
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 | 2025-03-14 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-01-26 | 5 | 9.4 | 9.8 | -4.4 better |
| 3 | 2022-12-01 | 11 | 8.1 | 9.3 | +2.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | 41.2% |
| RN staffing (reported) | 0.24 | 33.3% |
| Total nurse staffing (adjusted) | 3.05 | — |
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 (29)1 actual 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.2025-11-06 · Health · corrected 2026-01-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-06 · Health · corrected 2026-01-07
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.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-14 · Health · corrected 2025-04-05
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.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-03-14 · Health · corrected 2025-04-05
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.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-03-14 · Health · corrected 2025-04-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-14 · Health · corrected 2025-04-05
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.2025-03-07 · Health · corrected 2024-02-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-07 · Health · corrected 2024-08-03
Potential for more than minimal harm
- EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-04-11 · Health · corrected 2024-05-07
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.2024-01-26 · Health · corrected 2024-02-24
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.2024-01-26 · Health · corrected 2024-02-24
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2024-01-26 · Health · corrected 2024-02-24
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-23 · Health · corrected 2023-07-13
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-13 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-04-13 · Health · corrected 2023-05-01
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-01 · Health · corrected 2022-12-31
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-01 · Health · corrected 2023-01-01
Actual harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-12-01 · Health · corrected 2022-12-31
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-12-01 · Health · corrected 2022-12-31
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.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- EF0761Ensure 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.2022-12-01 · Health · corrected 2022-12-29
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.2022-12-01 · Health · corrected 2023-01-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-12-01 · Health · corrected 2023-01-01
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% | 2019-03-07 |
| CONLEY, SHAWN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2019-03-07 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| FPACP HOUSTON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| BAILEY, KEISHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-09 |
| CARSON, SABRINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-23 |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| NGO, MICHAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| ROBINSON-COBBIN, ROBBIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-11 |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-20 |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2019-03-07 |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — | 2019-03-07 |
| FPACP HOUSTON 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 HOUSTON
| Name | Overall | Beds |
|---|---|---|
| THE HALLMARK | ★★★★★ | 32 |
| THE METHODIST HOSPITAL SNF | ★★★★★ | 25 |
| PARK MANOR OF CYFAIR | ★★★★★ | 120 |
| BAYOU MANOR | ★★★★★ | 37 |
| HOUSTON TRANSITIONAL CARE | ★★★★★ | 70 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.