• CMS rates this facility 1/5 stars (below average)
• Has 152 certified beds with an average of 67.8 residents per day (45% occupancy)
• Last health inspection found 10 deficiencies (inspected Feb 12, 2025)
• Has been fined a total of $231,246 across 3 fine(s)
• Total nursing staff: 2.66 hours per resident per day
• Staff turnover rate: 64.6% (high)
• Part of the Focused Post Acute Care Partners chain (25 facilities)
Focused Care of Waxahachie is a 1-star Medicare and Medicaid certified nursing home in Waxahachie, Texas with 152 certified beds. It has been operating since 1986. The facility scored below average compared to Texas facilities.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor 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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure each resident receives an accurate assessment.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Reasonably accommodate the needs and preferences of each resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Reasonably accommodate the needs and preferences of each resident.
Honor 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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure 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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure medication error rates are not 5 percent or greater.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
+ 13 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 20, 2016 |
| FPACP ELLIS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2017 |
| CONLEY, SHAWN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jul 1, 2018 |
| MCKENZIE, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 70% | Feb 1, 2017 |
| STRUBBE, LORETTA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jul 1, 2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| FPACP ELLIS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2017 |
| ANDERSON, DANTRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 18, 2024 |
| CONLEY, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2017 |
| LEEK, DUSTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2024 |
| MCKENZIE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2017 |
| STRUBBE, LORETTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2018 |
| WHITE, KASEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 20, 2025 |
| CONLEY, SHAWN | CORPORATE OFFICER | Individual | N/A | May 1, 2018 |
| MCKENZIE, MARK | CORPORATE OFFICER | Individual | N/A | Feb 1, 2017 |
| STRUBBE, LORETTA | CORPORATE OFFICER | Individual | N/A | Jul 1, 2018 |
This chain operates 25 facilities. View all →