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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasFocused Care of Waxahachie

Focused Care of Waxahachie

1413 W Main St, Waxahachie, TX 751659729372298
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
4/5
Beds
152
certified
3 fine(s) totaling $231,246

Key Findings

• 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.

Beds
152
Avg Residents/Day
67.8
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 16, 1986
Sprinklers
Yes
Council
None
County
Ellis
Last Inspection
Feb 12, 2025
Deficiencies (Cycle 1)
10
Weighted Score
199.8
Infection Citations
0

Deficiency Citations (43)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Dec 9, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jul 1, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 1, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 12, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Dec 20, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 20, 2024Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Oct 29, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0656Immediate Jeopardy

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Oct 18, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 17, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 27, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 27, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Dec 21, 2023Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Aug 30, 2023Corrected: NoCycle: 3

+ 13 more deficiencies

Total Fines
$231,246
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineMar 27, 2024
$8,161
FineMar 13, 2023
$71,307
FineJul 17, 2023
$151,778
Payment DenialJul 17, 2023
28 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.37 hrs
National avg: 2.35 hrs
LPN1.11 hrs
National avg: 0.86 hrs
RN0.19 hrs
National avg: 0.68 hrs
Total Nursing2.66 hrs
National avg: 3.89 hrs
Weekend Total2.31 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
64.6%
RN Turnover
57.1%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (17)

NameRoleTypeOwnership %Since
FOCUSED POST ACUTE CARE PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 20, 2016
FPACP ELLIS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2017
CONLEY, SHAWN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual15%Jul 1, 2018
MCKENZIE, MARK5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual70%Feb 1, 2017
STRUBBE, LORETTA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual15%Jul 1, 2018
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2017
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2017
FPACP ELLIS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2017
ANDERSON, DANTRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 18, 2024
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2017
LEEK, DUSTINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2024
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2017
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2018
WHITE, KASEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 20, 2025
CONLEY, SHAWNCORPORATE OFFICERIndividualN/AMay 1, 2018
MCKENZIE, MARKCORPORATE OFFICERIndividualN/AFeb 1, 2017
STRUBBE, LORETTACORPORATE OFFICERIndividualN/AJul 1, 2018

Nearby Nursing Homes

All Texas facilities

Legend Oaks Healthcare and Rehabilitation - Waxaha

Waxahachie, TX · 121 beds

For profit$41,215 in fines
Health
Staffing
Quality
2.8 mi

Pleasant Manor Healthcare Rehabilitation

Waxahachie, TX · 132 beds

For profit$14,996 in fines
Health
Staffing
Quality
3.3 mi

Frequently Asked Questions

What is the CMS rating for Focused Care of Waxahachie?▾
Focused Care of Waxahachie has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
Has Focused Care of Waxahachie had any health inspection violations?▾
Focused Care of Waxahachie had 10 deficiency citations in its most recent health inspection (Feb 12, 2025). The facility has been fined a total of $231,246 across 3 fine(s).
What are the staffing levels at Focused Care of Waxahachie?▾
Focused Care of Waxahachie provides 2.66 total nursing staff hours per resident per day, including 0.19 RN hours, 1.11 LPN hours, and 1.37 nurse aide hours. The total staff turnover rate is 64.6%.
How many beds does Focused Care of Waxahachie have?▾
Focused Care of Waxahachie has 152 certified beds with an average of 67.8 residents per day, resulting in approximately 45% occupancy. The facility is For profit - Individual owned and is part of the Focused Post Acute Care Partners chain.
Are there other nursing homes near Focused Care of Waxahachie?▾
Yes, there are 2 other nursing homes in Waxahachie, Texas with an average rating of 1.7/5. You can compare all facilities on the Waxahachie nursing homes page.

Part of Focused Post Acute Care Partners

This chain operates 25 facilities. View all →