Nursing homes › Texas › Focused Care at Mount Pleasant
1606 Memorial Ave, Mount Pleasant, TX 75455 · (903) 572-3618 · 122 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Focused Post Acute Care Partners, a group operating 25 facilities in 1 state. Group record: average rating 1.9/5, 7 abuse citation icons, 1 facility on the Special Focus list, $1,730,988 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 3.16 (Texas median: 3.27). RN hours: 0.38. Weekend total: 2.92. Nursing staff turnover: 48%.
In the downloaded CMS dataset: 82 deficiency citations, including 3 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-06-12 |
| 2026-05-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2026-06-12 |
| 2026-01-13 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-02-02 |
| 2025-11-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-12-19 |
| 2025-11-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-12-19 |
| 2025-11-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-12-19 |
| 2025-11-26 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-12-19 |
| 2025-11-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-11-27 |
| 2025-11-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-12-19 |
| 2025-09-08 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-10-01 |
| 2025-07-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-08-01 |
| 2025-07-02 | Keep all essential equipment working safely. | F | Health | corrected 2025-08-01 |
| 2025-07-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-08-01 |
| 2025-07-02 | 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. | D | Health | corrected 2025-08-01 |
| 2025-07-02 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-08-01 |
| 2025-07-02 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Health | corrected 2025-08-01 |
| 2025-07-02 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-01 |
| 2025-07-02 | Have policies on smoking. | D | Health | corrected 2025-08-01 |
| 2025-04-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-04-22 |
| 2025-02-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-03-10 |
| 2024-12-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-09-27 |
| 2024-05-24 | Keep residents' personal and medical records private and confidential. | J | Health | corrected 2024-05-25 |
| 2024-05-24 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Health | corrected 2024-05-25 |
| 2024-05-24 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | complaint | corrected 2024-06-25 |
| 2024-05-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-06-25 |
| 2024-05-24 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2024-06-25 |
| 2024-05-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-06-25 |
| 2024-05-24 | Implement a program that monitors antibiotic use. | E | complaint | corrected 2024-06-25 |
| 2024-05-24 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Health | corrected 2024-06-25 |
| 2024-05-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-06-25 |
| 2024-05-24 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | complaint | corrected 2024-06-25 |
| 2024-05-24 | Honor 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. | D | complaint | corrected 2024-06-25 |
| 2024-05-24 | 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. | D | complaint | corrected 2024-06-25 |
| 2024-05-24 | Provide 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. | D | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-06-25 |
| 2024-05-24 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-06-25 |
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | $16,149 |
| 2025-06-25 | Fine | $16,149 |
| 2025-06-25 | Payment Denial | 7 days payment denial |
| 2024-05-24 | Fine | $127,486 |
| 2024-02-14 | Fine | $12,259 |
| 2023-10-09 | Fine | $51,253 |
| 2023-10-09 | Payment Denial | 22 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FPACP MOUNT PLEASANT LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2017 |
| CONLEY, SHAWN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2017 |
| MCKENZIE, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2018 |
| STRUBBE, LORETTA | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| FPACP MOUNT PLEASANT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2017 |
| CONLEY, SHAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
| EASLEY, ADRIEANNIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2023 |
| MCKENZIE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
| ONEY, WHITNEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/04/2020 |
| STRUBBE, LORETTA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2018 |
| WILLARD, LORI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/09/2024 |
| ZARCONE, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/19/2021 |
How to cite this page: CareRecords, “Focused Care at Mount Pleasant — compliance, penalty and ownership record” (CCN 455900), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/focused-care-at-mount-pleasant-mount-pleasant-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455900. Corrections: data@carerecords.org.