Nursing homes › Texas › Focused Care at Orange
4201 Fm 105, Orange, TX 77630 · 4097458085 · 120 certified beds
Per CMS filings, this facility is affiliated with Focused Post Acute Care Partners, a group operating 25 facilities in 1 states. Group record: average rating 1.9/5, 8 abuse citation icons, 2 facilities on the Special Focus list, $1,840,773 in federal fines. This facility rates below its group average (1.9/5).
Total nurse staffing: 3.03 (Texas median: 3.27). RN hours: 0.19. Weekend total: 2.56. Nursing staff turnover: 41%.
All-time on record: 29 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-18 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2025-11-25 |
| 2025-04-25 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | K | Health | corrected 2025-04-26 |
| 2025-04-25 | 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. | E | Health | corrected 2025-04-26 |
| 2025-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-04-26 |
| 2025-04-25 | 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 2025-04-26 |
| 2025-04-25 | 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. | D | Health | corrected 2025-04-26 |
| 2025-04-16 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-04-15 |
| 2025-03-25 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-03-26 |
| 2025-01-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | complaint | corrected 2025-01-25 |
| 2025-01-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-01-25 |
| 2025-01-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2024-11-11 |
| 2025-01-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-01-25 |
| 2025-01-24 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-01-25 |
| 2024-03-06 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Health | corrected 2024-03-07 |
| 2024-03-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-03-29 |
| 2024-03-06 | Keep all essential equipment working safely. | F | Health | corrected 2024-03-29 |
| 2024-03-06 | 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. | E | Health | corrected 2024-03-12 |
| 2024-03-06 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-03-29 |
| 2024-03-06 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-03-29 |
| 2024-03-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-03-29 |
| 2024-03-06 | 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 2024-03-29 |
| 2024-03-06 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-03-29 |
| 2024-03-06 | Provide or obtain dental services for each resident. | D | Health | corrected 2024-03-07 |
| 2024-02-15 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-02-20 |
| 2023-01-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-01-31 |
| 2023-01-24 | Keep all essential equipment working safely. | E | Health | corrected 2023-01-31 |
| 2023-01-24 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-01-31 |
| 2023-01-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-01-31 |
| 2023-01-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-01-31 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-25 | Fine | $102,448 |
| 2025-04-16 | Fine | $17,641 |
| 2025-01-24 | Fine | $73,345 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ABERNATHY, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2024 |
| COOPER, KIMBERLY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/29/2024 |
| HUMPHREY, ERIC | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2024 |
| LEGG, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| MCKENZIE, MARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2024 |
| NEWTON, ELIZABETH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/22/2024 |
| TINNERMAN, LINDA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| TURNER, LESLIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2024 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2021 |
| 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 05/01/2021 |
| FPACP ORANGE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2021 |
| CONLEY, SHAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
| COOPER, KIMBERLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/29/2024 |
| DAVIDSON, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2021 |
| FONTENOT, CINDY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/21/2020 |
| MCKENZIE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
| NEWTON, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/22/2024 |
| PALANG, RONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2021 |
| POLK, KARTEEDRIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2024 |
| STRUBBE, LORETTA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676094. Corrections: data@carerecords.org.