Nursing homes › Texas › Focused Care at Webster
17231 Mill Forest, Webster, TX 77598 · 2814885224 · 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 above its group average (1.9/5).
Total nurse staffing: 3.56 (Texas median: 3.27). RN hours: 0.35. Weekend total: 3.15. Nursing staff turnover: 66%.
All-time on record: 32 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-25 |
| 2026-04-01 | 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 | complaint | corrected 2026-04-25 |
| 2026-03-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-03 |
| 2026-03-10 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-04-03 |
| 2025-11-18 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2025-12-20 |
| 2025-11-18 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-12-20 |
| 2025-10-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-10-31 |
| 2025-10-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-10-31 |
| 2025-01-30 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide routine and 24-hour emergency dental care for each resident. | E | Health | corrected 2025-01-31 |
| 2025-01-30 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-01-31 |
| 2025-01-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-12-31 |
| 2024-11-21 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-01-06 |
| 2024-10-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-11-25 |
| 2024-10-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-11-25 |
| 2024-10-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-11-25 |
| 2024-02-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | H | complaint | corrected 2024-02-21 |
| 2023-12-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-01-08 |
| 2023-12-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-01-08 |
| 2023-12-09 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-01-08 |
| 2023-12-09 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-01-08 |
| Date | Type | Amount |
|---|---|---|
| 2026-06-05 | Fine | $16,350 |
| 2025-10-08 | Fine | $18,315 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FPACP WEBSTER LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 05/20/2019 |
| CONLEY, SHAWN | Corporate Officer | Individual | NOT APPLICABLE | since 05/20/2019 |
| MCKENZIE, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 05/20/2019 |
| STRUBBE, LORETTA | Corporate Officer | Individual | NOT APPLICABLE | since 05/20/2019 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/20/2019 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/20/2019 |
| FPACP WEBSTER LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/20/2019 |
| BROSSETTE, KEITH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/27/2024 |
| CONLEY, SHAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/20/2019 |
| FOSTER, STACY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/20/2019 |
| HOYA, SHERRI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2020 |
| LOCKHART, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2020 |
| MCKENZIE, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/20/2019 |
| STRUBBE, LORETTA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/20/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675848. Corrections: data@carerecords.org.