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Focused Care of Waxahachie
Part of Focused Post Acute Care Partnerssee all 25 affiliated facilities
Medicare Outcome Measures
- No Different than the National Rate
Potentially preventable hospital readmissions
10.82% (lower is better)
Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
1.3%
national median 0.9%
worse than the national median
-
Long-stay residents experiencing falls with major injury
4.5%
national median 2.8%
worse than the national median
-
Short-stay residents who newly received an antipsychotic medication
3.9%
national median 1.0%
worse than the national median
-
Long-stay residents whose ability to walk independently worsened
18.9%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
3.1%
national median 4.2%
better than the national median
-
Long-stay residents who received an antipsychotic medication
4.1%
national median 13.4%
better than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 2.7 hours
- Registered nurse (RN) time per resident per day
- 0.3 hours
- Weekend nurse staffing per resident per day
- 2.4 hours
- Nursing staff turnover in the past year
- 58.9%
TX average: 3.4 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
TX average: 0.4 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
TX average: 3.0 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
TX average: 55.3% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Penalties & Enforcement
2 fines totaling $20,589 in the recent inspection window (most recent: March 2, 2026).
Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.
Ownership
- Ownership type
- Government - Hospital district
- Chain
- Focused Post Acute Care Partners
Who owns this facility — 19 entries in CMS's ownership records expand ↓
- Focused Post Acute Care Partners LLC Organization
- Fpacp Ellis LLC Organization
- Conley, Shawn Individual
- Mckenzie, Mark Individual
- Strubbe, Loretta Individual
- Focused Post Acute Care Partners LLC Organization
- Focused Post Acute Care Partners Management, LLC Organization
- Fpacp Ellis LLC Organization
- Anderson, Dantrell Individual
- Conley, Shawn Individual
…and 9 more entries in CMS's ownership records for this facility.
From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.
Inspections & Fire Safety — 11 health (TX avg 9.3) · 2 fire (TX avg 3.2) · ⚠ 4 serious Details
39 deficiencies cited across recent inspection cycles, including ⚠ 4 serious (actual harm or immediate jeopardy). Most recent survey: May 23, 2026.
Most recent inspection cycle: 11 health deficiencies · TX average: 9.3 · National: 9.3
4 fire-safety deficiencies cited — most often egress (2) and services (2).
Most recent fire-safety inspection (2025-02-12): 2 deficiencies · TX average: 3.2 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
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How Focused Care of Waxahachie compares nearby
Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.
Among the 9 nursing homes within 25 miles, Focused Care of Waxahachie's overall star rating is 1★; the median among the 8 peers reporting it is 3★.
| Measure | This facility | Nearby median | Best nearby |
|---|---|---|---|
| Overall star rating reported by 8 of 8 nearby peers | 1★ | 3★ | 5★ |
| Health inspections reported by 8 of 8 nearby peers | 2★ | 3.5★ | 5★ |
| Staffing reported by 8 of 8 nearby peers | 1★ | 1.5★ | 2★ |
| Quality measures reported by 8 of 8 nearby peers | 4★ | 3★ | 5★ |
The comparison group
- Pleasant Manor Healthcare Rehabilitation
- Legend Oaks Healthcare And Rehabilitation - Waxaha
- Red Oak Health And Rehabilitation Center
- Ennis Care Center
- Bluebonnet Rehab At Ennis
- Legend Oaks Healthcare And Rehabilitation - Ennis
- Midlothian Healthcare Center
- Midtowne Meadows Health & Rehab
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work