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B

73.5/100

Above average

Focused Care At Hamilton

1315 E State Hwy 22, Hamilton, TX 76531

CMS 5/5 stars #1 of 3 in Hamilton County (254) 386-3171
Certified beds
78
Occupancy
57%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Focused Care At Hamilton

Focused Care At Hamilton runs on a thin nursing staff: 2.77 hours per resident per day, roughly 28 percent below the national average, and weekends drop about 20 percent below what the home itself staffs on weekdays. That's the number that matters most, and it's why the federal staffing rating comes in at 1 out of 5. What keeps the place from looking worse is its record elsewhere, a 5/5 inspection rating with the most recent survey in September 2025, only 8 deficiencies on file and none involving harm, jeopardy, or abuse. Annual turnover of 41.4 percent actually sits below the national rate, so the problem isn't churn so much as how few hours each resident gets.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing6.5/30Stability12/15Outcomes15/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →2.86 total nurse hours per resident per day (national median 3.77)
  • →0.27 RN hours per resident per day
  • →Weekend staffing drops 20% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →41% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day2.77 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.27 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.23 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover41.40%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: September 30, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of FOCUSED POST ACUTE CARE PARTNERS, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Focused Care At Hamilton

What is the ElderGrade for Focused Care At Hamilton? +

Focused Care At Hamilton holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Focused Care At Hamilton? +

Residents receive an average of 2.77 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Focused Care At Hamilton been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Focused Care At Hamilton accept Medicaid? +

Yes, Focused Care At Hamilton is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.