29/100
Poor
1606 Memorial Ave, Mount Pleasant, TX 75455
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$223,296 in federal fines
CMS has fined this facility across 5 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: July 2, 2025 (1 year ago).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, potential for more than minimal harm
Part of FOCUSED POST ACUTE CARE PARTNERS, which operates 25 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER | — |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER | — |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER | — |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| FPACP MOUNT PLEASANT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| EASLEY, ADRIEANNIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ONEY, WHITNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Focused Care At Mount Pleasant holds an ElderGrade of F (29 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.16 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 82 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Focused Care At Mount Pleasant 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.