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C

59.5/100

Average

Focused Care At Orange

4201 Fm 105, Orange, TX 77630

CMS 1/5 stars #2 of 3 in Orange County (409) 745-8085
Certified beds
120
Occupancy
92%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

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.

  • $193,434 in federal fines

    CMS has fined this facility across 3 penalty action(s).

Our read on Focused Care At Orange

Focused Care At Orange runs 120 beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.03 nurse hours per resident day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover of 40.7% is actually better than the national 45.8%, so the issue isn't churn, it's raw coverage. The inspection record is heavier: 29 deficiencies, four at harm or jeopardy level, three tied to abuse, and $193,434 in fines across three penalties. A 1/5 inspection rating and 1/5 staffing rating sit alongside a more forgiving 3/5 on quality measures. The most recent inspection was April 2025, so this picture is current.

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.

Inspection30/30Staffing6.5/30Stability12/15Outcomes9/15Enforcement2/10

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.

  • →2.79 total nurse hours per resident per day (national median 3.77)
  • →0.19 RN hours per resident per day
  • →Weekend staffing drops 16% 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

9/15

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

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

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

  • →$193,434 in federal fines across 3 action(s)

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 day3.03 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.19 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours2.56 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnover40.70%
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: June 3, 2026 (5 months 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 Orange

What is the ElderGrade for Focused Care At Orange? +

Focused Care At Orange holds an ElderGrade of C (59.5 out of 100), which we describe as "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 Orange? +

Residents receive an average of 3.03 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Focused Care At Orange 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 Orange accept Medicaid? +

Yes, Focused Care At Orange 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.