Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
25
States
1
Beds
2,875
Avg score
63.4
Avg turnover
50%
Federal fines
$1,747,338
Flags across this group
6 of the group's homes carry a CMS abuse icon.
1 home is in or a candidate for the Special Focus Facility programme.
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.
Focused Care At Clarksville runs lean on nursing hours, 2.80 per resident day against a national average of 3.86, roughly 28% below, and weekends dip about 13% below its own weekday staffing, which matters when families visit and needs don't pause. Turnover at 32.6% is actually better than the 45.8% national figure, so the concern isn't retention; it's raw coverage. The inspection record shows 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, though the most recent inspection was February 2026 and fines total just $5,211. Quality measures score well, but staffing is where the numbers get thin for a 120-bed for-profit.
Focused Care At Westwood runs on thin nursing coverage: 3.08 hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below what the home staffs on weekdays. That gap shows up in the federal staffing rating, which sits at the lowest tier, even as the quality measure score lands at the top. Turnover is 38.9%, actually better than the 45.8% national figure, so the problem isn't churn so much as how few hours each resident gets. Inspections in March 2025 turned up 26 deficiencies, one serious enough to cause harm, though none tied to abuse. The for-profit partnership has real strengths here, consistent staff and strong clinical measures, alongside a staffing level worth asking about directly.
Focused Care At Fort Stockton runs on thin nursing coverage: 2.61 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends dip about 10% below its own weekday level. That gap is the main story here, and it's why the staffing rating sits at 1 out of 5 even though the quality measure score is 4 out of 5. The inspection record shows 19 deficiencies, including three at the harm level and three tied to abuse, with one fine of $7,105. Turnover at 40.5% is slightly better than the 45.8% national figure. Owned by a hospital district, it was last inspected in March 2026.
Focused Care At Burnet Bay runs lean on nursing hours, 2.90 per resident day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop another 8% below its own weekdays. That thin coverage shows up in the inspection record: 25 deficiencies, five serious enough to put residents at harm or jeopardy, and two tied to abuse, with a $12,893 fine on file. What the numbers don't show is instability, 30% turnover is actually better than the 45.8% national figure, so the problem looks less like a constantly changing staff than too few of them. The last inspection was recent, May 2026, and ownership is for-profit corporate.
Focused Care At Lamesa runs lean on nurses: 2.87 hours per resident per day against a national average of 3.86, roughly a quarter less hands-on time, and weekends drop about 16% below its own weekday staffing. Annual turnover of 54.1% tops the national 45.8%, so the people providing that care keep changing. The 16 deficiencies on record include two at the harm or jeopardy level and two tied to abuse, though a May 2025 inspection means the picture is recent rather than stale. Resident outcome measures rate well, but staffing is where the gap shows.
Focused Care At Allenbrook runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday levels. Annual turnover sits at 51.6%, higher than the 45.8% national figure, so the staff you meet may not be there next year. Inspections are the brighter spot: a four-star health inspection rating and a recent visit in March 2026, with 14 deficiencies on record, two of them serious enough to reach harm level. The single fine of $8,400 is modest. Ownership is a for-profit limited liability company, and the 1-star staffing rating tells you where the pressure sits.
Focused Care At Huntsville runs on 2.71 nursing hours per resident per day, roughly 30% under the national average of 3.86, and weekends drop about 15% below its own weekday level. That thin staffing shows up in the numbers: a 1/5 CMS staffing rating and 56.8% annual turnover, well above the 45.8% national figure. The 21 deficiencies on record include 4 abuse-related citations, though none rose to harm or jeopardy, and the last inspection was May 2025. Quality measures score 5/5, but with 88 beds under for-profit partnership ownership, ask direct questions about who's actually on the floor nights and weekends.
Focused Care of Gilmer runs 3.03 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on care than typical. Weekends drop another 17% below its own weekday level, and 51% of staff turned over in a year, so the aides working Saturday may be new to the building. The current record carries 40 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way, plus a $23,520 fine. Its quality measure rating looks good, but that reflects charted care, not the inspection record. For-profit corporate ownership, 112 beds, and an inspection that already happened in February 2026 round out the picture.
Focused Care At Beechnut carries a one-star health inspection rating and sits in CMS's Special Focus Facility program, which is reserved for homes with a pattern of persistent problems. Its record shows 27 deficiencies, 11 of them serious enough to cause harm or put residents in jeopardy, plus four fines totaling $90,403. Nurse staffing runs about 2.96 hours per resident day, roughly a quarter below the national average, and weekends drop further. Turnover at 36.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as having enough hands on shift.
Focused Care At Odessa runs about 3.06 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends drop another 17% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The 28 deficiencies on record include one at the harm level and two tied to abuse, with the most recent inspection dated January 2026. A 45.9% turnover rate sits essentially at the national figure, meaning the staff it has turns over about as fast as everywhere else. Ownership is corporate for-profit across 75 certified beds. The federal staffing rating of 1 out of 5 is the number that explains the rest.
Focused Care Of Center is a for-profit limited liability company home with 92 certified beds, and the numbers tell a mixed story. Nurse staffing sits at 3.50 hours per resident day, about 9% under the national average, and weekends run roughly 13% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover, at 32.8%, is actually better than the 45.8% national figure, but the inspection record is where the real trouble sits: 37 deficiencies, including 4 at the harm or jeopardy level and 4 tied to abuse, plus two fines totaling $256,719. The most recent inspection was June 11, 2025.
Focused Care Of Waxahachie runs on 2.68 nurse hours per resident day, roughly 31% under the national average, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing picture, where turnover hits 58.9% against a national 45.8%, more than half the nursing staff leaving in a year. The inspection record is the harder problem: 40 deficiencies, five serious enough to involve harm or jeopardy, three tied to abuse, and $172,367 in fines across three penalties. A government hospital district owns the 152-bed building, and its most recent inspection was April 28, 2026. Quality measures score well; the hands-on care and oversight numbers do not.
Focused Care At Summer Place runs on thin staffing. At 2.95 nurse hours per resident day, it sits about 24% under the national average of 3.86, and weekends drop roughly another 13% below its own weekday levels. That gap shows up in a 1-out-of-5 CMS staffing rating and a 63.2% annual turnover rate, well above the 45.8% national figure, meaning the people caring for residents are often new and frequently leaving. The inspection record lists 36 deficiencies, including one at the harm level and two tied to abuse. A for-profit corporation owns the 132-bed home. Its 4-out-of-5 quality measure score stands out against the weaker staffing and inspection marks, but quality measures alone don't cover a resident's daily care.
Focused Care At Crane runs light on nursing staff, 3.16 hours per resident day against a national average of 3.86, with weekends about 14 percent thinner than weekdays. That earned a 1-out-of-5 staffing rating from CMS, and turnover sits at 47.3 percent, slightly above the national rate of 45.8 percent. The inspection record shows 33 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $42,357 fine. A 4-out-of-5 quality measure rating and a June 2025 inspection suggest some things are being tracked, but the staffing numbers and the deficiency history are what a family should weigh hardest here.
Focused Care At Humble runs 134 certified beds in Harris County under corporate for-profit ownership, and the staffing numbers are where the trouble shows. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level. Nearly half the staff turned over last year, 49.3% against a national 45.8%. The 17 deficiencies on record include 3 at harm or jeopardy level, with two fines totaling $19,410; the last inspection was in May 2025. Quality measures score well, but thin, churning staffing is the pattern a family should weigh hardest here.
Sixty-one deficiencies sit on Focused Care At Linden's record, seven of them serious enough to involve harm or jeopardy, and four tied to abuse. Federal inspectors wrote four fines totaling $391,545. The company runs this 131-bed home for profit, and the health inspection rating is one out of five stars.
Staffing is the other trouble spot: 2.61 nurse hours per resident day, well under the national average of 3.86, with weekends about 12% thinner than weekdays. Turnover runs 53.6% a year against a 45.8% national figure, so caregivers keep cycling out. The quality measure score of four stars reflects charted clinical care, but that's measured on paper, the inspection record and thin staffing describe what happens on the floor.
Focused Care At Midland runs about 2.95 nursing hours per resident each day, roughly a quarter below the national average of 3.86, and weekends dip another 13% under its own weekday numbers. That thin coverage shows up on the record: 45 deficiencies, one serious enough to reach harm or jeopardy level, with a $9,281 fine and a June 2025 inspection. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure, though the CMS star ratings land at 2 out of 5 across health inspections, quality measures, and staffing. For-profit corporate ownership and 106 beds. Ask about weekend coverage specifically, and request the plan of correction for that harm-level finding.
Focused Care At Webster runs a 120-bed for-profit operation in Harris County, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident day, about 8% under the national average, and it thins out further on weekends. Annual turnover hits 66.3% against a national 45.8%, so you're looking at a building where two out of three caregivers left within the year.
The inspection record backs that up: 32 deficiencies on file, three at harm or jeopardy level, five tied to abuse, and $34,665 in fines across two penalties. The last inspection was January 30, 2025. Quality measure scores look strong, but that's largely charting, the direct-care hours and the harm-level findings are what a family will actually feel.
Focused Care at Hogan Park runs on 2.37 nurse hours per resident day, well under the national average of 3.86, and weekend coverage drops further below its own weekday level. Staff turnover sits at 63% against a national 45.8%, so the people showing up are often new. The current inspection record carries 45 deficiencies, one serious enough to reach harm or jeopardy level, and a $9,110 fine; the last inspection was in January 2025. The government-hospital-district owner is a real distinction from a for-profit chain, but it hasn't translated into steady hands or enough of them. Ask how they hold staffing together on weekends before you decide.
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.
Focused Care At Mount Pleasant runs 122 beds under for-profit LLC ownership, and the numbers that stand out aren't the quality measures, those actually rate well above average. The problem is everything around them. Nurse staffing sits at 3.16 hours per resident day, about 18% under the national figure, with weekends dipping roughly 8% below the home's own weekday level. Staff turnover hits 48.4%. The inspection record carries 82 deficiencies, including four at the harm level and six tied to abuse, plus five fines totaling $223,296, and the most recent inspection was July 2025. High quality scores can't offset thin coverage and that citation history.
Focused Care At Cedar Bayou carries 23 deficiencies on its current record, and 9 of those reached harm or jeopardy level, one tied to abuse. That's the kind of inspection history that put this for-profit, limited-liability home into CMS's Special Focus Facility program, a designation reserved for the homes regulators watch most closely. The health inspection rating sits at 1 out of 5, and the last full look came in February 2024. Staffing tells its own story: 3.01 nurse hours per resident day, about 22% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover is 47.2%, slightly above the national 45.8%. Four fines total $99,485. The 4/5 quality measure rating reflects resident assessments, but it doesn't offset what inspections and staffing show.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.