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Focused Care At Orange

4201 Fm 105, Orange, TX 77630
4097458085
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

3 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Nov 18, 2025 Ensure that residents are free from significant medication errors. E
Apr 25, 2025 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. K
Apr 25, 2025 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. E
Apr 25, 2025 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D
Apr 25, 2025 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D
Score
2.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
103.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL FPACP ORANGE LLC
OPERATIONAL/MANAGERIAL CONTROL CONLEY, SHAWN
OPERATIONAL/MANAGERIAL CONTROL COOPER, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL DAVIDSON, JAMES
OPERATIONAL/MANAGERIAL CONTROL FONTENOT, CINDY
OPERATIONAL/MANAGERIAL CONTROL MCKENZIE, MARK
Recent Penalties
Date Type Fine
Apr 25, 2025 Fine $102,448
Apr 16, 2025 Fine $17,641
Jan 24, 2025 Fine $280,797

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