Federal inspection record · CMS data as of October 1, 2026

Focused Care at Hogan Park

3203 Sage St, Midland, TX · (432) 683-5403

CMS overall rating

1 of 5

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Certified beds
106
Residents per day
80
Ownership
For-Profit
Chain
Focused Post Acute Care Partners
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 29, 2002

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Focused Care at Hogan Park carries 108 inspection points. That is fewer than 31% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 108 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 22 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    February 27, 2026 · Complaint inspection · Administration · F773 · Corrected March 27, 2026

Everything else, by area of care

Resident Rights9E
  1. D

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    July 28, 2026 · Complaint · F576 · Corrected August 28, 2026

  2. E

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    January 16, 2025 · Standard · F563 · Corrected March 7, 2025

  3. E

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    January 16, 2025 · Standard · F576 · Corrected March 7, 2025

  4. E

    Keep residents' personal and medical records private and confidential.

    January 16, 2025 · Complaint · F583 · Corrected March 7, 2025

  5. D

    Reasonably accommodate the needs and preferences of each resident.

    October 23, 2024 · Complaint · F558 · Corrected November 15, 2024

  6. E

    Reasonably accommodate the needs and preferences of each resident.

    July 19, 2024 · Complaint · F558 · Corrected August 14, 2024

  7. E

    Honor the resident's right to manage his or her financial affairs.

    December 8, 2023 · Complaint · F567 · Corrected January 25, 2024

  8. E

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    December 8, 2023 · Complaint · F582 · Corrected January 25, 2024

  9. E

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    December 8, 2023 · Complaint · F942 · Corrected January 25, 2024

Nutrition and Dietary7F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 16, 2026 · Standard · F812 · Corrected May 29, 2026

  2. E

    Dispose of garbage and refuse properly.

    April 16, 2026 · Standard · F814 · Corrected May 29, 2026

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 16, 2025 · Complaint · F812 · Corrected March 7, 2025

  4. D

    Dispose of garbage and refuse properly.

    January 16, 2025 · Complaint · F814 · Corrected March 7, 2025

  5. E

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    December 8, 2023 · Complaint · F801 · Corrected January 25, 2024

  6. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 8, 2023 · Complaint · F812 · Corrected January 25, 2024

  7. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    December 8, 2023 · Complaint · F804 · Corrected January 25, 2024

Infection Control5E
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2026 · Standard · F880 · Corrected May 29, 2026

  2. D

    Provide and implement an infection prevention and control program.

    November 12, 2025 · Complaint · F880 · Corrected December 8, 2025

  3. D

    Provide and implement an infection prevention and control program.

    January 16, 2025 · Complaint · F880 · Corrected March 7, 2025

  4. E

    Provide and implement an infection prevention and control program.

    December 8, 2023 · Complaint · F880 · Corrected January 25, 2024

  5. E

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    December 8, 2023 · Complaint · F945 · Corrected January 25, 2024

Pharmacy Service4E
  1. E

    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.

    July 28, 2026 · Complaint · F761 · Corrected August 28, 2026

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 16, 2026 · Standard · F755 · Corrected May 29, 2026

  3. D

    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.

    April 16, 2026 · Standard · F761 · Corrected May 29, 2026

  4. E

    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.

    December 8, 2023 · Complaint · F761 · Corrected January 25, 2024

Resident Assessment and Care Planning4E
  1. D

    Ensure each resident receives an accurate assessment.

    November 12, 2025 · Complaint · F641 · Corrected December 8, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 12, 2025 · Complaint · F842 · Corrected December 8, 2025

  3. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 8, 2023 · Complaint · F656 · Corrected January 25, 2024

  4. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 8, 2023 · Complaint · F842 · Corrected January 25, 2024

Environmental2E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 28, 2026 · Complaint · F921 · Corrected August 28, 2026

  2. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 16, 2026 · Standard · F921 · Corrected May 29, 2026

Quality of Life and Care2E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 8, 2023 · Complaint · F689 · Corrected January 25, 2024

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    December 8, 2023 · Complaint · F695 · Corrected January 25, 2024

Administration2E
  1. E

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    December 8, 2023 · Complaint · F941 · Corrected January 25, 2024

  2. E

    Provide training in compliance and ethics.

    December 8, 2023 · Complaint · F946 · Corrected January 25, 2024

Nursing and Physician Services1E
  1. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    December 8, 2023 · Complaint · F947 · Corrected January 25, 2024

Inspection history

  1. 2026-04-16

    13 health deficiencies · 8 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

  2. 2025-01-16

    7 health deficiencies · 4 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  3. 2023-12-08

    17 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 29 min of nursing staff time a day, 22 min of it from a registered nurse.

This home

2 h 29 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 60% of nursing staff and 78% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$9,110 in federal fines on record over the past three years.

DatePenaltyAmount
2026-02-27Fine$9,110

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better3.1%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse4.3%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts worse22.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.8 pts worse24.6%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.2 pts better2.7%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts better8.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better0.7%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better9.1%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2 pts worse5.7%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better95.7%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication5.6 pts worse7.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%

·

Who owns and runs it

32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Arnold, TanyaOperational/Managerial Control · Individual0%1 facilities
Arnold, TanyaAdp Of The SNF · Individual0%1 facilities
Bowerman, StephenManaging Control - Governing Body · Individual0%7 facilities
Bowerman, StephenCorporate Director · Individual0%7 facilities
Chaplin, CariManaging Control - Governing Body · Individual0%4 facilities
Conley, ShawnOperational/Managerial Control · Individual0%25 facilities
Conley, ShawnAdp Of The SNF · Individual0%25 facilities
Flores, ThomasManaging Control - Governing Body · Individual0%4 facilities
Focused PostOperational/Managerial Control · Organization0%7 facilities
Focused PostAdp Of The SNF · Organization0%7 facilities
Focused Post Acute Care Partners Ii LLCOperational/Managerial Control · Organization0%7 facilities
Focused Post Acute Care Partners Ii LLCAdp Of The SNF · Organization0%7 facilities
Focused Post Acute Care Partners LLCOperational/Managerial Control · Organization0%23 facilities
Focused Post Acute Care Partners LLCAdp Of The SNF · Organization0%23 facilities
Focused Post Acute Care Partners Management, LLCOperational/Managerial Control · Organization0%25 facilities
Focused Post Acute Care Partners Management, LLCAdp Of The SNF · Organization0%25 facilities
Fpacp Hogan Park LLCOperational/Managerial Control · Organization0%1 facilities
Fpacp Hogan Park LLCAdp Of The SNF · Organization0%1 facilities
Goldapp, ShannonManaging Control - Governing Body · Individual0%4 facilities
Grametbaur, CarolynOperational/Managerial Control · Individual0%1 facilities
Grametbaur, CarolynAdp Of The SNF · Individual0%1 facilities
Greene, TracieManaging Control - Governing Body · Individual0%4 facilities
Grimes, DavidManaging Control - Governing Body · Individual0%5 facilities
Mckenzie, MarkManaging Control - Governing Body · Individual0%25 facilities
Mckenzie, MarkOperational/Managerial Control · Individual0%25 facilities
Mckenzie, MarkAdp Of The SNF · Individual0%25 facilities
Midland County Hospital DistrictOperational/Managerial Control · Organization0%4 facilities
Mwanje, BanywaOperational/Managerial Control · Individual0%1 facilities
Mwanje, BanywaAdp Of The SNF · Individual0%1 facilities
Ortega, ScottyAdp Of The SNF · Individual0%4 facilities
Strubbe, LorettaOperational/Managerial Control · Individual0%25 facilities
Strubbe, LorettaAdp Of The SNF · Individual0%25 facilities

·

Fire safety

18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 16, 2026 · K355 · Corrected June 12, 2026

  2. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 16, 2025 · K321 · Corrected March 7, 2025

  3. F

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    January 16, 2025 · K342 · Corrected March 7, 2025

  4. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 8, 2023 · K321 · Corrected January 25, 2024

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 8, 2023 · K372 · Corrected January 25, 2024

Services4E
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 16, 2026 · K521 · Corrected June 12, 2026

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    January 16, 2025 · K521 · Corrected March 7, 2025

  3. E

    Have properly installed electrical wiring and gas equipment.

    December 8, 2023 · K511 · Corrected January 25, 2024

  4. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 8, 2023 · K521 · Corrected January 25, 2024

Emergency Preparedness3F
  1. F

    Develop a communication plan.

    April 16, 2026 · E29 · Corrected June 12, 2026

  2. F

    Conduct testing and exercise requirements.

    April 16, 2026 · E39 · Corrected June 12, 2026

  3. F

    Implement emergency and standby power systems.

    April 16, 2026 · E41 · Corrected June 12, 2026

Miscellaneous3F
  1. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    January 16, 2025 · K741 · Corrected March 7, 2025

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    December 8, 2023 · K741 · Corrected January 25, 2024

  3. C

    Have simulated fire drills held at unexpected times.

    December 8, 2023 · K712 · Corrected January 25, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 16, 2026 · K918 · Corrected June 12, 2026

  2. E

    Have proper medical gas storage and administration areas.

    April 16, 2026 · K923 · Corrected June 12, 2026

Egress1E
  1. E

    Have properly located and lighted "Exit" signs.

    April 16, 2026 · K293 · Corrected June 12, 2026

·

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  1. Focused Care at Midland

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    Worst citation, 3 yrs
    J
    Nursing / resident / day
    2 h 57 min
    Fines
    $9,281
  2. Midland Medical Lodge

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    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 6 min
    Fines
    $0
  3. Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 47 min
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