Federal inspection record · CMS data as of October 1, 2026
Focused Care at Midland
2000 N Main St, Midland, TX · (432) 686-1898
- Certified beds
- 106
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Focused Post Acute Care Partners
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 18, 2003
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Focused Care at Midland carries 181.75 inspection points. That is fewer than 13% of Texas's 1,166 rated homes.
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
56 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights10E
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary9F
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- B
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental9E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Have policies on smoking.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- C
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning8E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care7E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service4E
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Administration2E
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-08-13
27 health deficiencies · 18 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2025-06-19
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-04-11
18 health deficiencies · 13 fire-safety deficiencies
Top issue: Environmental (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 57 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
2 h 57 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 29% of registered nurses left in the past year, along with 2 administrators.
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
$9,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-06 | Fine | $9,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.4 pts worse | 7.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts better | 0.3% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts worse | 3.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts worse | 20.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12 pts worse | 21.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 8.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.5 pts worse | 22.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts better | 11.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 4.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowerman, Stephen | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Bowerman, Stephen | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Chaplin, Cari | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Conley, Shawn | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Conley, Shawn | Adp Of The SNF · Individual | 0% | 25 facilities |
| Flores, Thomas | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Focused Post | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Focused Post | Adp Of The SNF · Organization | 0% | 7 facilities |
| Focused Post Acute Care Partners Ii LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Focused Post Acute Care Partners Ii LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Focused Post Acute Care Partners LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Focused Post Acute Care Partners Management, LLC | Operational/Managerial Control · Organization | 0% | 25 facilities |
| Focused Post Acute Care Partners Management, LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Fpacp Midland | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fpacp Midland | Adp Of The SNF · Organization | 0% | 1 facilities |
| Goldapp, Shannon | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Greene, Tracie | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Grimes, David | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Hughett, Kimberlee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hughett, Kimberlee | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mckenzie, Mark | Managing Control - Governing Body · Individual | 0% | 25 facilities |
| Mckenzie, Mark | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Mckenzie, Mark | Adp Of The SNF · Individual | 0% | 25 facilities |
| Midland County Hospital District | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Milstead, Samantha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Milstead, Samantha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Strubbe, Loretta | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Strubbe, Loretta | Adp Of The SNF · Individual | 0% | 25 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness10F
- F
Establish roles under a Waiver declared by secretary.
- F
Provide emergency officials' contact information.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Address subsistence needs for staff and patients.
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
Smoke8F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have restrictions on the use of flammable curtains.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use and maintenance of medical gas equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services4E
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3F
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Have properly located and lighted "Exit" signs.
·
Other homes nearby
-
Focused Care at Hogan Park
Midland, TX · Focused Post Acute Care Partners
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 29 min
- Fines
- $9,110
-
Midland Medical Lodge
Midland, TX · Foursquare Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0
-
Mabee Health Care Center
Midland, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0