Midland, TX

Focused Care at Midland

2-star overall rating with 2-star inspections with $9,113 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2000 N Main, Midland, TX

(432) 686-1898

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

106

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Focused Post Acute Care Partners

Operator or chain grouping

Approved since

2003-08-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing

LPN hours / resident day

0.50

Licensed practical nurse staffing

Aide hours / resident day

2.38

Nurse aide staffing

Weekend hours

3.05

Weekend nurse staffing

RN turnover

75%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
2.1
0.6 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
2.1
0.5 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
3.3%
1.3 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.8%
3.3%
3.5 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.8%
18.9%
3.1 pts better
19.6%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 33.5%
10.8%
22.7 pts worse
16.7%
16.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 7.6%
15.4%
7.8 pts better
16.3%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.7%
16.1%
4.4 pts better
14.9%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.1%
0.5%
0.6 pts worse
1.0%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.2%
0.8%
0.4 pts worse
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.9%
15.0%
0.1 pts better
19.8%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.7%
4.2%
0.5 pts worse
5.1%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
89.7%
7.7 pts better
81.7%
15.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.2%
12.0%
2.8 pts better
12.0%
2.8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.8%
1.5%
3.3 pts worse
1.6%
3.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.3%
25.9%
2.6 pts better
23.9%
0.6 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

12 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-04-11 · Fire 2024-04-11

16 health deficiencies

Top issue: Environmental (3 deficiencies)

13 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

19 health deficiencies

Top issue: Environmental (5 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-19

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-07-24

C · Minimal harm 2025-06-19

K521 · Services Deficiencies

Fire Safety

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

Not marked corrected

F · Potential for more than minimal harm 2024-04-11

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-26

F · Potential for more than minimal harm 2024-04-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-11

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-26

E · Potential for more than minimal harm 2024-04-11

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-26

C · Minimal harm 2024-04-11

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-05-26

C · Minimal harm 2023-03-09

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-04-22

Inspection history

Recent health citations

C · Minimal harm 2025-12-12

F921 · Environmental Deficiencies

Health

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

Corrected 2026-01-23

F · Potential for more than minimal harm 2025-08-02

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-08-02

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-08-02

F921 · Environmental Deficiencies

Health

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

Corrected 2025-09-02

B · Minimal harm 2025-08-02

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-09-02

E · Potential for more than minimal harm 2025-06-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-19

E · Potential for more than minimal harm 2025-06-19

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-07-19

D · Potential for more than minimal harm 2025-06-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-19

D · Potential for more than minimal harm 2025-06-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-19

J · Immediate jeopardy 2025-05-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-02

D · Potential for more than minimal harm 2025-05-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-06-02

D · Potential for more than minimal harm 2025-05-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-02

E · Potential for more than minimal harm 2024-09-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-09-25

F921 · Environmental Deficiencies

Health

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

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-09-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-09-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-17

E · Potential for more than minimal harm 2024-08-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-22

E · Potential for more than minimal harm 2024-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-22

D · Potential for more than minimal harm 2024-08-29

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-09-22

C · Minimal harm 2024-07-15

F575 · Resident Rights Deficiencies

Health

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.

Corrected 2024-07-16

E · Potential for more than minimal harm 2024-04-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-04

E · Potential for more than minimal harm 2024-04-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-04

E · Potential for more than minimal harm 2024-04-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-04

E · Potential for more than minimal harm 2024-04-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-11

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-11

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-11

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-04

D · Potential for more than minimal harm 2024-04-11

F921 · Environmental Deficiencies

Health

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

Corrected 2024-05-04

E · Potential for more than minimal harm 2024-02-11

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-02-15

E · Potential for more than minimal harm 2024-02-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-02-15

G · Actual harm 2023-05-01

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-05-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-05-01

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-05-01

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-06-01

F · Potential for more than minimal harm 2023-03-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-04-22

F · Potential for more than minimal harm 2023-03-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F914 · Environmental Deficiencies

Health

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2023-04-22

E · Potential for more than minimal harm 2023-03-09

F921 · Environmental Deficiencies

Health

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

Corrected 2023-04-22

D · Potential for more than minimal harm 2023-03-09

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-04-22

D · Potential for more than minimal harm 2023-03-09

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-22

Penalties and ownership

What sits behind the stars

$9,113 2025-05-06

Fine

Fine · fine $9,113

Fine

Ownership

Midland County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 7 facilities 2017-04-01
Bowerman, Stephen

Operational/Managerial Control · Individual

0% 7 facilities 2023-01-01
Conley, Shawn

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01
Focused Post

Operational/Managerial Control · Organization

0% 7 facilities 2017-11-01
Focused Post Acute Care Partners Ii LLC

Operational/Managerial Control · Organization

0% 7 facilities 2017-11-01
Focused Post Acute Care Partners LLC

Operational/Managerial Control · Organization

0% 22 facilities 2017-11-01
Focused Post Acute Care Partners Management, LLC

Operational/Managerial Control · Organization

0% 25 facilities 2017-11-01
Fpacp Midland

Operational/Managerial Control · Organization

0% 1 facilities 2017-11-01
Hughett, Kimberlee

Operational/Managerial Control · Individual

0% 1 facilities 2019-08-26
Mckenzie, Mark

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01
Midland County Hospital District

Operational/Managerial Control · Organization

0% 7 facilities 2017-04-01
Milstead, Samantha

Operational/Managerial Control · Individual

0% 1 facilities 2022-06-27
Strubbe, Loretta

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01

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Staffing
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