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

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

Chain footprint

25 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.50

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.38

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

0.93

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

4.35

CMS adjusted total nurse staffing hours

Case-mix index

1.04

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,999

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.14

Baseline 50.00% · Performance 59.02% · Measure score 1.14 · Achievement 1.14 · Improvement 0

Adjusted total nurse staffing

1.73

Baseline 4.35 hours · Performance 3.57 hours · Measure score 1.73 · Achievement 1.73 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.41%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 8.51% · Lower 95% interval 7.07%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	98.28%	42% 56.3 pts better	Numerator 114 · Denominator 116
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

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 · Adjusted 1.5 · Observed 1.5 · Expected 1.9 · Used in QM five-star
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 · Adjusted 1.6 · Observed 1.7 · Expected 1.8 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
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 · Q1 1.2% · Q2 2.4% · Q3 6.2% · Q4 8.8% · 4Q avg 4.6% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 9.9% · Q2 6.2% · Q3 9.1% · Q4 1.4% · 4Q avg 6.8%
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 · Q1 14.6% · Q2 16.5% · Q3 15.0% · Q4 17.1% · 4Q avg 15.8%
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 · Q1 30.6% · Q2 35.3% · Q3 36.2% · Q4 31.7% · 4Q avg 33.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
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 · Q1 9.0% · Q2 4.6% · Q3 0.0% · Q4 16.1% · 4Q avg 7.6% · Used in QM five-star
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 · Q1 6.2% · Q2 6.3% · Q3 8.9% · Q4 27.5% · 4Q avg 11.7% · Used in QM five-star
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 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star
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 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 1.2% · Used in QM five-star
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 · Q1 24.1% · Q2 20.9% · Q3 5.6% · Q4 7.9% · 4Q avg 14.9%
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 · Q1 5.0% · Q2 6.0% · Q3 4.1% · Q4 3.6% · 4Q avg 4.7% · Used in QM five-star
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 · Q4 100.0% · 4Q avg 97.4%
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 · Adjusted 9.2% · Observed 10.0% · Expected 12.2% · Used in QM five-star
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 · 4Q avg 4.8% · Used in QM five-star
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 · Adjusted 23.3% · Observed 20.0% · Expected 20.4% · Used in QM five-star

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