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

Focused Care at Odessa

2443 W 16th St, Odessa, TX · (432) 333-2904

CMS overall rating

2 of 5

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Certified beds
75
Residents per day
60
Ownership
For-Profit
Chain
Focused Post Acute Care Partners
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 28, 1998

1

How this home got 2 stars

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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Focused Care at Odessa carries 71 inspection points. That is fewer than 51% 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 · 71 pts · 3★

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

28 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 14 4 pts
E 12 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

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

    May 14, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected June 30, 2025

Everything else, by area of care

Quality of Life and Care7E
  1. E

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

    November 18, 2025 · Complaint · F695 · Corrected November 20, 2025

  2. D

    Provide activities to meet all resident's needs.

    May 14, 2025 · Complaint · F679 · Corrected June 30, 2025

  3. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    May 14, 2025 · Complaint · F693 · Corrected June 30, 2025

  4. E

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

    October 3, 2024 · Standard · F689 · Corrected November 4, 2024

  5. D

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

    October 3, 2024 · Complaint · F695 · Corrected November 4, 2024

  6. D

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

    April 12, 2024 · Complaint · F684 · Corrected April 21, 2024

  7. D

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

    August 29, 2023 · Standard · F684 · Corrected October 13, 2023

Resident Rights4E
  1. 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.

    January 8, 2026 · Standard · F584 · Corrected January 9, 2026

  2. D

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

    January 8, 2026 · Standard · F552 · Corrected January 9, 2026

  3. D

    Keep residents' personal and medical records private and confidential.

    January 8, 2026 · Standard · F583 · Corrected January 9, 2026

  4. E

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

    October 3, 2024 · Standard · F550 · Corrected November 4, 2024

Resident Assessment and Care Planning4E
  1. E

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    May 14, 2025 · Complaint · F644 · Corrected June 30, 2025

  2. D

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

    May 14, 2025 · Complaint · F842 · Corrected June 30, 2025

  3. D

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

    October 3, 2024 · Standard · F656 · Corrected November 4, 2024

  4. E

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

    August 29, 2023 · Standard · F656 · Corrected October 13, 2023

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    May 14, 2025 · Complaint · F880 · Corrected June 30, 2025

  2. E

    Provide and implement an infection prevention and control program.

    October 3, 2024 · Complaint · F880 · Corrected November 4, 2024

  3. D

    Provide and implement an infection prevention and control program.

    August 29, 2023 · Standard · F880 · Corrected October 13, 2023

Pharmacy Service2E
  1. D

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

    May 27, 2026 · Complaint · F755 · Corrected June 19, 2026

  2. 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.

    August 29, 2023 · Standard · F761 · Corrected October 13, 2023

Nutrition and Dietary2F
  1. E

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

    January 8, 2026 · Standard · F812 · Corrected January 9, 2026

  2. F

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

    October 3, 2024 · Standard · F812 · Corrected November 4, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 8, 2026 · Complaint · F609 · Corrected January 9, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 14, 2025 · Complaint · F609 · Corrected June 30, 2025

Environmental1E
  1. E

    Keep all essential equipment working safely.

    May 27, 2026 · Complaint · F908 · Corrected June 19, 2026

Nursing and Physician Services1D
  1. D

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    January 8, 2026 · Standard · F726 · Corrected January 9, 2026

Administration1E
  1. E

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    December 4, 2025 · Complaint · F940 · Corrected January 19, 2026

Inspection history

  1. 2026-01-08

    10 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  2. 2024-10-03

    13 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-08-29

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 57 min of nursing staff time a day, 17 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: 54% of nursing staff and 0% 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

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 injury2 pts worse5.2%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 pts better1.9%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts better5.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.1 pts worse9.9%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 worsened7.1 pts better5.8%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts worse21.7%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 infection2.1 pts worse2.9%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts better4.1%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.8 pts worse4.5%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse2.1%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

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

Show ownership list
NameRoleShareHomes
Akinjagunla, SunkanmiOperational/Managerial Control · Individual0%1 facilities
Akinjagunla, SunkanmiAdp Of The SNF · Individual0%1 facilities
Bowerman, StephenManaging Control - Governing Body · Individual0%7 facilities
Bowerman, StephenCorporate Officer · 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 Odessa LLCOperational/Managerial Control · Organization0%1 facilities
Fpacp Odessa LLCAdp Of The SNF · Organization0%1 facilities
Goldapp, ShannonManaging Control - Governing Body · Individual0%4 facilities
Greene, TracieManaging Control - Governing Body · Individual0%4 facilities
Grimes, DavidManaging Control - Governing Body · Individual0%5 facilities
Le, ChauAdp Of The SNF · Individual0%1 facilities
Mckenzie, MarkManaging Control - Governing Body · Individual0%25 facilities
Mckenzie, MarkOperational/Managerial Control · Individual0%25 facilities
Mckenzie, MarkAdp Of The SNF · Individual0%25 facilities
Melendez, LeonelOperational/Managerial Control · Individual0%1 facilities
Melendez, LeonelAdp Of The SNF · Individual0%1 facilities
Midland County Hospital DistrictDirect Ownership Interest · Organization0%4 facilities
Midland County Hospital DistrictOperational/Managerial Control · Organization0%4 facilities
Strubbe, LorettaOperational/Managerial Control · Individual0%25 facilities
Strubbe, LorettaAdp Of The SNF · Individual0%25 facilities
Wade, DlisaOperational/Managerial Control · Individual0%1 facilities
Wade, DlisaAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Services3C
  1. C

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

    January 8, 2026 · K521 · Corrected March 12, 2026

  2. C

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

    October 3, 2024 · K521 · Corrected November 4, 2024

  3. C

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

    August 29, 2023 · K521 · Corrected October 13, 2023

Egress2E
  1. 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.

    January 8, 2026 · K222 · Corrected March 27, 2026

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    October 3, 2024 · K211 · Corrected November 4, 2024

Miscellaneous2F
  1. D

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

    October 3, 2024 · K741 · Corrected November 4, 2024

  2. F

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

    August 29, 2023 · K741 · Corrected October 13, 2023

Gas, Vacuum, and Electrical Systems2F
  1. D

    Ensure proper usage of power strips and extension cords.

    October 3, 2024 · K920 · Corrected November 4, 2024

  2. F

    Ensure proper storage of liquid oxygen.

    August 29, 2023 · K930 · Corrected October 13, 2023

Emergency Preparedness2F
  1. F

    Establish roles under a Waiver declared by secretary.

    August 29, 2023 · E26 · Corrected October 13, 2023

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 29, 2023 · E4 · Corrected October 13, 2023

Smoke1F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 29, 2023 · K353 · Corrected October 13, 2023

·

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