Federal inspection record · CMS data as of October 1, 2026
Focused Care At Orange
4201 Fm 105, Orange, TX · (409) 745-8085
- Certified beds
- 120
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Focused Post Acute Care Partners
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 9, 2006
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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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.
-
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 Orange carries 106.5 inspection points. That is fewer than 32% 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
29 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 (4)
-
K
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
-
J
Ensure that residents are free from significant medication errors.
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
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
Quality of Life and Care6E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- 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.
Resident Rights2E
- D
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.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Environmental1F
- F
Keep all essential equipment working safely.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-03
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2025-04-25
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-06
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 3 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
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
$193,434 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-25 | Fine | $102,448 |
| 2025-04-16 | Fine | $17,641 |
| 2025-01-24 | Fine | $73,345 |
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 days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts better | 99.8% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 97.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.8 pts better | 0.5% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 3.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.3 pts worse | 24.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts worse | 13.7% | 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 worsened5.6 pts better | 7.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.4 pts better | 6.4% | 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 incontinence5.5 pts better | 7.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better | 92.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse | 18.3% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.2 pts better | 86.6% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts worse | 27.6% | 25.5% | 23.4% |
·
Who owns and runs it
31 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 |
|---|---|---|---|
| Abernathy, Mary | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Chambers County Public Hospital District No. 1 | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Conley, Shawn | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Conley, Shawn | Adp Of The SNF · Individual | 0% | 25 facilities |
| Cooper, Kimberly | Managing Control - Governing Body · Individual | 0% | 13 facilities |
| Cooper, Kimberly | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Davidson, James | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Davidson, James | Adp Of The SNF · Individual | 0% | 2 facilities |
| Focused Post Acute Care Partners LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Focused Post Acute Care Partners LLC | Adp Of The SNF · 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 |
| Fontenot, Cindy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fontenot, Cindy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fpacp Orange LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Fpacp Orange LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Humphrey, Eric | Managing Control - Governing Body · Individual | 0% | 7 facilities |
| Legg, Stephen | Managing Control - Governing Body · Individual | 0% | 8 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 |
| Newton, Elizabeth | Managing Control - Governing Body · Individual | 0% | 19 facilities |
| Newton, Elizabeth | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Palang, Ronald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Palang, Ronald | Adp Of The SNF · Individual | 0% | 1 facilities |
| Polk, Karteedria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Polk, Karteedria | 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 |
| Tinnerman, Linda | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Turner, Leslie | Managing Control - Governing Body · Individual | 0% | 8 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems1C
- C
Meet requirements for the use and maintenance of medical gas equipment.
·
Other homes nearby
-
Oak Grove Nursing Home
Groves, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0
-
Magnolia Manor
Groves, TX · Cantex Continuing Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $230,279
-
Oakwood Manor Nursing Home
Vidor, TX · Cantex Continuing Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0