CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6751402026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Focused Care At Hamilton

1315 E State Hwy 22 · Hamilton, TX 76531 · Hamilton County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds78CMS provider file
Recent citation rows16current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-3002025-09-300
Cycle 22024-09-2722024-09-272
Cycle 32023-07-2662023-07-266
02 / CITATION DETAIL

16 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-09-27 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-10
2024-09-27 · HEALTHF0925Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-10
2024-09-27 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-03-03
2024-09-27 · FIREK0929Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Correction field: Deficient, Provider has date of correction · 2025-03-03
2023-12-04 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-12-05 · complaint · infection control
2023-07-26 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2024-06-22
2023-07-26 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2024-06-22
2023-07-26 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-07-31
2023-07-26 · HEALTHF0679Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2023-07-31
2023-07-26 · HEALTHF0805Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Deficient, Provider has date of correction · 2023-07-31
2023-07-26 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-31
2023-07-26 · HEALTHF0925Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-31
2023-07-26 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-06-22
2023-07-26 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2024-07-04
2023-07-26 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2024-06-22
2023-07-26 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-06-22
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • HAMILTON COUNTY HOSPITAL DISTRICTOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 04/01/2019
  • COLLETT, MICHAELIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/29/2019
  • CRAIG, KARENIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 01/12/2022
  • FORREST, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/20/1992
  • MUXWORTHY, NEILIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 05/20/1996
  • WITZSCHE, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 12/28/1998
  • HOOPER, GRADYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2015
  • FOCUSED POSTOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • FOCUSED POST ACUTE CARE PARTNERS II LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • FPACP HAMILTON LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • HAMILTON COUNTY HOSPITAL DISTRICTOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • CONLEY, SHAWNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • ENGLISH, JONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • ENGLISH, TIFFANYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/30/2020
  • LEE, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • MCKENZIE, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2019
  • PRATT, CARRIEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2017

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.77per resident day
RN hours0.27per resident day
Weekend nurse hours2.23per resident day
Staff turnover41.4%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Hamilton ledger →
Pecan Creek Healthcare Center76 beds · CMS overall 4/519 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.