Focused Care of Waxahachie

CMS abuse icon · CCN 455591 · FPACP ELLIS LLC · Government - Hospital district · FOCUSED POST ACUTE CARE PARTNERS chain · 152 certified beds · Ellis · TX


Focused Care of Waxahachie is a 152-bed nursing home in Waxahachie, Texas. CMS has certified it for Medicare and Medicaid since 1986-01-16. It averages 62.7 residents a day.

What harm was found in the violations cited at Focused Care of Waxahachie?

CMS lists 39 health-inspection deficiencies for Focused Care of Waxahachie, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-23.

Survey dateTagDeficiencySeverity
2026-05-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-04-28F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2026-04-28F0583, F0812Keep residents' personal and medical records private and confidential. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-04-28F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2026-04-08F0880Provide and implement an infection prevention and control program.D
2026-03-02F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-01-13F0880Provide and implement an infection prevention and control program.D
2025-12-09F0755, F0842Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-12-09F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-07-01F0584, F0677Honor 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. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-02-12F0679Provide activities to meet all resident's needs.E
2025-02-12F0641, F0644, F0656, F0755Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-12-20F0558, F0656Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-11-07F0552, F0755Ensure that residents are fully informed and understand their health status, care and treatments. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-10-29F0558, F0584Reasonably accommodate the needs and preferences of each resident. / 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.D
2024-10-18F0600, F0656Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K
2024-10-18F0660Plan the resident's discharge to meet the resident's goals and needs.D
2024-04-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-27F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-03-27F0761Ensure 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.D
2023-12-21F0812, F0882Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2023-12-21F0689, F0759, F0760, F0883, F0919Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-08-30F0623, F0624Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home.D

Why was Focused Care of Waxahachie fined 2 times?

DateTypeAmount
2026-03-02Fine$12,428
2024-03-27Fine$8,161

How is Focused Care of Waxahachie staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day2.678583.38539
Total nursing staff turnover (%)58.955.3
Average number of residents per day62.775.8

Who owns Focused Care of Waxahachie, and what chain is it in?

Focused Care of Waxahachie is registered with CMS as Government - Hospital district, operates under the legal business name FPACP ELLIS LLC and belongs to the FOCUSED POST ACUTE CARE PARTNERS chain.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTFOCUSED POST ACUTE CARE PARTNERS LLC, FPACP ELLIS LLCsince 02/01/2017
CORPORATE OFFICERCONLEY, SHAWN, MCKENZIE, MARK, STRUBBE, LORETTAsince 02/01/2017
OPERATIONAL/MANAGERIAL CONTROLFOCUSED POST ACUTE CARE PARTNERS LLC, FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC, FPACP ELLIS LLC, ANDERSON, DANTRELL, CONLEY, SHAWN, LEEK, DUSTIN, MCKENZIE, MARK, STRUBBE, LORETTA, WHITE, KASEYsince 01/01/2018
ADP OF THE SNFFOCUSED POST ACUTE CARE PARTNERS LLC, FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC, ANDERSON, DANTRELL, LEEK, DUSTIN, WHITE, KASEYsince 01/20/2025

Were you or a family member harmed at Focused Care of Waxahachie?