Focused Care at Mount Pleasant

CMS abuse icon · Titus · TX · For profit - Limited Liability company · FOCUSED POST ACUTE CARE PARTNERS chain · 122 certified beds · CCN 455900 · FPACP MOUNT PLEASANT LLC


Focused Care at Mount Pleasant operates 122 certified beds in Mount Pleasant, Texas. Its Medicare and Medicaid certification dates to 1990-11-12. It averages 71.5 residents a day.

What harm was found in the violations cited at Focused Care at Mount Pleasant?

CMS lists 82 health-inspection deficiencies for Focused Care at Mount Pleasant since 2023-03-09, 56 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-05-20.

Survey dateTagDeficiencySeverity
2026-05-20F0880, F0921Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2026-01-13F0602Protect each resident from the wrongful use of the resident's belongings or money.D
2025-11-26F0656, F0684Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2025-11-26F0550, F0641, F0690, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-09-08F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-07-02F0812, F0908Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely.F
2025-07-02F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-07-02F0584, F0695, F0726, F0880, F0926Honor 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 safe and appropriate respiratory care for a resident when needed. / 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. / Provide and implement an infection prevention and control program. / Have policies on smoking.D
2025-04-17F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-02-13F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2024-12-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-05-24F0583, F0678Keep residents' personal and medical records private and confidential. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2024-05-24F0552, F0657, F0759, F0802, F0812, F0880, F0881, F0925Ensure that residents are fully informed and understand their health status, care and treatments. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure medication error rates are not 5 percent or greater. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2024-05-24F0550, F0573, F0578, F0584, F0688, F0690, F0695, F0698, F0699, F0760, F0803, F0847, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / 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. / 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. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Ensure that residents are free from significant medication errors. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2024-03-24F0602, F0684Protect each resident from the wrongful use of the resident's belongings or money. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-02-14F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.G
2024-02-14F0584Honor 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
2024-02-14F0558, F0580, F0610, F0692, F0840Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / Provide enough food/fluids to maintain a resident's health. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D
2023-10-09F0880Provide and implement an infection prevention and control program.L
2023-10-09F0689, F0761Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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.D
2023-03-09F0550, F0610, F0636, F0656, F0677, F0688, F0804, F0812, F0813, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.E
2023-03-09F0552, F0582, F0584, F0585, F0641, F0655, F0676, F0689, F0695, F0697, F0698, F0759, F0761, F0808, F0842, F0883Ensure that residents are fully informed and understand their health status, care and treatments. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was Focused Care at Mount Pleasant fined 5 times?

DateTypeAmount
2025-06-25Fine$16,149
2025-06-25Fine$16,149
2024-05-24Fine$127,486
2024-02-14Fine$12,259
2023-10-09Fine$51,253

Has Focused Care at Mount Pleasant had payment denied by Medicare more than once?

Payment denial startLength in days
2025-07-257
2023-11-0822

How is Focused Care at Mount Pleasant staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.161823.38539
Total nursing staff turnover (%)48.455.3
Average number of residents per day71.575.8

Who owns Focused Care at Mount Pleasant, and what chain is it in?

Focused Care at Mount Pleasant is registered with CMS as For profit - Limited Liability company, operates under the legal business name FPACP MOUNT PLEASANT LLC and belongs to the FOCUSED POST ACUTE CARE PARTNERS chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFPACP MOUNT PLEASANT LLCsince 02/01/2017
DIRECT OWNERSHIP INTERESTFOCUSED POST ACUTE CARE PARTNERS 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 MOUNT PLEASANT LLC, CONLEY, SHAWN, EASLEY, ADRIEANNIA, MCKENZIE, MARK, ONEY, WHITNEY, STRUBBE, LORETTA, WILLARD, LORI, ZARCONE, GREGORYsince 02/01/2017
ADP OF THE SNFFOCUSED POST ACUTE CARE PARTNERS LLC, FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC, ONEY, WHITNEY, WILLARD, LORI, ZARCONE, GREGORYsince 04/11/2025

Were you or a family member harmed at Focused Care at Mount Pleasant?