nursing home in Mount Pleasant, TX
Focused Care at Mount Pleasant
1606 Memorial Ave, Mount Pleasant, TX 75455 · (903) 572-3618
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Focused Care at Mount Pleasant at a glance
Focused Care at Mount Pleasant is a 122-bed for-profit nursing home in Mount Pleasant, Texas (Titus County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 2, 2025) found 18 health citations. The Texas average is 9.4.
Federal regulators fined it 5 times in the past three years, totaling $223,296.
Nursing staff turnover is 48.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- November 12, 1990
- Resident/family council
- Resident
- County
- Titus County
- CMS Certification Number
- 455900
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.16 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.13 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.92 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.4% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 61.5% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 225.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $223,296 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 7 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 113 | 107 | |
| Average residents per day | 72 | 76 | 86 | |
| Occupancy | 58.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 27.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 9.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94.2% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.8% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.8% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 29.4% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 27.1% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 84 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 12, 2026 |
| May 20, 2026 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected June 12, 2026 |
| January 13, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected February 2, 2026 |
| November 26, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 19, 2025 |
| November 26, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 19, 2025 |
| November 26, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 27, 2025 |
| November 26, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 19, 2025 |
| November 26, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 19, 2025 |
| November 26, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 19, 2025 |
| September 8, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected October 1, 2025 |
| July 2, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 15, 2025 |
| July 2, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 2, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 2, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| July 2, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected August 1, 2025 |
| July 2, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 1, 2025 |
| July 2, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 1, 2025 |
| July 2, 2025 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 2, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 2, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 2, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 2, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected August 1, 2025 |
| June 25, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 24, 2025 |
| June 25, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 26, 2025 |
| April 17, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 22, 2025 |
| February 13, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected March 10, 2025 |
| December 19, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 27, 2024 |
| May 24, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 5, 2024 |
| May 24, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| May 24, 2024 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | J Immediate jeopardy, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | E Potential harm, pattern | Corrected June 25, 2024 |
| May 24, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Tag F0573 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Complaint | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 24, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected June 25, 2024 |
| March 24, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 23, 2024 |
| March 24, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected April 23, 2024 |
| February 14, 2024 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | G Actual harm, isolated | Corrected March 14, 2024 |
| February 14, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 14, 2024 |
| February 14, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 14, 2024 |
| February 14, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 14, 2024 |
| February 14, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 14, 2024 |
| February 14, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected March 14, 2024 |
| February 14, 2024 Complaint | 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. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected March 14, 2024 |
| October 9, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | L Immediate jeopardy, widespread | Corrected November 30, 2023 |
| October 9, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 2, 2023 |
| October 9, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 2, 2023 |
| March 9, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 19, 2023 |
| March 9, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected April 19, 2023 |
| March 9, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| March 9, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected April 19, 2023 |
| March 9, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 10, 2023 |
| March 9, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 10, 2023 |
| March 9, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $207,147 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 25, 2025 | Payment Denial | 7 days from July 25, 2025 |
| June 25, 2025 | Fine | $16,149 |
| May 24, 2024 | Fine | $127,486 |
| February 14, 2024 | Fine | $12,259 |
| October 9, 2023 | Payment Denial | 22 days from November 8, 2023 |
| October 9, 2023 | Fine | $51,253 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FPACP MOUNT PLEASANT LLC Organization | 5% or greater direct ownership interest | 100% | 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| ONEY, WHITNEY Individual | adp of the snf | NOT APPLICABLE | 09/04/2020 |
| WILLARD, LORI Individual | adp of the snf | NOT APPLICABLE | 04/14/2025 |
| ZARCONE, GREGORY Individual | adp of the snf | NOT APPLICABLE | 07/19/2021 |
| CONLEY, SHAWN Individual | corporate officer | NOT APPLICABLE | 02/01/2017 |
| MCKENZIE, MARK Individual | corporate officer | NOT APPLICABLE | 07/01/2018 |
| STRUBBE, LORETTA Individual | corporate officer | NOT APPLICABLE | 07/01/2018 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2017 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| EASLEY, ADRIEANNIA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| FPACP MOUNT PLEASANT LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| ONEY, WHITNEY Individual | operational/managerial control | NOT APPLICABLE | 09/04/2020 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2018 |
| WILLARD, LORI Individual | operational/managerial control | NOT APPLICABLE | 10/09/2024 |
| ZARCONE, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 07/19/2021 |
Other nursing homes near Focused Care at Mount Pleasant
Pleasant Springs Healthcare Center
2003 North Edwards Avenue, Mount Pleasant, TX 75455 · under 1 mi
For-profit · 90 beds · Part of Creative Solutions in Healthcare
- Abuse citation
★★★★★1Much below averageGreenhill Villas
2530 Greenhill Rd, Mount Pleasant, TX 75455 · 1.4 mi
For-profit · 150 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageAvir at Pittsburg
123 Pecan Blvd., Pittsburg, TX 75686 · 9.1 mi
Government · 102 beds · Part of Avir Health Group
★★★★★5Much above averageCypress Springs Wellness & Rehabilitation
501 Yates Street, Mount Vernon, TX 75457 · 14.7 mi
For-profit · 95 beds · Part of Opco Skilled Management
★★★★★2Below averageCapstone Healthcare of Daingerfield
507 E W M Watson Blvd, Daingerfield, TX 75638 · 18 mi
For-profit · 106 beds
- Abuse citation
★★★★★1Much below averageCapstone Healthcare of Hughes Springs
215 Fm 161 Business South, Hughes Springs, TX 75656 · 22.1 mi
For-profit · 69 beds
★★★★★4Above average
All nursing homes in Mount Pleasant, TX · Compare side by side
Frequently asked questions
What is Focused Care at Mount Pleasant's rating?
Focused Care at Mount Pleasant has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Focused Care at Mount Pleasant receive?
Its most recent standard health inspection found 18 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care at Mount Pleasant accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Focused Care at Mount Pleasant?
It is for profit - limited liability company and part of Focused Post Acute Care Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Focused Care at Mount Pleasant and how do I contact it?
Focused Care at Mount Pleasant is at 1606 Memorial Ave, Mount Pleasant, TX 75455. Phone: (903) 572-3618.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.