nursing home in Hamilton, TX
Focused Care at Hamilton
1315 E State Hwy 22, Hamilton, TX 76531 · (254) 386-3171
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Focused Care at Hamilton at a glance
Focused Care at Hamilton is a 78-bed for-profit nursing home in Hamilton, Texas (Hamilton County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 30, 2025) found 0 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 41.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 78
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- April 9, 1993
- Resident/family council
- Both
- County
- Hamilton County
- CMS Certification Number
- 675140
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.77 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.27 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.49 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.23 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 41.4% | 55.3% | 45.8% | Better |
| 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) | 0 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 8 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 78 | 113 | 107 | |
| Average residents per day | 44 | 76 | 86 | |
| Occupancy | 56.8% | 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) | 3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 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) | 3.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 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) | 14.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 2.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.4% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.6% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.4% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 8 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 27, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 3, 2025 |
| September 27, 2024 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | D Potential harm, isolated | Corrected March 3, 2025 |
| September 27, 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 October 10, 2024 |
| September 27, 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 October 10, 2024 |
| December 4, 2023 Complaint · Infection control | 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 December 5, 2023 |
| July 26, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected June 22, 2024 |
| July 26, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected June 22, 2024 |
| July 26, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 22, 2024 |
| July 26, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected July 4, 2024 |
| July 26, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 22, 2024 |
| July 26, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 22, 2024 |
| July 26, 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 | F Potential harm, widespread | Corrected July 31, 2023 |
| July 26, 2023 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected July 31, 2023 |
| July 26, 2023 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 July 31, 2023 |
| July 26, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 31, 2023 |
| July 26, 2023 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 | D Potential harm, isolated | Corrected July 31, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CONLEY, SHAWN Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| ENGLISH, JON Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| ENGLISH, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 07/30/2020 |
| FOCUSED POST Organization | adp of the snf | NOT APPLICABLE | 03/10/2025 |
| FOCUSED POST ACUTE CARE PARTNERS II LLC Organization | adp of the snf | NOT APPLICABLE | 03/10/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 03/11/2025 |
| FPACP HAMILTON LLC Organization | adp of the snf | NOT APPLICABLE | 02/18/2025 |
| HAMILTON COUNTY HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 03/10/2025 |
| LEE, JAMES Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| MCKENZIE, MARK Individual | adp of the snf | NOT APPLICABLE | 04/01/2019 |
| PRATT, CARRIE Individual | adp of the snf | NOT APPLICABLE | 02/18/2025 |
| HOOPER, GRADY Individual | corporate officer | NOT APPLICABLE | 12/01/2015 |
| HAMILTON COUNTY HOSPITAL DISTRICT Organization | direct ownership interest | NOT APPLICABLE | 04/01/2019 |
| COLLETT, MICHAEL Individual | managing control - governing body | NOT APPLICABLE | 05/29/2019 |
| CRAIG, KAREN Individual | managing control - governing body | NOT APPLICABLE | 01/12/2022 |
| FORREST, WILLIAM Individual | managing control - governing body | NOT APPLICABLE | 05/20/1992 |
| MUXWORTHY, NEIL Individual | managing control - governing body | NOT APPLICABLE | 05/20/1996 |
| WITZSCHE, ROBERT Individual | managing control - governing body | NOT APPLICABLE | 12/28/1998 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| ENGLISH, JON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| ENGLISH, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 07/30/2020 |
| FOCUSED POST Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| FOCUSED POST ACUTE CARE PARTNERS II LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| FPACP HAMILTON LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| HAMILTON COUNTY HOSPITAL DISTRICT Organization | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| LEE, JAMES Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
| PRATT, CARRIE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2019 |
Other nursing homes near Focused Care at Hamilton
Pecan Creek Healthcare Center
910 E Pierson St, Hamilton, TX 76531 · under 1 mi
For-profit · 76 beds · Part of Nexion Health
★★★★★4Above averageHico Nursing and Rehabilitation
712 North Railroad Avenue, Hico, TX 76457 · 19.8 mi
For-profit · 80 beds · Part of Coryell County Memorial Hospital Authority
★★★★★2Below averageCoryell Health Rehabliving at the Meadows
110 Chicktown Rd, Gatesville, TX 76528 · 26.6 mi
Government · 106 beds
★★★★★4Above averageHillside Medical Lodge
300 S Highway 36 Byp N, Gatesville, TX 76528 · 30 mi
For-profit · 128 beds · Part of Coryell County Memorial Hospital Authority
★★★★★3Average- ★★★★★1Much below average
- ★★★★★3Average
Frequently asked questions
What is Focused Care at Hamilton's rating?
Focused Care at Hamilton has 5 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 Hamilton receive?
Its most recent standard health inspection found 0 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care at Hamilton 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 Hamilton?
It is for profit - partnership 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 Hamilton and how do I contact it?
Focused Care at Hamilton is at 1315 E State Hwy 22, Hamilton, TX 76531. Phone: (254) 386-3171.
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.