Focused Care at Hamilton
1315 E State Hwy 22, Hamilton, TX 76531 · Hamilton County · 78 certified beds · avg 44 residents/day · certified since Apr 9, 1993
Part of chain: FOCUSED POST ACUTE CARE PARTNERS (25 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Dec 4, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 26, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | F |
| 2024 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.86 | 3.46 | 3.95 | bottom 15% in Texas; bottom 10% in the U.S. |
| Registered Nurse hours | 0.28 | 0.44 | 0.69 | bottom 24% in Texas; bottom 8% in the U.S. |
| Weekend total nurse staffing | 2.30 | 3.04 | 3.50 | bottom 7% in Texas; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 38% in Texas; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 55.3 | 45.8 | top 24% in Texas; top 40% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.77, RN 0.27, weekend 2.23. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| Conley, Shawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Conley, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Craig, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/12/2022 |
| English, Jon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| English, Jon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| English, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/30/2020 |
| English, Tiffany | Individual | ADP of the SNF | NOT APPLICABLE | 07/30/2020 |
| Focused Post | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Focused Post | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Focused Post Acute Care Partners II LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| 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 | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Focused Post Acute Care Partners Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/11/2025 |
| Forrest, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/20/1992 |
| Fpacp Hamilton LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Fpacp Hamilton LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/18/2025 |
| Hamilton County Hospital District | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Hamilton County Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pecan Creek Healthcare Center | 0.6 mi | Hamilton, TX | ★★★★☆ | 4/5 | |
| Hico Nursing and Rehabilitation | 19.8 mi | Hico, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675140.