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Focused Care at Hamilton
1315 E State Hwy 22, Hamilton, TX 76531 (opens Google Maps) · Hamilton County · (254) 386-3171· 78 certified beds · avg 44 residents/day · certified since Apr 9, 1993 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: FOCUSED POST ACUTE CARE PARTNERS (25 facilities, chain avg rating 1.9★)
5/5
Health inspection rating (on-site)
inspected Sep 30, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.86
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
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. F-0812
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. F-0925
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 F-0812
View all 8 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 27, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Sep 27, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Dec 4, 2023 | F · Potential for more than minimal harm, widespread | 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 · F-0812 |
| Jul 26, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Jul 26, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0805 |
| Jul 26, 2023 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jul 26, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.86
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.30
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 54.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.77 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Focused Care at Hamilton. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 30 parties CMS has on file for this facility; 10 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Focused Post Acute Care Partners — 25 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Focused Care at Hogan Park — Midland, TX · overall 1/5
- Focused Care at Humble — Humble, TX · overall 1/5abuse
- Focused Care at Huntsville — Huntsville, TX · overall 2/5abuse
- Focused Care at Lamesa — Lamesa, TX · overall 3/5
- Focused Care at Linden — Linden, TX · overall 1/5
- Focused Care at Midland — Midland, TX · overall 2/5
- Focused Care at Mount Pleasant — Mount Pleasant, TX · overall 1/5abuse
- Focused Care at Odessa — Odessa, TX · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 675140.
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