Focused Care at Westwood
8702 Course Drive, Houston, TX 77099 · Harris County · 125 certified beds · avg 99 residents/day · certified since Nov 1, 2006
Part of chain: FOCUSED POST ACUTE CARE PARTNERS (25 facilities, chain avg rating 1.9★)
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.11
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 1, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 1, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (27)
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 |
|---|---|---|
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Nov 6, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Nov 6, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 14, 2025 | 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. |
| Mar 14, 2025 | E · Potential for harm, repeated | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Mar 14, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Mar 7, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 11, 2024 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Jan 26, 2024 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 26, 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. |
| Jan 26, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Dec 1, 2022 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 1, 2022 | 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. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 1, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 1 | G ▲ |
| 2024 | 5 | 0 | E |
| 2025 | 13 | 0 | F |
| 2026 | 1 | 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) | 3.11 | 3.46 | 3.95 | bottom 31% in Texas; bottom 18% in the U.S. |
| Registered Nurse hours | 0.22 | 0.44 | 0.69 | bottom 11% in Texas; bottom 3% in the U.S. |
| Weekend total nurse staffing | 2.72 | 3.04 | 3.50 | bottom 31% in Texas; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.34 | 0.48 | bottom 13% in Texas; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 55.3 | 45.8 | top 18% in Texas; top 34% in the U.S. |
| RN turnover (%) | 28.6 | 54.6 | 42.9 | top 15% in Texas; top 26% in the U.S. |
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 3.08, RN 0.22, weekend 2.69. 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 |
|---|---|---|---|---|
| Fpacp Houston LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/20/2019 |
| Bailey, Keisha | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/09/2024 |
| Bailey, Keisha | Individual | ADP of the SNF | NOT APPLICABLE | 09/09/2024 |
| Carson, Sabrina | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/23/2022 |
| Conley, Shawn | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2019 |
| Conley, Shawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Focused Post Acute Care Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Focused Post Acute Care Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/11/2025 |
| Focused Post Acute Care Partners Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Focused Post Acute Care Partners Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Fpacp Houston LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| McKenzie, Mark | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2019 |
| McKenzie, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Ngo, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
| Ngo, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2019 |
| Robinson-Cobbin, Robbie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/11/2024 |
| Robinson-Cobbin, Robbie | Individual | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Strubbe, Loretta | Individual | Corporate Officer | NOT APPLICABLE | 03/07/2019 |
| Strubbe, Loretta | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2019 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 |
|---|---|---|---|---|---|
| Houston Transitional Care | 2.2 mi | Houston, TX | ★★★☆☆ | 4/5 | |
| The Lev at Town Park | 2.5 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Focused Care at Beechnut | 2.6 mi | Houston, TX | ★★☆☆☆ | 1/5 | |
| West Houston Rehabilitation and Healthcare Center | 3.2 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Clarewood House Extended Care Center | 3.5 mi | Houston, TX | ★★★★★ | 5/5 | |
| Sharpview Residence and Rehabilitation Center | 3.5 mi | Houston, TX | ★☆☆☆☆ | 2/5 | |
| Seven Acres Jewish Senior Care Services | 3.9 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Treemont Health Care Center | 4.5 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Ffiii Houston SNF Tenant LLC | 5.0 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Woodway Nursing & Rehab | 5.1 mi | Houston, TX | —/5 | SFF | |
| Avir at Houston | 5.5 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Continuing Care at Eagles Trace | 5.5 mi | Houston, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676116.