Focused Care at Mount Pleasant
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2024-05-24 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-05-24 — IMMEDIATE JEOPARDY (tag F0583, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Keep residents' personal and medical records private and confidential.
2024-02-14 — ACTUAL HARM (tag F0757, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure each resident’s drug regimen must be free from unnecessary drugs.
2023-10-09 — IMMEDIATE JEOPARDY (tag F0880, severity L)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
Staffing, from payroll records
Nursing hours / resident / day
2.59
state median 2.67
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.29
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
48%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $207,147 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-25 | Fine | $16,149 |
| 2025-06-25 | Payment Denial | payment denial |
| 2024-05-24 | Fine | $127,486 |
| 2024-02-14 | Fine | $12,259 |
| 2023-10-09 | Fine | $51,253 |
| 2023-10-09 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the FOCUSED POST ACUTE CARE PARTNERS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Focused Care of Waxahachie (Waxahachie, TX) —
- FOCUSED CARE AT LAMESA (LAMESA, TX) —
- FOCUSED CARE AT CLARKSVILLE (CLARKSVILLE, TX) —
- Focused Care at Beechnut (Houston, TX) —
- Focused Care at Allenbrook (Baytown, TX) —
- Focused Care at Sherman (Sherman, TX) —
- FOCUSED CARE AT HUMBLE (HUMBLE, TX) —
- FOCUSED CARE AT HAMILTON (HAMILTON, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-20 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-05-20 | F0921 | Environmental Deficiencies | D | not recorded |
| 2026-01-13 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-11-26 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-26 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-26 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-11-26 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-11-26 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-26 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-08 | F0925 | Environmental Deficiencies | E | not recorded |
| 2025-07-02 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-02 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-07-02 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-02 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-07-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-02 | F0908 | Environmental Deficiencies | F | not recorded |
| 2025-07-02 | F0926 | Environmental Deficiencies | D | not recorded |
| 2025-04-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-13 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-12-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-24 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-24 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-24 | F0573 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-24 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-24 | F0583 | Resident Rights Deficiencies | J | not recorded |
| 2024-05-24 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-24 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-24 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-24 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-24 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-24 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-24 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-24 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-24 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-24 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-24 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-05-24 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-24 | F0847 | Administration Deficiencies | D | not recorded |
| 2024-05-24 | F0849 | Administration Deficiencies | D | not recorded |
| 2024-05-24 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-05-24 | F0881 | Infection Control Deficiencies | E | not recorded |
| 2024-05-24 | F0925 | Environmental Deficiencies | E | not recorded |
| 2024-03-24 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-14 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-14 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-14 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-14 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-14 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-14 | F0757 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-02-14 | F0840 | Administration Deficiencies | D | not recorded |
| 2023-10-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-09 | F0880 | Infection Control Deficiencies | L | not recorded |
| 2023-03-09 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2023-03-09 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-09 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-03-09 | F0636 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-03-09 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-03-09 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-03-09 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-03-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-09 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-03-09 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-03-09 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-03-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-03-09 | F0813 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-03-09 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-09 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-03-09 | F0883 | Infection Control Deficiencies | D | not recorded |