Focused Care at Clarksville
A nursing home in Clarksville, Texas 75426
2407 West Main St., Clarksville, Texas 75426. (903) 427-3821.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 6 health citations at the latest inspection cycle Texas average: 9.6
- 2.71 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Feb 25, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Oct 5, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
14 citations in 5 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 14 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 3 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 25, 2026: standard inspection6 citations
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
May 21, 2025: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Dec 4, 2024: standard inspection5 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nov 21, 2024: complaint inspection1 citation
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Protect each resident from the wrongful use of the resident’s belongings or money.
Oct 5, 2024: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 12, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $5,211 in all.
- No Medicare payment denials in the last three years.
- 3 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 5, 2024 | Fine | $5,211 |
Who does the caring?
2.71 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 2.71 | 3.42 |
| Of which registered nurses | 0.49 | 0.44 |
| At weekends | 2.39 | 2.99 |
| Nursing staff turnover | 34.8% | 50.8% |
| Registered nurse turnover | 16.7% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Chambers County Public Hospital District No. 1 owns 100% directly since May 1, 2021; Chambers County Public Hospital District No. 1 owns 100% directly since May 1, 2021.
- Fpacp Clarksville LLC and Chambers County Public Hospital District No. 1 and Focused Post Acute CARE Partners Management, LLC and Focused Post Acute CARE Partners LLC run it.
- 23 owners or officers are people: Mark S Mckenzie (runs it (operational or managerial control), 100%); Mary A Abernathy (on the governing body (managing control)); Kimberly Cooper (corporate officer, 0%); Kimberly Cooper (runs it (operational or managerial control)); Mark S Mckenzie (on the governing body (managing control)); Mark S Mckenzie (additional disclosable party (controls, leases property to, or provides services to the home)); Deepak Bacharanianda Muthappa (runs it (operational or managerial control)); Deepak Bacharanianda Muthappa (additional disclosable party (controls, leases property to, or provides services to the home)); Shawn L Conley (runs it (operational or managerial control)); Shawn L Conley (additional disclosable party (controls, leases property to, or provides services to the home)); Leslie E Turner (on the governing body (managing control)); Melisa Weiselogel (runs it (operational or managerial control)); Melisa Weiselogel (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Ann Newton (runs it (operational or managerial control)); Loretta Strubbe (runs it (operational or managerial control)); Loretta Strubbe (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Annette Castle (runs it (operational or managerial control)); Lisa Annette Castle (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen A Legg (on the governing body (managing control)); Ruth A Brown (runs it (operational or managerial control)); Ruth A Brown (additional disclosable party (controls, leases property to, or provides services to the home)); Eric Humphrey (on the governing body (managing control)); Linda F Tinnerman (on the governing body (managing control)).
- Part of Focused Post Acute CARE Partners (25 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Chambers County Public Hospital District No. 1 | Owns 5% or more directly | 100% | May 1, 2021 |
| Chambers County Public Hospital District No. 1 | Owns a share directly | 100% | May 1, 2021 |
| Fpacp Clarksville LLC | Runs it (operational or managerial control) | 100% | May 1, 2021 |
| Chambers County Public Hospital District No. 1 | Runs it (operational or managerial control) | May 1, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2021 | |
| Focused Post Acute CARE Partners Management, LLC | Runs it (operational or managerial control) | May 1, 2021 | |
| Focused Post Acute CARE Partners Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 11, 2025 | |
| Fpacp Clarksville LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 11, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2021 | |
| Focused Post Acute CARE Partners LLC | Runs it (operational or managerial control) | May 1, 2021 | |
| Focused Post Acute CARE Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 11, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 31.1 miles, this one had the 11th most health citations at the latest inspection cycle (6; the middle value was 13).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Clarksville This nursing home | 6 | |
| Clarksville Nursing Center | 2.0 | 14 |
| Heritage House at Paris Rehab & Nursing | 24.3 | 12 |
| Hill Nursing Home, Inc. | 24.4 | 10 |
| Memorial Heights Nursing Center | 24.7 | 8 |
| Legend Healthcare and Rehabilitation - Paris | 27.2 | 14 |
| Stillhouse Rehabilitation and Healthcare Center | 27.2 | 16 |
| Brentwood Terrace Healthcare and Rehabilitation | 27.5 | 10 |
| Avir at Paris | 27.8 | 4 |
| Greenhill Villas | 29.7 | 23 |
| Cypress Springs Wellness & Rehabilitation | 30.8 | 26 |
| Focused Care at Mount Pleasant | 31.1 | 17 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.