Focused Care at Sherman
A nursing home in Sherman, Texas 75090
817 W Center, Sherman, Texas 75090. (903) 893-6348.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Texas average: 9.6
- 3.23 nurse hours per resident per day Texas average: 3.42
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
12 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jul 28, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 9, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
47 citations in 7 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (K). 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 47 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. 33 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 28, 2026: standard inspection6 citations
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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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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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Provide and implement an infection prevention and control program.
Jul 23, 2026: complaint inspection2 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Jul 9, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 31, 2026: complaint inspection2 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Provide bedrooms that don’t allow residents to see each other when privacy is needed.
Jan 13, 2026: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 9, 2025: standard and complaint inspection12 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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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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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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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 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 there is a pest control program to prevent/deal with mice, insects, or other pests.
Mar 13, 2025: complaint inspection2 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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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Feb 17, 2025: complaint inspection2 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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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.
Jun 25, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 5, 2024: standard inspection8 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Provide activities to meet all resident’s needs.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure medication error rates are not 5 percent or greater.
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Provide routine and 24-hour emergency dental care for each resident.
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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 5, 2024: standard and complaint inspection10 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Reasonably accommodate the needs and preferences of each resident.
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 12, 1992.
- 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.
- 116 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $120,309 in all.
- No Medicare payment denials in the last three years.
- 33 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 9, 2026 | Fine | $27,378 |
| Mar 13, 2025 | Fine | $10,361 |
| Apr 5, 2024 | Fine | $82,570 |
Who does the caring?
3.23 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 | 3.23 | 3.42 |
| Of which registered nurses | 0.22 | 0.44 |
| At weekends | 2.81 | 2.99 |
| Nursing staff turnover | 70.1% | 50.8% |
| Registered nurse turnover | 88.9% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Fpacp Sherman LLC owns 100% directly since Feb 1, 2017; Focused Post Acute CARE Partners LLC owns 100% directly since Dec 20, 2016.
- Focused Post Acute CARE Partners Management, LLC and Focused Post Acute CARE Partners LLC and Fpacp Sherman LLC run it.
- 16 owners or officers are people: Mark S Mckenzie (corporate officer, 100%); Mark S Mckenzie (runs it (operational or managerial control), 100%); Shawn L Conley (corporate officer, 100%); Mark S Mckenzie (owns 5% or more through other companies, 70%); Shawn L Conley (owns 5% or more through other companies, 15%); Loretta Strubbe (owns 5% or more through other companies, 15%); Loretta Strubbe (corporate officer, 10%); Nathan A Watson (runs it (operational or managerial control)); Nathan A Watson (additional disclosable party (controls, leases property to, or provides services to the home)); Ashley Breann Roberson (runs it (operational or managerial control)); Benjamin Joel Reeder (runs it (operational or managerial control)); Benjamin Joel Reeder (additional disclosable party (controls, leases property to, or provides services to the home)); Shawn L Conley (runs it (operational or managerial control), 0%); Loretta Strubbe (runs it (operational or managerial control), 0%); Larry Ballou (runs it (operational or managerial control)); Larry Ballou (additional disclosable party (controls, leases property to, or provides services to the home)).
- 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 |
|---|---|---|---|
| Fpacp Sherman LLC | Owns 5% or more directly | 100% | Feb 1, 2017 |
| Focused Post Acute CARE Partners Management, LLC | Runs it (operational or managerial control) | 100% | Feb 1, 2017 |
| Focused Post Acute CARE Partners LLC | Owns 5% or more directly | 100% | Dec 20, 2016 |
| Focused Post Acute CARE Partners LLC | Runs it (operational or managerial control) | 100% | Feb 1, 2017 |
| Fpacp Sherman LLC | Runs it (operational or managerial control) | Feb 1, 2017 | |
| Focused Post Acute CARE Partners Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2017 | |
| Focused Post Acute CARE Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 14, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 15.8 miles, this one had the 7th most health citations at the latest inspection cycle (12; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Sherman This nursing home | 12 | |
| Texoma Healthcare Center | 2.9 | 22 |
| Cedar Hollow Rehabilitation Center | 3.1 | 11 |
| Avir at Sherman | 3.5 | 26 |
| Beacon Hill | 7.1 | 10 |
| Denison Nursing and Rehab | 9.0 | 13 |
| Woodlands Place Rehabilitation Suites | 9.1 | 12 |
| Avir at Memorial | 10.4 | 15 |
| The Homestead of Denison | 10.7 | 7 |
| Meadowbrook Care Center | 14.3 | 13 |
| Mullican Care Center | 14.6 | 13 |
| Whitesboro Health and Rehabilitation Center | 15.8 | 8 |
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.