Focused Care at Hamilton
A nursing home in Hamilton, Texas 76531
1315 E State Hwy 22, Hamilton, Texas 76531. (254) 386-3171.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 2 health citations at the latest inspection cycle Texas average: 9.6
- 2.66 nurse hours per resident per day Texas average: 3.42
- 0 fines in the last three years
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?
2 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Sep 30, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
5 citations in 3 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (F). 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 5 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.
Aug 6, 2026: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
Sep 27, 2024: standard inspection2 citations
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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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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Dec 4, 2023: complaint inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 9, 1993.
- 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, partnership.
- 78 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- 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.
Who does the caring?
2.66 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 | 2.66 | 3.42 |
| Of which registered nurses | 0.29 | 0.44 |
| At weekends | 2.27 | 2.99 |
| Nursing staff turnover | 51.3% | 50.8% |
| Registered nurse turnover | Not given | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Hamilton County Hospital District owns 100% directly since Apr 1, 2019; Hamilton County Hospital District owns 100% directly since Apr 1, 2019.
- Focused Post Acute CARE Partners Management, LLC and Hamilton County Hospital District and Focused Post Acute CARE Partners II LLC and Focused Post and Fpacp Hamilton LLC run it.
- 19 owners or officers are people: Grady Hooper (corporate officer, 100%); Tiffany English (runs it (operational or managerial control)); Tiffany English (additional disclosable party (controls, leases property to, or provides services to the home)); William Forrest (on the governing body (managing control)); Jon Thomas English (runs it (operational or managerial control)); Jon Thomas English (additional disclosable party (controls, leases property to, or provides services to the home)); Mark S Mckenzie (runs it (operational or managerial control)); Mark S Mckenzie (additional disclosable party (controls, leases property to, or provides services to the home)); James Randall Lee (runs it (operational or managerial control)); James Randall Lee (additional disclosable party (controls, leases property to, or provides services to the home)); Neil Muxworthy (on the governing body (managing control)); 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)); Robert Witzsche (on the governing body (managing control)); Loretta Strubbe (runs it (operational or managerial control)); Michael Collett (on the governing body (managing control)); Carrie Pratt (runs it (operational or managerial control)); Carrie Pratt (additional disclosable party (controls, leases property to, or provides services to the home)); Karen Craig (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 |
|---|---|---|---|
| Hamilton County Hospital District | Owns 5% or more directly | 100% | Apr 1, 2019 |
| Hamilton County Hospital District | Owns a share directly | 100% | Apr 1, 2019 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2017 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2019 | |
| Focused Post Acute CARE Partners Management, LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Focused Post Acute CARE Partners Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 11, 2025 | |
| Hamilton County Hospital District | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Hamilton County Hospital District | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 | |
| Focused Post Acute CARE Partners II LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Focused Post Acute CARE Partners II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2018 | |
| Focused Post | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Focused Post | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 | |
| Fpacp Hamilton LLC | Runs it (operational or managerial control) | Apr 1, 2019 | |
| Fpacp Hamilton LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 18, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 33.8 miles, this one had the 10th most health citations at the latest inspection cycle (2; the middle value was 4.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Hamilton This nursing home | 2 | |
| Pecan Creek Healthcare Center | 0.6 | 8 |
| Hico Nursing and Rehabilitation | 19.8 | 0 |
| Coryell Health Rehabliving at the Meadows | 26.6 | 4 |
| Hillside Medical Lodge | 30.0 | 8 |
| The Hilltop on Main | 30.5 | 6 |
| Sunset Home | 30.8 | 3 |
| Willow Park Rehabilitation Health Care Center | 31.0 | 14 |
| Avir at Hillview | 32.0 | 0 |
| Goldthwaite Health & Rehab Center | 32.4 | 7 |
| Western Hills Healthcare Residence | 33.2 | 4 |
| Legacy Estate Long Term Care | 33.8 | 5 |
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
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Paid listing
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