Focused Care at Linden
A nursing home in Linden, Texas 75563
1201 W Houston St, Linden, Texas 75563. (903) 756-5537.
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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
- 3.26 nurse hours per resident per day Texas average: 3.42
- 4 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 Apr 15, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Apr 15, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
62 citations in 10 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 62 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. 21 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 6, 2026: complaint inspection1 citation
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
Jun 24, 2026: complaint inspection1 citation
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Apr 15, 2026: standard inspection9 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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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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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Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 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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Post nurse staffing information every day.
Nov 19, 2025: complaint inspection1 citation
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Jul 16, 2025: complaint inspection3 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 care and assistance to perform activities of daily living for any resident who is unable.
Apr 9, 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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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 12, 2025: standard inspection20 citations
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
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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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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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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 care and assistance to perform activities of daily living for any resident who is unable.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
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 food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Observe each nurse aide’s job performance and give regular training.
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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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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Ensure that residents are free from significant medication errors.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Provide and implement an infection prevention and control program.
Feb 12, 2025: standard and complaint inspection1 citation
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Ensure that residents are fully informed and understand their health status, care and treatments.
Oct 30, 2024: complaint inspection3 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
-
Provide and implement an infection prevention and control program.
Mar 13, 2024: complaint inspection3 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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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
Jan 10, 2024: standard inspection12 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
-
Reasonably accommodate the needs and preferences of each resident.
-
Ensure each resident receives an accurate assessment.
-
PASARR screening for Mental disorders or Intellectual Disabilities
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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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.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide safe and appropriate respiratory care for a resident when needed.
-
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
-
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.
Jan 10, 2024: standard and complaint inspection6 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
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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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 1, 1994.
- 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.
- 131 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $333,363 in all.
- No Medicare payment denials in the last three years.
- 21 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 15, 2026 | Fine | $17,796 |
| Apr 9, 2025 | Fine | $23,098 |
| Feb 12, 2025 | Fine | $113,400 |
| Mar 13, 2024 | Fine | $179,069 |
Who does the caring?
3.26 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 | 3.26 | 3.42 |
| Of which registered nurses | 0.89 | 0.44 |
| At weekends | 2.95 | 2.99 |
| Nursing staff turnover | 55.6% | 50.8% |
| Registered nurse turnover | Not given | 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 Linden 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.
- 24 owners or officers are people: Mark S Mckenzie (runs it (operational or managerial control), 100%); Shawn L Conley (runs it (operational or managerial control), 100%); Elizabeth Ann Newton (corporate officer, 100%); Loretta Strubbe (runs it (operational or managerial control), 100%); Mary A Abernathy (on the governing body (managing control)); Edward T Okelley (runs it (operational or managerial control)); Edward T Okelley (additional disclosable party (controls, leases property to, or provides services to the home)); Kimberly Cooper (corporate director); 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)); Shawn L Conley (additional disclosable party (controls, leases property to, or provides services to the home)); Kelci Alyse Kennedy (runs it (operational or managerial control)); Kelci Alyse Kennedy (additional disclosable party (controls, leases property to, or provides services to the home)); Leslie E Turner (on the governing body (managing control)); Sheila Michele Beasley (runs it (operational or managerial control)); Sheila Michele Beasley (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Ann Newton (runs it (operational or managerial control)); Elizabeth Ann Newton (on the governing body (managing control)); Loretta Strubbe (additional disclosable party (controls, leases property to, or provides services to the home)); Jacqueline S Phillips (runs it (operational or managerial control)); Jacqueline S Phillips (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen A Legg (on the governing body (managing control)); 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 Linden 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 | |
| Fpacp Linden LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 12, 2025 | |
| 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 12, 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 12, 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 | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 35.3 miles, this one had the 5th most health citations at the latest inspection cycle (12; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Linden This nursing home | 12 | |
| Golden Villa | 13.8 | 17 |
| Rose Haven Retreat | 13.9 | 6 |
| Avir at Jefferson | 16.5 | 16 |
| Capstone Healthcare of Daingerfield | 19.6 | 10 |
| Capstone Healthcare of Hughes Springs | 19.8 | 8 |
| Vivian Healthcare Center | 24.9 | 3 |
| Marshall Manor Nursing & Rehabilitation Center | 32.8 | 9 |
| Marshall Manor West | 32.9 | 14 |
| Avir at Citizens Trail | 33.6 | 26 |
| The Springs of Texarkana | 34.9 | 2 |
| Heritage House of Marshall Health & Rehabilitation | 35.3 | 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
-
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).
-
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.