Focused Care at Midland
A nursing home in Midland, Texas 79705
2000 N Main St, Midland, Texas 79705. (432) 686-1898.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 27 health citations at the latest inspection cycle Texas average: 9.6
- 2.94 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 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?
27 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 13, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on May 6, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
56 citations in 12 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). 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 56 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. 27 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 13, 2026: standard inspection21 citations
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Reasonably accommodate the needs and preferences of each resident.
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Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
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Keep residents’ personal and medical records private and confidential.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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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.
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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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Provide safe and appropriate respiratory care for a resident when needed.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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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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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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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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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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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.
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Have policies on smoking.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Jun 11, 2026: complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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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.
Apr 23, 2026: complaint inspection2 citations
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Keep residents’ personal and medical records private and confidential.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Dec 12, 2025: complaint inspection1 citation
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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.
Aug 2, 2025: complaint inspection4 citations
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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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 that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Dispose of garbage and refuse properly.
Jun 19, 2025: standard and complaint inspection4 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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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 6, 2025: complaint inspection3 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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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
Sep 25, 2024: complaint inspection4 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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.
Aug 29, 2024: complaint inspection3 citations
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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 safe, appropriate dialysis care/services for a resident who requires such services.
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Provide and implement an infection prevention and control program.
Jul 15, 2024: complaint inspection1 citation
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Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Apr 11, 2024: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
-
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Feb 11, 2024: complaint inspection2 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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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 18, 2003.
- 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, limited liability company.
- 106 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $9,281 in all.
- No Medicare payment denials in the last three years.
- 27 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 6, 2025 | Fine | $9,281 |
Who does the caring?
2.94 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 | 2.94 | 3.42 |
| Of which registered nurses | 0.43 | 0.44 |
| At weekends | 2.60 | 2.99 |
| Nursing staff turnover | 50.8% | 50.8% |
| Registered nurse turnover | 28.6% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Midland County Hospital District owns 100% directly since Apr 1, 2017.
- Fpacp Midland and Midland County Hospital District and Focused Post Acute CARE Partners Management, LLC and Focused Post Acute CARE Partners II LLC and Focused Post and Focused Post Acute CARE Partners LLC run it.
- 18 owners or officers are people: Loretta Strubbe (runs it (operational or managerial control), 100%); Cari Chaplin (on the governing body (managing control)); Kimberlee J Hughett (runs it (operational or managerial control)); Kimberlee J Hughett (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 (on the governing body (managing control)); Mark S Mckenzie (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen Bowerman (runs it (operational or managerial control)); Stephen Bowerman (on the governing body (managing control)); David Grimes (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)); Loretta Strubbe (additional disclosable party (controls, leases property to, or provides services to the home)); Tracie Greene (on the governing body (managing control)); Thomas S Flores (on the governing body (managing control)); Shannon M Goldapp (on the governing body (managing control)); Samantha Milstead (runs it (operational or managerial control)); Samantha Milstead (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 Midland | Runs it (operational or managerial control) | 100% | Nov 1, 2017 |
| Midland County Hospital District | Owns 5% or more directly | 100% | Apr 1, 2017 |
| Midland County Hospital District | Runs it (operational or managerial control) | 100% | Apr 1, 2017 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2017 | |
| Focused Post Acute CARE Partners Management, LLC | Runs it (operational or managerial control) | Nov 1, 2017 | |
| Focused Post Acute CARE Partners Management, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 24, 2025 | |
| Focused Post Acute CARE Partners II LLC | Runs it (operational or managerial control) | Nov 1, 2017 | |
| Focused Post Acute CARE Partners II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 22, 2025 | |
| Fpacp Midland | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2017 | |
| Focused Post | Runs it (operational or managerial control) | Nov 1, 2017 | |
| Focused Post | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 1, 2017 | |
| Focused Post Acute CARE Partners LLC | Runs it (operational or managerial control) | Nov 1, 2017 |
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 34.8 miles, this one had the 1st most health citations at the latest inspection cycle (27; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Focused Care at Midland This nursing home | 27 | |
| Focused Care at Hogan Park | 1.0 | 13 |
| Midland Medical Lodge | 3.6 | 6 |
| Mabee Health Care Center | 4.3 | 7 |
| Ashton Medical Lodge | 5.0 | 5 |
| Parks Health Center | 14.4 | 7 |
| Deerings Nursing and Rehabilitation | 17.1 | 7 |
| Madison Medical Resort | 17.3 | 4 |
| Buena Vida Nursing & Rehab Odessa | 18.2 | 7 |
| Focused Care at Odessa | 22.1 | 10 |
| Sienna Nursing and Rehabilitation | 22.4 | 16 |
| Permian Residential Care Center | 34.8 | 4 |
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.