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Nursing homeFAID #13982

Focused Care At Hamilton

1315 E STATE HWY 22, HAMILTON, TX, 76531
(254) 386-3171
78 licensed beds

CMS rates Focused Care At Hamilton 5 out of 5 overall. Federal inspectors issued 18 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
78
CMS facility ID
675140
Care type
Nursing home
County
Hamilton
Facility name
Focused Care At Hamilton
Street address
1315 E STATE HWY 22
City / state / ZIP
Hamilton, TX 76531
Phone
(254) 386-3171

About this facility — Focused Care At Hamilton

Focused Care At Hamilton is a Medicare/Medicaid-certified skilled nursing facility in Hamilton, Texas. It is licensed for 78 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 5 senior care facilities in Hamilton and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Focused Post Acute Care Partners, a group of 25 facilities on this site.

Federal inspectors have cited Focused Care At Hamilton 18 times across 10 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Focused Post Acute Care Partners
Ownership type
For profit - Partnership

Registered owners & officers

Collett, Michael
Governing body — since 2019
Conley, Shawn
Operational control · Additional disclosable party — since 2019
Craig, Karen
Governing body — since 2022
English, Jon
Operational control · Additional disclosable party — since 2019
English, Tiffany
Operational control · Additional disclosable party — since 2020
Focused Post
Operational control · Additional disclosable party — since 2019
Focused Post Acute Care Partners Ii Llc
Operational control · Additional disclosable party — since 2019
Focused Post Acute Care Partners Management, Llc
Operational control · Additional disclosable party — since 2019
Forrest, William
Governing body — since 1992
Fpacp Hamilton Llc
Operational control · Additional disclosable party — since 2019
Hamilton County Hospital District
Direct owner · Operational control · Additional disclosable party — since 2019
Hooper, Grady
Officer — since 2015
Lee, James
Operational control · Additional disclosable party — since 2019
Mckenzie, Mark
Operational control · Additional disclosable party — since 2019
Muxworthy, Neil
Governing body — since 1996
Pratt, Carrie
Operational control · Additional disclosable party — since 2017
Strubbe, Loretta
Operational control — since 2019
Witzsche, Robert
Governing body — since 1998

Regulatory standing

Licensed / certified since
1993-04-09
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-30
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$275 per day (≈ $8,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 4% Medicare · 32% private/other
Occupancy
53% (fiscal year 2023)
Vs. state median
1% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
78
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-06Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-08-18
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-08-18
2024-09-27Health inspection2 citations
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-10
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-10-10
4 earlier / fire-safety inspections (14 citations)
2023-12-04Health inspectionComplaint-triggeredInfection control1 citation
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-05
2023-07-26Health inspection5 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-07-31
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2023-07-31
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-07-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-31
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-07-31
2024-09-27Fire-safety inspection2 citations
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-03
K-0929
D · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-03-03
2023-07-26Fire-safety inspection6 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-06-22
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-06-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-22
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-04
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-22
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675140.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
18
More than 11% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.7
Among the lowest of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
51%
Higher than 53% of nursing homes in the state
State median: 50%

Resident outcomes

On 16 federal quality measures, this facility does better than the Texas average on 10 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased3.4%15.8%13.5%Better than state
Lose too much weight0.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.6%0.8%1.5%Better than state
Have depressive symptoms0.6%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.7%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened5.5%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication17.2%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers3.4%3.7%4.5%Near state average
With new or worsened bowel or bladder incontinence3.9%12.5%18.3%Better than state
Received an antipsychotic medication4.7%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine97.6%88.7%82.3%Better than state
Newly received an antipsychotic medication2.5%1.4%1.5%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0925 2 inspections. Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • K-0918 2 inspections. Have generator or other power source capable of supplying service within 10 seconds.

What its owners also hold

  • Hamilton County Hospital District has an ownership stake on file at 7 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Hamilton General Hospital, about 0.6 miles.
  • Coryell Memorial Hospital, about 27 miles.
  • Comanche County Medical Center, about 33 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 18 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered