Focused Care at Mount Pleasant

1606 Memorial Ave, Mount Pleasant, TX 75455

Phone: 9035723618

CMS ratings and facility information

Focused Care at Mount Pleasant is a Medicare-certified nursing facility in Mount Pleasant, Titus County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measures rating4 of 5
Certified beds122
OwnershipFor profit - Limited Liability company
CMS certification number455900

Staffing

Total nurse hours per resident day3.16
RN hours per resident day0.38
Nurse aide hours per resident day2.13
Total nursing staff turnover percent48.4
RN turnover percent61.5

Resident outcome measures

MeasureValueUnitPeriod
HospitalizationsNot availableevents_per_1000_resident_days20250101-20251231
Emergency-department visitsNot availableevents_per_1000_resident_days20250101-20251231
Falls with major injury2.3percent2025Q2-2026Q1
Pressure ulcers3.25percent2025Q2-2026Q1
Urinary tract infections0.39percent2025Q2-2026Q1
Antipsychotic medication use8.93percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-07-020812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-07-020908Keep all essential equipment working safely.F
2025-07-020804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-07-020584Honor 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.D
2025-07-020695Provide safe and appropriate respiratory care for a resident when needed.D
2025-07-020726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2025-07-020880Provide and implement an infection prevention and control program.D
2025-07-020926Have policies on smoking.D
2024-05-240583Keep residents' personal and medical records private and confidential.J
2024-05-240678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2024-05-240552Ensure that residents are fully informed and understand their health status, care and treatments.E
2024-05-240657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2024-05-240759Ensure medication error rates are not 5 percent or greater.E
2024-05-240802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E
2024-05-240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-240880Provide and implement an infection prevention and control program.E
2024-05-240881Implement a program that monitors antibiotic use.E
2024-05-240925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2024-05-240550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-05-240573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2024-05-240578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D
2024-05-240584Honor 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.D
2024-05-240688Provide 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.D
2024-05-240690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-05-240695Provide safe and appropriate respiratory care for a resident when needed.D
2024-05-240698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2024-05-240699Provide care or services that was trauma informed and/or culturally competent.D
2024-05-240760Ensure that residents are free from significant medication errors.D
2024-05-240803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D
2024-05-240847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2024-05-240849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2023-03-090550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2023-03-090610Respond appropriately to all alleged violations.E
2023-03-090636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E
2023-03-090656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-03-090677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-03-090688Provide 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.E
2023-03-090804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-03-090812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-03-090813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2023-03-090880Provide and implement an infection prevention and control program.E
2023-03-090552Ensure that residents are fully informed and understand their health status, care and treatments.D
2023-03-090582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D
2023-03-090584Honor 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.D
2023-03-090585Honor 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.D
2023-03-090641Ensure each resident receives an accurate assessment.D
2023-03-090655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2023-03-090676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D
2023-03-090689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-03-090695Provide safe and appropriate respiratory care for a resident when needed.D
2023-03-090697Provide safe, appropriate pain management for a resident who requires such services.D
2023-03-090698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2023-03-090759Ensure medication error rates are not 5 percent or greater.D
2023-03-090761Ensure 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.D
2023-03-090808Ensure 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.D
2023-03-090842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-03-090883Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Penalties

DateTypeAmount
2025-06-25Fine,149
2025-06-25Fine,149
2025-06-25Payment Denial
2024-05-24Fine7,486
2024-02-14Fine,259
2023-10-09Fine,253
2023-10-09Payment Denial

Ownership records

NameTypeRole
FPACP MOUNT PLEASANT LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationDIRECT OWNERSHIP INTEREST
CONLEY, SHAWNIndividualCORPORATE OFFICER
MCKENZIE, MARKIndividualCORPORATE OFFICER
STRUBBE, LORETTAIndividualCORPORATE OFFICER
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FPACP MOUNT PLEASANT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
CONLEY, SHAWNIndividualOPERATIONAL/MANAGERIAL CONTROL
EASLEY, ADRIEANNIAIndividualOPERATIONAL/MANAGERIAL CONTROL
MCKENZIE, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL
ONEY, WHITNEYIndividualOPERATIONAL/MANAGERIAL CONTROL
STRUBBE, LORETTAIndividualOPERATIONAL/MANAGERIAL CONTROL
WILLARD, LORIIndividualOPERATIONAL/MANAGERIAL CONTROL
ZARCONE, GREGORYIndividualOPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationADP OF THE SNF
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganizationADP OF THE SNF
ONEY, WHITNEYIndividualADP OF THE SNF
WILLARD, LORIIndividualADP OF THE SNF
ZARCONE, GREGORYIndividualADP OF THE SNF

Compare nursing homes in Titus County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.