Focused Care of Waxahachie
1413 W Main St, Waxahachie, TX 75165
Phone: 9729372298
CMS ratings and facility information
Focused Care of Waxahachie is a Medicare-certified nursing facility in Waxahachie, Ellis 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 rating | 1 of 5 stars |
|---|---|
| Health inspection rating | 2 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 152 |
| Ownership | Government - Hospital district |
| CMS certification number | 455591 |
Staffing
| Total nurse hours per resident day | 2.68 |
|---|---|
| RN hours per resident day | 0.27 |
| Nurse aide hours per resident day | 1.38 |
| Total nursing staff turnover percent | 58.9 |
| RN turnover percent | 40 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.79 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 2.05 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 4.53 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 3.11 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 1.27 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 4.13 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-04-28 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2026-04-28 | 0583 | Keep residents' personal and medical records private and confidential. | E |
| 2026-04-28 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-28 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-02-12 | 0679 | Provide activities to meet all resident's needs. | E |
| 2025-02-12 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-02-12 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-02-12 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-02-12 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-12-21 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-12-21 | 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-12-21 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-12-21 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2023-12-21 | 0760 | Ensure that residents are free from significant medication errors. | D |
| 2023-12-21 | 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-12-21 | 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2026-03-02 | Fine | ,428 |
| 2024-03-27 | Fine | ,161 |
Ownership records
| Name | Type | Role |
|---|---|---|
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | DIRECT OWNERSHIP INTEREST |
| FPACP ELLIS LLC | Organization | DIRECT OWNERSHIP INTEREST |
| CONLEY, SHAWN | Individual | CORPORATE OFFICER |
| MCKENZIE, MARK | Individual | CORPORATE OFFICER |
| STRUBBE, LORETTA | Individual | CORPORATE OFFICER |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| FPACP ELLIS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| ANDERSON, DANTRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CONLEY, SHAWN | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| LEEK, DUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| MCKENZIE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| STRUBBE, LORETTA | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| WHITE, KASEY | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| FOCUSED POST ACUTE CARE PARTNERS LLC | Organization | ADP OF THE SNF |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | Organization | ADP OF THE SNF |
| ANDERSON, DANTRELL | Individual | ADP OF THE SNF |
| LEEK, DUSTIN | Individual | ADP OF THE SNF |
| WHITE, KASEY | Individual | ADP OF THE SNF |
Compare nursing homes in Ellis 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.