Focused Care of Waxahachie: Data Analysis and Ratings

(CMS 5-Star Rating: )

  CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.

1413 W MAIN ST, WAXAHACHIE, TX 75165 (972-937-2298)

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   The Most Important Data about Focused Care of Waxahachie

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.

CMS 5-Star Overall Rating: (1 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Worsening

Total Nursing Hours Spent Per Resident Per Day: 3.58
(The national average is 3.78 )

The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 19.30% .

Best Nursing Homes in TX

According to our analysis, Focused Care of Waxahachie is ranked #51 out of 57 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Focused Care of Waxahachie.

Also, take a look at our detailed analysis of the current situation for nursing in both the state and the city.

   General Data Card

These are the basic data points for the facility.

Data date: March 01, 2024

Address: 1413 W MAIN ST, WAXAHACHIE, TX 75165

Phone: 972-937-2298

Click for Map Website

Ranking: Focused Care of Waxahachie is ranked #5 out of 6 facilities within a 10 mile radius and #51 out of 57 facilities within a 25 mile radius.

Medicare Provider Number: 455591

Participating in Medicare Since: January 16, 1986

No. of Certified Beds: 152

No. of Residents: 71

Occupancy: 46.71 % (as of 03/10/2024 )

Amount fined in recent period: $323,062.40

Complaints filed: 7

   What is this page all about?

Below is everything shred of information that we can find about F W Huston Medical Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

   Ratings History

   Review of Focused Care of Waxahachie Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

It has been 16 months since the most recent inspection.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 2:
Staffing Rating 1:

Inspection Scores

Cycle 1 Score (as of October 13, 2022) 342
Cycle 2 Score (as of August 04, 2021) 52
Cycle 3 Score (as of June 06, 2019) 20
Weighted All Cycles Score 192

   What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the worst rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

   Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Focused Care of Waxahachie including health, fire, and inspection control inspections:

No Inspection Information is Available

   Owner and Operator Information for Focused Care of Waxahachie

Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

FPACP ELLIS LLC

Owners:

Managers and Directors:

   Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Focused Care of Waxahachie spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.63 0.38 / 0.65
Case Mix 0.47 0.41 / 0.38
Adjusted 0.51 NA / NA
Licensed Practical Nurse (LPN)
Hours 1.29 0.99 / 0.88
Case Mix 0.83 NA / NA
Adjusted 1.16 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.65 1.92 / 2.26
Case Mix 2.07 NA / NA
Adjusted 1.63 NA / NA
Total Licensed Staff
Hours 1.93 1.37 / 1.53
Physical Therapist (PT)
Hours 0.02 0.06 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 3.58 3.29 / 3.78
Case Mix 3.36 3.22 / 3.15
Adjusted 3.35 NA / NA

   Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
19.3% / 24.9%
Better
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
21.2% / 12.6%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
2.7% / 2.1%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
1.9% / 1.3%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 24.7% / 16.7%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 5.7% / 4.5%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 46.3% / 53.4%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 1.4% / 1.1%
Worse
Percentage of long-stay residents with a urinary tract infection (qm407) 0.5% / 1.2%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 4.8% / 5.4%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.0%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 0.8% / 3.5%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 97.1% / 96.2%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 7.0% / 9.3%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 75.6% / 86.5%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 2.0% / 1.7%
Worse
Percentage of long-stay residents whose ability to move independently worsened (qm451) 19.6% / 12.8%
Worse
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 24.0% / 22.3%
Worse
Percentage of high risk long-stay residents with pressure ulcers (qm453) 2.7% / 6.7%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 98.4% / 97.0%
Better
Percentage of short-stay residents who made improvements in function (qm471) 41.8% / 70.0%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 71.6% / 80.9%
Worse

   Hospitals Near Focused Care of Waxahachie

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Focused Care of Waxahachie.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL
800 W RANDOL MILL RD
ARLINGTON, TX 76012
2
NAVARRO REGIONAL HOSPITAL
3201 WEST HIGHWAY 22
CORSICANA, TX 75110
2
DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEALTHCARE SYSTEM)
4500 S. LANCASTER ROAD
DALLAS, TX 75216
2
MEDICAL CITY ARLINGTON
3301 MATLOCK ROAD
ARLINGTON, TX 76015
2
METHODIST CHARLTON MEDICAL CENTER
3500 W WHEATLAND ROAD
DALLAS, TX 75237
3
U S M D HOSPITAL AT ARLINGTON L P
801 W INTERSTATE 20
ARLINGTON, TX 76017
3
METHODIST MANSFIELD MEDICAL CENTER
2700 E BROAD STREET
MANSFIELD, TX 76063
3
BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE
2400 N INTERSTATE HIGHWAY 35E
WAXAHACHIE, TX 75165
5
TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON
811 WRIGHT STREET
ARLINGTON, TX 76012
5
ENNIS REGIONAL MEDICAL CENTER
2201 WEST LAMPASAS STREET
ENNIS, TX 75119
Not Available
MILLWOOD HOSPITAL
1011 NORTH COOPER STREET
ARLINGTON, TX 76011
Not Available
HICKORY TRAIL HOSPITAL
2000 N OLD HICKORY TRAIL
DESOTO, TX 75115
Not Available
DALLAS BEHAVIORAL HEALTHCARE HOSPITAL LLC
800 KIRNWOOD DRIVE
DE SOTO, TX 75115
Not Available
PERIMETER BEHAVIORAL HOSPITAL OF ARLINGTON
7000 US HIGHWAY 287
ARLINGTON, TX 76001
Not Available
BAYLOR SCOTT AND WHITE ORTHOPEDIC AND SPINE HOSPI
707 HIGHLANDER BLVD
ARLINGTON, TX 76015
Not Available
CRESCENT MEDICAL CENTER LANCASTER
2600 WEST PLEASANT RUN ROAD
LANCASTER, TX 75146
Not Available
ER TX MEDICAL CENTER MANSFIELD
1710 US 287 FRONTAGE ROAD
MANSFIELD, TX 76063
Not Available
METHODIST MIDLOTHIAN MEDICAL CENTER
1201 E HIGHWAY 287
MIDLOTHIAN, TX 76065
Not Available
TEXAS HEALTH HOSPITAL MANSFIELD
2300 LONE STAR ROAD
MANSFIELD, TX 76063
Not Available

   Medical Professionals Associated with Focused Care of Waxahachie

These are the doctors who are affiliated with Focused Care of Waxahachie. The data is from the most recent period. Historical data is not available.

   Other Local Nursing Homes

Below is a list of nursing homes in near Focused Care of Waxahachie (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon () to the home to indicate this.)

The data is based on the dataset as of March 01, 2024.

Name Overall Rating
Pure Health Transitional Care at Thr Arlington
(ARLINGTON, TX)
Windsor Gardens
(LANCASTER, TX)
The Lennwood Nursing and Rehabilitation
(DALLAS, TX)
Desoto Ltc Partners, Inc
(DESOTO, TX)
Arbrook Plaza
(ARLINGTON, TX)
Renaissance Rehabilitation and Healthcare Center
(ITALY, TX)
Matlock Place Health and Rehabilitation Center
(ARLINGTON, TX)
Grandview Nursing and Rehabilitation Center
(GRANDVIEW, TX)
Balch Springs Nursing Home
(BALCH SPRINGS, TX)
The Village at Heritage Oaks
(CORSICANA, TX)
The Manor at Seagoville
(SEAGOVILLE, TX)
Heritage at Turner Park Health and Rehab
(GRAND PRAIRIE, TX)
Town Hall Estates Arlington Inc
(ARLINGTON, TX)
Legend Oaks Healthcare and Rehabilitation - Ennis
(ENNIS, TX)
Village Creek Nursing and Rehabilitation
(FORT WORTH, TX)
The Pavilion at Creekwood
(MANSFIELD, TX)
Green Oaks Nursing and Rehabilitation
(ARLINGTON, TX)
Ridgecrest Healthcare and Rehabilitation Center
(FORNEY, TX)
Legacy West Rehabilitation and Healthcare
(CORSICANA, TX)
Twilight Home
(CORSICANA, TX)
Homestead Nursing and Rehabilitation of Itasca
(ITASCA, TX)
Lancaster Ltc Partners Inc
(LANCASTER, TX)
Mesquite Tree Nursing Center
(MESQUITE, TX)
Country Meadows Nursing and Rehabilitation Center
(CORSICANA, TX)
Alvarado Ltc Partners Inc
(ALVARADO, TX)
Crestview Court
(CEDAR HILL, TX)
Methodist Transitional Care Center-Desoto LLC
(DESOTO, TX)
The Villa at Mountain View
(DALLAS, TX)
Westridge Nursing and Rehabilitation
(LANCASTER, TX)
Greenbrier Health Care Center
(ARLINGTON, TX)
The Villages of Dallas
(DALLAS, TX)
Pecan Manor Nursing and Rehabilitation
(KENNEDALE, TX)
Cedar Hill Healthcare Center
(CEDAR HILL, TX)
The Laurenwood Nursing and Rehabilitation
(DUNCANVILLE, TX)
The Renaissance at Kessler Park
(DALLAS, TX)
Interlochen Health and Rehabilitation Center
(ARLINGTON, TX)
Bluebonnet Rehab at Ennis
(ENNIS, TX)
Pleasant Manor Healthcare Rehabilitation
(WAXAHACHIE, TX)
Five Points Nursing and Rehabilitation
(DESOTO, TX)
Midlothian Healthcare Center
(MIDLOTHIAN, TX)
Mansfield Medical Lodge
(MANSFIELD, TX)
Millbrook Healthcare and Rehabilitation Center
(LANCASTER, TX)
Immanuel's Healthcare
(FORT WORTH, TX)
Park View Care Center
(FORT WORTH, TX)
Epic Nursing and Rehabilitation
(CORSICANA, TX)
Ennis Care Center
(ENNIS, TX)
Legend Oaks Healthcare and Rehabilitation - Waxaha
(WAXAHACHIE, TX)
Red Oak Health and Rehabilitation Center
(RED OAK, TX)
Williamsburg Village Healthcare Campus
(DESOTO, TX)
Park Village Healthcare and Rehabilitation
(DESOTO, TX)
Focused Care of Waxahachie
(WAXAHACHIE, TX)
Arlington Residence and Rehabilitation Center
(ARLINGTON, TX)
Coral Rehabilitation and Nursing of Arlington
(ARLINGTON, TX)
Mansfield Nursing and Rehabilitation Center
(MANSFIELD, TX)
Duncanville Healthcare and Rehabilitation Center
(DUNCANVILLE, TX)
Skyline Nursing Center
(DALLAS, TX)
Midtowne Meadows Health and Rehab
(MIDLOTHIAN, TX)
N/A

   Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for Focused Care of Waxahachie

Five different rating results plus detailed inspection numbers and quality measures for Focused Care of Waxahachie.

Covid Infections at Focused Care of Waxahachie

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Focused Care of Waxahachie

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for Focused Care of Waxahachie

A list of all of the registered owners for Focused Care of Waxahachie. This includes direct and indirect owners and managers.

Noted Deficiencies for Focused Care of Waxahachie

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does Focused Care of Waxahachie compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in WAXAHACHIE, TX

Homes that you should consider. A list ranking the best skilled nursing facilities in WAXAHACHIE based on their weighted inspection score as of March 01, 2024.

Worst Nursing Homes in WAXAHACHIE, TX

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in WAXAHACHIE based on their weighted inspection score as of March 01, 2024.