About Focused Care of Waxahachie
Focused Care Of Waxahachie, located in Waxahachie, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Focused Care of Waxahachie
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.82 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the FOCUSED POST ACUTE CARE PARTNERS network. This chain operates 25 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Focused Care of Waxahachie provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 80 | Feb 12, 2025 |
| Weighted Average | 182 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending Jun 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 47.6% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.7% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.9% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 12.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 2.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.3% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 5.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 77.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 3.6% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 18.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 91.4% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 69.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 15.9% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 3.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 12 complaints
- 2025: 5 complaints
- 2026: 3 complaints
- Total: 23 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 28, 2026 | Provide and implement an infection prevention and control program. |
| Feb 08, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 06, 2026 | Provide and implement an infection prevention and control program. |
| Dec 12, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 12, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 12, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Jul 02, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jul 02, 2025 | 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. |
| Dec 21, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Dec 21, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 03, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 03, 2024 | 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. |
| Dec 03, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 03, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 03, 2024 | Plan the resident's discharge to meet the resident's goals and needs. |
| Dec 03, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Dec 03, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Apr 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 28, 2024 | 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. |
| Mar 28, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 22, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Sep 22, 2023 | Prepare residents for a safe transfer or discharge from the nursing home. |
| Jul 18, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
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Owner & Operator Information
Business Entity
FPACP ELLIS LLC
Ownership Structure
Management & Direction
- DANTRELL ANDERSON ADP OF THE SNF
- DANTRELL ANDERSON OPERATIONAL/MANAGERIAL CONTROL
- SHAWN CONLEY CORPORATE OFFICER
- SHAWN CONLEY OPERATIONAL/MANAGERIAL CONTROL
- FOCUSED POST ACUTE CARE PARTNERS LLC OPERATIONAL/MANAGERIAL CONTROL
- FOCUSED POST ACUTE CARE PARTNERS LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- FPACP ELLIS LLC OPERATIONAL/MANAGERIAL CONTROL
- DUSTIN LEEK OPERATIONAL/MANAGERIAL CONTROL
- DUSTIN LEEK ADP OF THE SNF
- MARK MCKENZIE OPERATIONAL/MANAGERIAL CONTROL
- MARK MCKENZIE CORPORATE OFFICER
- LORETTA STRUBBE OPERATIONAL/MANAGERIAL CONTROL
- LORETTA STRUBBE CORPORATE OFFICER
- KASEY WHITE OPERATIONAL/MANAGERIAL CONTROL
- KASEY WHITE ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Midtowne Meadows Health and Rehab | N/A | 4 |
| The Village at Heritage Oaks | N/A | 4 |
| Renaissance Rehabilitation and Healthcare Center | N/A | 5 |
| Legacy at Corsicana Rehabilitation and Healthcare | N/A | 4 |
| Legend Oaks Healthcare and Rehabilitation - Ennis | N/A | 4 |
| Meadows of Corsicana, LLC | N/A | 5 |
| Red Oak Health and Rehabilitation Center | N/A | 3 |
| Avir at Itasca | N/A | 4 |
| Village Creek Nursing and Rehabilitation | N/A | 4 |
| Twilight Home | N/A | 4 |
Related Analysis
Best Nursing Homes in Waxahachie, TX
Compare Focused Care of Waxahachie to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Focused Care of Waxahachie directly at 9729372298. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.