About Focused Care at Mount Pleasant
Focused Care At Mount Pleasant, located in Mount Pleasant, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Focused Care at Mount Pleasant
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.15 hrs
- Safety Record Issues
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 at Mount Pleasant 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 | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 104 | Jul 02, 2025 |
| Weighted Average | 196 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 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) | 37.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 26.6% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
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) | 28.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.8% |
| 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) | 0.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.4% |
| 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) | 2.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 95.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 34.9% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 4.2% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 11.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 24.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 94.2% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 29.4% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 12.8% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 10.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 3 complaints
- 2024: 18 complaints
- 2025: 9 complaints
- 2026: 1 complaint
- Total: 31 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 02, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. |
| Dec 19, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Dec 19, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 19, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Dec 19, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Dec 19, 2025 | Ensure each resident receives an accurate assessment. |
| Nov 27, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Oct 01, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Apr 22, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 10, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 27, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jun 25, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Jun 25, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Jun 25, 2024 | Implement a program that monitors antibiotic use. |
| Jun 25, 2024 | Provide and implement an infection prevention and control program. |
| Jun 25, 2024 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. |
| Jun 25, 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. |
| Jun 25, 2024 | Honor 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. |
| Jun 25, 2024 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. |
| Apr 23, 2024 | Protect each resident from the wrongful use of the resident's belongings or money. |
| Apr 23, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 14, 2024 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. |
| Mar 14, 2024 | Ensure each resident?s drug regimen must be free from unnecessary drugs. |
| Mar 14, 2024 | Provide enough food/fluids to maintain a resident's health. |
| Mar 14, 2024 | Respond appropriately to all alleged violations. |
| Mar 14, 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. |
| Mar 14, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Mar 14, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 30, 2023 | Provide and implement an infection prevention and control program. |
| Nov 02, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 02, 2023 | 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. |
Nearby Hospitals
UT HEALTH EAST TEXAS PITTSBURG HOSPITAL
PITTSBURG, TX
CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO
WINNSBORO, TX
Owner & Operator Information
Management & Direction
- SHAWN CONLEY CORPORATE OFFICER
- SHAWN CONLEY OPERATIONAL/MANAGERIAL CONTROL
- ADRIEANNIA EASLEY OPERATIONAL/MANAGERIAL CONTROL
- FOCUSED POST ACUTE CARE PARTNERS LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS LLC OPERATIONAL/MANAGERIAL CONTROL
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC ADP OF THE SNF
- FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- FPACP MOUNT PLEASANT LLC OPERATIONAL/MANAGERIAL CONTROL
- MARK MCKENZIE OPERATIONAL/MANAGERIAL CONTROL
- MARK MCKENZIE CORPORATE OFFICER
- WHITNEY ONEY OPERATIONAL/MANAGERIAL CONTROL
- WHITNEY ONEY ADP OF THE SNF
- LORETTA STRUBBE OPERATIONAL/MANAGERIAL CONTROL
- LORETTA STRUBBE CORPORATE OFFICER
- LORI WILLARD OPERATIONAL/MANAGERIAL CONTROL
- LORI WILLARD ADP OF THE SNF
- GREGORY ZARCONE OPERATIONAL/MANAGERIAL CONTROL
- GREGORY ZARCONE ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Capstone Healthcare of Hughes Springs | N/A | 3 |
| Cypress Springs Wellness and Rehabilitation | N/A | 4 |
| Lakeview Rehabilitation and Healthcare Center | N/A | 3 |
| Avir at Pittsburg | N/A | 2 |
| Greenhill Villas | N/A | 1 |
| Avir at Winnsboro | N/A | 1 |
| Focused Care at Mount Pleasant | N/A | 1 |
| Pleasant Springs Healthcare Center | N/A | 1 |
| Capstone Healthcare of Daingerfield | N/A | 1 |
Related Analysis
Best Nursing Homes in Mount Pleasant, TX
Compare Focused Care at Mount Pleasant 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 at Mount Pleasant directly at 9035723618. 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.