Focused Care At Orange
Orange, Orange County, Texas · CCN 676094 · For-profit (Corporation) · part of Focused Post Acute Care Partners (25 facilities, chain average 1.9 stars)
CMS rates Focused Care At Orange 1 of 5 overall as of August 2026. 120 certified beds, 110 residents a day on average. 28 citations on record from the current inspection cycles, 4 at immediate jeopardy; 3 fines totalling $193,434.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 3.03411 hours per resident per day |
|---|---|
| Registered nurses | 0.19453 hours per resident per day |
| Weekend total | 2.5622 hours per resident per day |
| Nursing staff turnover | 40.7% |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-04 |
| 2026-06-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-04 |
| 2026-06-03 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-04 |
| 2026-06-03 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-04 |
| 2025-11-18 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-11-25 |
| 2025-04-25 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-04-26 |
| 2025-04-25 | Provide 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. Quality of Life and Care Deficiencies · tag F0688 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-26 |
| 2025-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-26 |
| 2025-04-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-26 |
| 2025-04-25 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-26 |
| 2025-04-16 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-04-15 |
| 2025-03-25 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-26 |
| 2025-01-24 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-24 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
E No actual harm, with potential for more than minimal harm; pattern | Past Non-Compliance 2024-11-11 |
| 2025-01-24 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-24 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2024-03-06 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-07 |
| 2024-03-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | 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. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-12 |
| 2024-03-06 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | Provide 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-29 |
| 2024-03-06 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-07 |
| 2024-02-15 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-20 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-25 | Fine | $102,448 |
| 2025-04-16 | Fine | $17,641 |
| 2025-01-24 | Fine | $73,345 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Focused Post Acute Care Partners LLC Organization | adp of the snf | — | 2025-06-16 |
| Focused Post Acute Care Partners Management, LLC Organization | adp of the snf | — | 2025-07-15 |
| Fpacp Orange LLC Organization | adp of the snf | — | 2025-07-15 |
| Chambers County Public Hospital District No. 1 Organization | operational/managerial control | — | 2021-05-01 |
| Focused Post Acute Care Partners LLC Organization | operational/managerial control | — | 2017-02-01 |
| Focused Post Acute Care Partners Management, LLC Organization | operational/managerial control | — | 2021-05-01 |
| Fpacp Orange LLC Organization | operational/managerial control | — | 2021-05-01 |
| Conley, Shawn Individual | adp of the snf | — | 2021-05-01 |
| Davidson, James Individual | adp of the snf | — | 2021-07-01 |
| Fontenot, Cindy Individual | adp of the snf | — | 2020-09-21 |
| Mckenzie, Mark Individual | adp of the snf | — | 2021-05-01 |
| Palang, Ronald Individual | adp of the snf | — | 2021-07-01 |
| Polk, Karteedria Individual | adp of the snf | — | 2024-08-15 |
| Strubbe, Loretta Individual | adp of the snf | — | 2021-05-01 |
| Abernathy, Mary Individual | managing control - governing body | — | 2024-05-01 |
| Cooper, Kimberly Individual | managing control - governing body | — | 2024-01-29 |
| Humphrey, Eric Individual | managing control - governing body | — | 2024-05-01 |
| Legg, Stephen Individual | managing control - governing body | — | 2024-01-01 |
| Mckenzie, Mark Individual | managing control - governing body | — | 2024-05-01 |
| Newton, Elizabeth Individual | managing control - governing body | — | 2024-02-22 |
| Tinnerman, Linda Individual | managing control - governing body | — | 2024-01-01 |
| Turner, Leslie Individual | managing control - governing body | — | 2024-01-01 |
| Conley, Shawn Individual | operational/managerial control | — | 2021-05-01 |
| Cooper, Kimberly Individual | operational/managerial control | — | 2024-01-29 |
| Davidson, James Individual | operational/managerial control | — | 2021-07-01 |
| Fontenot, Cindy Individual | operational/managerial control | — | 2020-09-21 |
| Mckenzie, Mark Individual | operational/managerial control | — | 2021-05-01 |
| Newton, Elizabeth Individual | operational/managerial control | — | 2024-02-22 |
| Palang, Ronald Individual | operational/managerial control | — | 2021-07-01 |
| Polk, Karteedria Individual | operational/managerial control | — | 2024-08-15 |
| Strubbe, Loretta Individual | operational/managerial control | — | 2021-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Focused Care At Orange.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Orange County.