Texas › Cass County › Linden
Focused Care At Linden
1201 W Houston St, Linden, TX 75563
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Focused Care At Linden, in Linden, Texas, is certified for 131 beds under for-profit, corporation ownership and belongs to the Focused Post Acute Care Partners chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 61 health deficiencies across the three most recent survey cycles (11, 29, 21 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 46.6 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $333K.
Reported nurse staffing is 2.6 hours per resident per day (0.7 RN), below the Texas median of 3.3; nursing staff turnover is 53.6%.
Compared with county, state and nation
| Measure | This facility | Cass Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 61 | 43 | 25 | 28.7 |
| Citations per 100 beds | 46.6 | 37.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.6 | 4.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 53.6% | 54.3% | 52.1% | 45.8% |
| Fines listed | $333,363 | $122,216 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Apr 2026, 12 Feb 2025.
Severity mix: J ×1 K ×5 G ×1 D ×42 E ×10 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 25 Jun 2026 |
| 15 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | Past Non-Compliance |
| 15 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0761 | 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. | E | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Apr 2026 |
| 15 Apr 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 22 Apr 2026 |
| 19 Nov 2025 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 24 Nov 2025 |
| 16 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 25 Jul 2025 |
| 16 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Jul 2025 |
| 16 Jul 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 17 Jul 2025 |
| 9 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Apr 2025 |
| 9 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Apr 2025 |
| 12 Feb 2025 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | K | Standard survey | 21 Feb 2025 |
| 12 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 21 Feb 2025 |
| 12 Feb 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 12 Mar 2025 |
| 12 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0700 | 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. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 12 Mar 2025 |
| 12 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Mar 2025 |
| 30 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 25 Nov 2024 |
| 30 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 25 Nov 2024 |
| 30 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Nov 2024 |
| 13 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 9 Apr 2024 |
| 13 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 9 Apr 2024 |
| 13 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 9 Apr 2024 |
| 10 Jan 2024 | F0584 | 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. | E | Complaint investigation | 19 Feb 2024 |
| 10 Jan 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0761 | 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. | E | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Feb 2024 |
| 10 Jan 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Feb 2024 |
| 10 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 19 Feb 2024 |
| 10 Jan 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Feb 2024 |
| 10 Jan 2024 | F0688 | 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. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Feb 2024 |
| 10 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Apr 2026 | Fine | $17,796 | |
| 9 Apr 2025 | Fine | $23,098 | |
| 12 Feb 2025 | Fine | $113,400 | |
| 13 Mar 2024 | Fine | $179,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 53.6%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 13.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Chambers County Public Hospital District No. 1. Chain: Focused Post Acute Care Partners (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chambers County Public Hospital District No. 1 | Direct ownership interest | NOT APPLICABLE | 05/01/2021 |
| Chambers County Public Hospital District No. 1 | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Focused Post Acute Care Partners LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Focused Post Acute Care Partners Management, LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Fpacp Linden LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Focused Post Acute Care Partners LLC | Adp of the snf | NOT APPLICABLE | 06/12/2025 |
| Focused Post Acute Care Partners Management, LLC | Adp of the snf | NOT APPLICABLE | 06/12/2025 |
| Fpacp Linden LLC | Adp of the snf | NOT APPLICABLE | 06/12/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cass County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Capstone Healthcare of Hughes Springs | Hughes Springs | 69 | 4 | 4 | 3 | 26 | 37.7 | — | 3 Jun 2026 |
| Rose Haven Retreat | Atlanta | 108 | 4 | 4 | 3 | 28 | 25.9 | $8K | 17 Jun 2026 |
| Golden Villa | Atlanta | 120 | 2 | 2 | 3 | 43 | 35.8 | $122K | 12 Jun 2026 |
All 4 facilities in Cass County
Questions and answers
How many deficiencies has Focused Care At Linden been cited for?
61 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Focused Care At Linden been fined?
Yes. CMS lists fines totalling $333K in the period covered.
How does staffing at Focused Care At Linden compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Focused Care At Linden?
It is part of the Focused Post Acute Care Partners chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Chambers County Public Hospital District No. 1, Chambers County Public Hospital District No. 1 and Focused Post Acute Care Partners LLC. Individual owners and managers are not listed on this site.
When was Focused Care At Linden last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 15 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.