Texas › Titus County › Mount Pleasant
Focused Care At Mount Pleasant
1606 Memorial Ave, Mount Pleasant, TX 75455
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
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.
Certified for 122 beds, Focused Care At Mount Pleasant serves Mount Pleasant in Titus County, Texas and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 82 health deficiencies across the three most recent survey cycles (18, 26, 38 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 67.2 per 100 beds, more than the state median of 22.5.
CMS lists 7 penalties in the period covered: fines totalling $223K and 2 payment denials.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 48.4%.
CMS flags that the facility carries the CMS abuse icon.
82health deficiencies, 3 survey cycles4 at actual harm or worse
$223Kfines listed by CMS7 penalties in period
3.2nurse hours per resident per daystate median 3.3
59%occupancy (residents ÷ beds)72 residents a day
Compared with county, state and nation
| Measure | This facility | Titus Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 82 | 66 | 25 | 28.7 |
| Citations per 100 beds | 67.2 | 67.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 48.4% | 95.2% | 52.1% | 45.8% |
| Fines listed | $223,296 | $154,116 | $16,801 | — |
County and state figures are medians across facilities (3 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: 2 Jul 2025, 24 May 2024.
Severity mix: J ×2 L ×1 G ×1 D ×52 E ×24 F ×2
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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Jun 2026 |
| 20 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 12 Jun 2026 |
| 13 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Feb 2026 |
| 26 Nov 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 | Complaint investigation | 19 Dec 2025 |
| 26 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 19 Dec 2025 |
| 26 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Dec 2025 |
| 26 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 19 Dec 2025 |
| 26 Nov 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 | Complaint investigation | 27 Nov 2025 |
| 26 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 19 Dec 2025 |
| 8 Sep 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 1 Oct 2025 |
| 2 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | 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. | D | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Aug 2025 |
| 2 Jul 2025 | F0926 | Have policies on smoking. | D | Standard survey | 1 Aug 2025 |
| 17 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Apr 2025 |
| 13 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 10 Mar 2025 |
| 19 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Sep 2024 |
| 24 May 2024 | F0583 | Keep residents' personal and medical records private and confidential. | J | Standard survey | 25 May 2024 |
| 24 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 25 May 2024 |
| 24 May 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Complaint investigation | 25 Jun 2024 |
| 24 May 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. | E | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 Jun 2024 |
| 24 May 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 25 Jun 2024 |
| 24 May 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 25 Jun 2024 |
| 24 May 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 25 Jun 2024 |
| 24 May 2024 | F0578 | 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. | D | Complaint investigation | 25 Jun 2024 |
| 24 May 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. | D | Complaint investigation | 25 Jun 2024 |
| 24 May 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 | 25 Jun 2024 |
| 24 May 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 | 25 Jun 2024 |
| 24 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 25 Jun 2024 |
| 24 May 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Complaint investigation | 25 Jun 2024 |
| 24 May 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 25 Jun 2024 |
| 24 Mar 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 23 Apr 2024 |
| 24 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Apr 2024 |
| 14 Feb 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | Complaint investigation | 14 Mar 2024 |
| 14 Feb 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 | 14 Mar 2024 |
| 14 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 14 Mar 2024 |
| 14 Feb 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 | 14 Mar 2024 |
| 14 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Mar 2024 |
| 14 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 14 Mar 2024 |
| 14 Feb 2024 | F0840 | 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. | D | Complaint investigation | 14 Mar 2024 |
| 9 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | L | Complaint investigation | 30 Nov 2023 |
| 9 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Nov 2023 |
| 9 Oct 2023 | 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. | D | Complaint investigation | 2 Nov 2023 |
| 9 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | 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 | 10 Mar 2023 |
| 9 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | 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. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | 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. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | 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 | 10 Mar 2023 |
| 9 Mar 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | 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. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Mar 2023 |
| 9 Mar 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 10 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jun 2025 | Payment denial | — | 7 days |
| 25 Jun 2025 | Fine | $16,149 | |
| 25 Jun 2025 | Fine | $16,149 | |
| 24 May 2024 | Fine | $127,486 | |
| 14 Feb 2024 | Fine | $12,259 | |
| 9 Oct 2023 | Payment denial | — | 22 days |
| 9 Oct 2023 | Fine | $51,253 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 48.4%, RNs 61.5%; 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 | 27.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.9% | 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, limited liability company. Legal business name: Fpacp Mount Pleasant Llc. Chain: Focused Post Acute Care Partners (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fpacp Mount Pleasant LLC | 5% or greater direct ownership interest | 100% | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Direct ownership interest | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners Management, LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| Fpacp Mount Pleasant LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
| Focused Post Acute Care Partners Management, LLC | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
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 Titus County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Greenhill Villas | Mount Pleasant | 150 | 1 | 2 | 1 | 45 | 30.0 | $154K | 26 Feb 2026 |
| Pleasant Springs Healthcare Centerabuse icon | Mount Pleasant | 90 | 1 | 1 | 2 | 66 | 73.3 | $66K | 4 Jun 2026 |
All 3 facilities in Titus County
Questions and answers
How many deficiencies has Focused Care At Mount Pleasant been cited for?
82 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Focused Care At Mount Pleasant been fined?
Yes. CMS lists fines totalling $223K in the period covered, plus 2 payment denials.
How does staffing at Focused Care At Mount Pleasant compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Focused Care At Mount Pleasant?
It is part of the Focused Post Acute Care Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fpacp Mount Pleasant LLC, Focused Post Acute Care Partners LLC and Focused Post Acute Care Partners LLC. Individual owners and managers are not listed on this site.
When was Focused Care At Mount Pleasant last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 2 Jul 2025.
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.