Texas › Orange County › Orange
Focused Care At Orange
4201 Fm 105, Orange, TX 77630
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 Orange is a For-profit, corporation nursing home in Orange, Texas, certified for 120 beds and caring for about 110 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (5, 12, 11 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $193K.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 40.7%.
Compared with county, state and nation
| Measure | This facility | Orange Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 25 | 28.7 |
| Citations per 100 beds | 23.3 | 23.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 40.7% | 40.7% | 52.1% | 45.8% |
| Fines listed | $193,434 | $43,212 | $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: 3 Jun 2026, 25 Apr 2025.
Severity mix: J ×3 K ×1 D ×14 E ×7 F ×3
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 |
|---|---|---|---|---|---|
| 3 Jun 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 | 4 Jun 2026 |
| 3 Jun 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 | 4 Jun 2026 |
| 3 Jun 2026 | 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 | 4 Jun 2026 |
| 3 Jun 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Jun 2026 |
| 18 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 25 Nov 2025 |
| 25 Apr 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. | K | Standard survey | 26 Apr 2025 |
| 25 Apr 2025 | 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 | 26 Apr 2025 |
| 25 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Apr 2025 |
| 25 Apr 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 | 26 Apr 2025 |
| 25 Apr 2025 | 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 | 26 Apr 2025 |
| 16 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 15 Apr 2025 |
| 25 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 26 Mar 2025 |
| 24 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 25 Jan 2025 |
| 24 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 25 Jan 2025 |
| 24 Jan 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 | 11 Nov 2024 |
| 24 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jan 2025 |
| 24 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 25 Jan 2025 |
| 6 Mar 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 7 Mar 2024 |
| 6 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Mar 2024 |
| 6 Mar 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 29 Mar 2024 |
| 6 Mar 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. | E | Standard survey | 12 Mar 2024 |
| 6 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Mar 2024 |
| 6 Mar 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Mar 2024 |
| 6 Mar 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 | 29 Mar 2024 |
| 6 Mar 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 | 29 Mar 2024 |
| 6 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Mar 2024 |
| 6 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 7 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Apr 2025 | Fine | $102,448 | |
| 16 Apr 2025 | Fine | $17,641 | |
| 24 Jan 2025 | Fine | $73,345 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.7%, RNs —; 1 administrator 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 | 8.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.6% | 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 | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| 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 | 05/01/2021 |
| Fpacp Orange LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Focused Post Acute Care Partners LLC | Adp of the snf | NOT APPLICABLE | 06/16/2025 |
| Focused Post Acute Care Partners Management, LLC | Adp of the snf | NOT APPLICABLE | 07/15/2025 |
| Fpacp Orange LLC | Adp of the snf | NOT APPLICABLE | 07/15/2025 |
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 Orange County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Oakwood Manor Nursing Home | Vidor | 100 | 4 | 4 | 1 | 21 | 21.0 | — | 31 Mar 2026 |
| Vidor Health & Rehabilitation Center | Vidor | 144 | 1 | 1 | 1 | 37 | 25.7 | $43K | 7 May 2026 |
All 3 facilities in Orange County
Questions and answers
How many deficiencies has Focused Care At Orange been cited for?
28 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 Orange been fined?
Yes. CMS lists fines totalling $193K in the period covered.
How does staffing at Focused Care At Orange compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Focused Care At Orange?
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, Focused Post Acute Care Partners LLC and Focused Post Acute Care Partners Management, LLC. Individual owners and managers are not listed on this site.
When was Focused Care At Orange last inspected?
The most recent survey or investigation in the CMS record is dated 3 Jun 2026; the most recent standard health survey was 3 Jun 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.