Texas › Grayson County › Sherman
Focused Care At Sherman
817 W Center, Sherman, TX 75090
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 116 beds, Focused Care At Sherman serves Sherman in Grayson County, Texas and has taken Medicare and Medicaid residents since 1992.
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 3.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (15, 22, 8 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 38.8 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $120K.
Reported nurse staffing is 3.2 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 75.0%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 30 | 25 | 28.7 |
| Citations per 100 beds | 38.8 | 21.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 75.0% | 60.0% | 52.1% | 45.8% |
| Fines listed | $120,309 | $29,991 | $16,801 | — |
County and state figures are medians across facilities (11 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: 9 May 2025, 5 Apr 2024.
Severity mix: J ×2 K ×5 D ×15 E ×18 F ×5
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 |
|---|---|---|---|---|---|
| 31 Jan 2026 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E | Complaint investigation | 2 Feb 2026 |
| 31 Jan 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 2 Feb 2026 |
| 13 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 12 Feb 2026 |
| 9 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Apr 2025 |
| 9 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 10 May 2025 |
| 9 May 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 May 2025 |
| 9 May 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 | 10 May 2025 |
| 9 May 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. | E | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 10 May 2025 |
| 9 May 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. | D | Complaint investigation | 10 May 2025 |
| 9 May 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 | 10 May 2025 |
| 13 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Dec 2024 |
| 13 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 21 Mar 2025 |
| 17 Feb 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. | E | Complaint investigation | 21 Feb 2025 |
| 17 Feb 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 21 Feb 2025 |
| 25 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 26 Jun 2024 |
| 5 Apr 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 | Standard survey | 6 Apr 2024 |
| 5 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 6 Apr 2024 |
| 5 Apr 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 | 6 Apr 2024 |
| 5 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 25 Apr 2024 |
| 5 Apr 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 | Standard survey | 6 Apr 2024 |
| 5 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 6 Apr 2024 |
| 5 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 6 Apr 2024 |
| 5 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Apr 2024 |
| 5 Apr 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 | 6 Apr 2024 |
| 5 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Apr 2024 |
| 5 Apr 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 6 Apr 2024 |
| 9 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 Mar 2023 |
| 9 Feb 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 15 Mar 2023 |
| 9 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 15 Mar 2023 |
| 9 Feb 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 15 Mar 2023 |
| 9 Feb 2023 | 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 | 15 Mar 2023 |
| 9 Feb 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 15 Mar 2023 |
| 9 Feb 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 15 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jul 2026 | Fine | $27,378 | |
| 13 Mar 2025 | Fine | $10,361 | |
| 5 Apr 2024 | Fine | $82,570 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 75.0%, RNs 100.0%; 2 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 | 11.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.4% | 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: Fpacp Sherman Llc. Chain: Focused Post Acute Care Partners (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fpacp Sherman LLC | 5% or greater direct ownership interest | 100% | 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 Sherman LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2017 |
| Focused Post Acute Care Partners LLC | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
| Focused Post Acute Care Partners Management, LLC | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
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 Grayson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Hill | Denison | 150 | 4 | 4 | 3 | 21 | 14.0 | — | 26 May 2026 |
| Cedar Hollow Rehabilitation Center | Sherman | 142 | 3 | 3 | 2 | 30 | 21.1 | $32K | 12 Jun 2026 |
| Meadowbrook Care Center | Van Alstyne | 60 | 3 | 2 | 2 | 17 | 28.3 | $14K | 5 May 2026 |
| The Homestead of Denison | Denison | 140 | 3 | 3 | 1 | 27 | 19.3 | $30K | 26 Mar 2026 |
| Woodlands Place Rehabilitation Suites | Denison | 133 | 3 | 2 | 2 | 24 | 18.0 | $110K | 26 Feb 2026 |
| Avir At Sherman | Sherman | 132 | 2 | 3 | 1 | 34 | 25.8 | — | 2 Jun 2026 |
| Denison Nursing and Rehab | Denison | 71 | 2 | 2 | 1 | 31 | 43.7 | $8K | 29 Apr 2026 |
| Texoma Healthcare Center | Sherman | 179 | 2 | 3 | 1 | 37 | 20.7 | $16K | 16 Jun 2026 |
All 11 facilities in Grayson County
Questions and answers
How many deficiencies has Focused Care At Sherman been cited for?
45 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 Sherman been fined?
Yes. CMS lists fines totalling $120K in the period covered.
How does staffing at Focused Care At Sherman 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 Sherman?
It is part of the Focused Post Acute Care Partners chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fpacp Sherman LLC, 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 Sherman last inspected?
The most recent survey or investigation in the CMS record is dated 31 Jan 2026; the most recent standard health survey was 9 May 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.