Nursing homeActive
Focused Care At Hamilton
1315 E State Hwy 22, Hamilton, TX 76531254386317178 certified beds · 44 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
8
● 0● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-30
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-30 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-09-27 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-12-04 | Infection control | 010 | CMS-2567 (Care Compare) | — |
| 2023-07-26 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 675140-20240927-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-10Record 675140-20240927-F925
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-05Record 675140-20231204-F812
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 675140-20230726-F657
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 675140-20230726-F679
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 675140-20230726-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 675140-20230726-F812
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 675140-20230726-F925
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.27
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.77
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.23
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover41%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.5% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.4% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.7% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Conley, Shawn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| English, Jon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| English, Tiffany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Focused Post Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Focused Post Acute Care Partners II LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Focused Post Acute Care Partners Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fpacp Hamilton LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hamilton County Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lee, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mckenzie, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pratt, Carrie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Strubbe, Loretta Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Collett, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Conley, Shawn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Craig, Karen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| English, Jon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| English, Tiffany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Focused Post Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Focused Post Acute Care Partners II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Focused Post Acute Care Partners Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Forrest, William Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Fpacp Hamilton LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hamilton County Hospital District Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hamilton County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hooper, Grady Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lee, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mckenzie, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Muxworthy, Neil Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pratt, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Witzsche, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Focused Post Acute Care Partners — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Hamilton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Pecan Creek Healthcare Center Hamilton | 0.6 mi | 2026-06-11 | 1110 |
| Hico Nursing and Rehabilitation Hico | 19.8 mi | 2025-12-03 | 0143 |
| Coryell Health Rehabliving At The Meadows Gatesville | 26.6 mi | 2026-02-12 | 0170 |
| Hillside Medical Lodge Gatesville | 30.0 mi | 2025-12-11 | 0120 |
| The Hilltop On Main Meridian | 30.5 mi | 2026-03-03 | 0123 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |