Nursing homeActive

Focused Care at Linden

1201 W Houston St, Linden, TX 755639037565537131 certified beds · 41 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2024
Deficiencies
61
1537
Penalties · 3 yrs
$333,363
4 fines
Last survey
2026-06-24
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 4
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
DateKindDeficienciesOfficial recordArchived PDF
2026-06-24Complaint010CMS-2567 (Care Compare)
2026-04-15Standard171CMS-2567 (Care Compare)
2025-11-19Complaint010CMS-2567 (Care Compare)
2025-07-16Complaint030CMS-2567 (Care Compare)
2025-04-09Complaint011CMS-2567 (Care Compare)
2025-02-12Standard0192CMS-2567 (Care Compare)
2024-10-30Complaint030CMS-2567 (Care Compare)
2024-03-13Complaint003CMS-2567 (Care Compare)
2024-01-10Standard0180CMS-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.

2026-06-24Complaint survey · 1 deficiencyOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675293-20260624-F628
2026-04-15Standard survey · 9 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675293-20260415-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F580
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F640
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-22Record 675293-20260415-F761
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 2026-04-22Record 675293-20260415-F812
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-04-22Record 675293-20260415-F732
2025-11-19Complaint survey · 1 deficiencyOfficial report
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 675293-20251119-F776
2025-07-16Complaint survey · 3 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675293-20250716-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-17Record 675293-20250716-F607
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 675293-20250716-F677
2025-04-09Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-11Record 675293-20250409-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 675293-20250409-F609
2025-02-12Standard survey · 21 deficienciesOfficial report
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity KHarm
Care planningRecords
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-02-21Record 675293-20250212-F635
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-02-21Record 675293-20250212-F686
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F558
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F695
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F700
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F730
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F760
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F806
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 675293-20250212-F880
2024-10-30Complaint survey · 3 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 675293-20241030-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 675293-20241030-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-25Record 675293-20241030-F880
2024-03-13Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-09Record 675293-20240313-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-09Record 675293-20240313-F684
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-09Record 675293-20240313-F760
2024-01-10Standard survey · 18 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F558
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F580
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F656
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 2024-02-19Record 675293-20240110-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F677
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F695
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-19Record 675293-20240110-F880

Penalties & enforcement

DateActionAmountSource
2026-04-15Civil money penalty$17,796CMS · Penalties
2025-04-09Civil money penalty$23,098CMS · Penalties
2025-02-12Civil money penalty$113,400CMS · Penalties
2024-03-13Civil money penalty$179,069CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.73
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.61
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.30
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover54%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover20%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
13.8%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
0.0%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.1%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
16.8%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.9%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
30.9%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)
EntityRoleInterestSinceRegistry
Beasley, Sheila
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chambers County Public Hospital District No. 1
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Conley, Shawn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Focused Post Acute Care Partners LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Focused Post Acute Care Partners Management, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fpacp Linden LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kennedy, Kelci
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mckenzie, Mark
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Newton, Elizabeth
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Okelley, Edward
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Phillips, Jacqueline
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Strubbe, Loretta
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Abernathy, Mary
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Beasley, Sheila
Individual
ADP OF THE SNFNOT APPLICABLE
Chambers County Public Hospital District No. 1
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Conley, Shawn
Individual
ADP OF THE SNFNOT APPLICABLE
Cooper, Kimberly
Individual
CORPORATE DIRECTORNOT APPLICABLE
Focused Post Acute Care Partners LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Focused Post Acute Care Partners Management, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Fpacp Linden LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Humphrey, Eric
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kennedy, Kelci
Individual
ADP OF THE SNFNOT APPLICABLE
Legg, Stephen
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mckenzie, Mark
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mckenzie, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Newton, Elizabeth
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Newton, Elizabeth
Individual
CORPORATE OFFICERNOT APPLICABLE
Okelley, Edward
Individual
ADP OF THE SNFNOT APPLICABLE
Phillips, Jacqueline
Individual
ADP OF THE SNFNOT APPLICABLE
Strubbe, Loretta
Individual
ADP OF THE SNFNOT APPLICABLE
Tinnerman, Linda
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Turner, Leslie
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Part of a chain
Focused Post Acute Care Partners25 facilities
View chain record

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 Cass.

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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01