Nursing homeActive

Focused Care Of Center

501 Timpson, Center, TX 75935936598248392 certified beds · 56 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
37
1324
Penalties · 3 yrs
$262,154
2 fines
Last survey
2025-11-18
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
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
DateKindDeficienciesOfficial recordArchived PDF
2025-11-18Complaint010CMS-2567 (Care Compare)
2025-06-11Standard160CMS-2567 (Care Compare)
2025-04-22Complaint033CMS-2567 (Care Compare)
2024-07-06Complaint010CMS-2567 (Care Compare)
2024-05-15Standard0130CMS-2567 (Care Compare)
2023-10-16Complaint020CMS-2567 (Care Compare)
2023-10-03Complaint001CMS-2567 (Care Compare)
2023-03-22Standard060CMS-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.

2025-11-18Complaint survey · 1 deficiencyOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-19Record 675398-20251118-F602
2025-06-11Standard survey · 7 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 2025-06-17Record 675398-20250611-F550
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 675398-20250611-F584
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-12Record 675398-20250611-F755
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 2025-06-22Record 675398-20250611-F812
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 2025-06-17Record 675398-20250611-F880
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-17Record 675398-20250611-F926
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-06-18Record 675398-20250611-F732
2025-04-22Complaint survey · 6 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-23Record 675398-20250422-F600
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-23Record 675398-20250422-F610
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.Corrected 2025-04-23Record 675398-20250422-F689
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 2025-04-23Record 675398-20250422-F558
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 2025-04-23Record 675398-20250422-F609
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 2025-04-23Record 675398-20250422-F925
2024-07-06Complaint survey · 1 deficiencyOfficial report
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 2024-07-22Record 675398-20240706-F655
2024-05-15Standard survey · 13 deficienciesOfficial report
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 2024-06-01Record 675398-20240515-F558
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-F584
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 2024-06-01Record 675398-20240515-F655
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 2024-06-01Record 675398-20240515-F677
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 2024-06-01Record 675398-20240515-F692
F730Observe each nurse aide's job performance and give regular training.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-F730
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-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 2024-06-01Record 675398-20240515-F761
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 2024-06-01Record 675398-20240515-F812
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 2024-06-01Record 675398-20240515-F880
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-F940
F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-F945
F946Provide training in compliance and ethics.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 675398-20240515-F946
2023-10-16Complaint survey · 2 deficienciesOfficial report
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 2023-10-17Record 675398-20231016-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-17Record 675398-20231016-F658
2023-10-03Complaint survey · 1 deficiencyOfficial report
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 JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-04Record 675398-20231003-F700
2023-03-22Standard survey · 6 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 2023-03-23Record 675398-20230322-F550
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 675398-20230322-F583
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 2023-03-23Record 675398-20230322-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 675398-20230322-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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 675398-20230322-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-23Record 675398-20230322-F804

Penalties & enforcement

DateActionAmountSource
2025-04-22Civil money penalty$248,757CMS · Penalties
2023-10-03Civil money penalty$13,397CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.34
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.50
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.04
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover33%
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
2.2%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.0%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.3%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
23.6%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.7%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
4.1%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
Fpacp Timpson, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Adams, Hollie
Individual
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 Timpson, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lindemann, Carey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mckenzie, Mark
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Moore, Cicely
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Strubbe, Loretta
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Adams, Hollie
Individual
ADP OF THE SNFNOT APPLICABLE
Conley, Shawn
Individual
CORPORATE OFFICERNOT 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
Lindemann, Carey
Individual
ADP OF THE SNFNOT APPLICABLE
Mckenzie, Mark
Individual
CORPORATE OFFICERNOT APPLICABLE
Moore, Cicely
Individual
ADP OF THE SNFNOT APPLICABLE
Strubbe, Loretta
Individual
CORPORATE OFFICERNOT 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 Shelby.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Pine Grove Nursing Center
Center
1.6 mi2025-12-10071
Avir at Center
Center
1.6 mi2025-07-23281
Stonecreek Nursing & Rehabilitation
San Augustine
19.2 mi2026-04-010200
Colonial Pines Healthcare Center
San Augustine
19.5 mi2026-01-210300
Avir At San Augustine
San Augustine
19.5 mi2026-05-131163
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