FOCUSED POST ACUTE CARE PARTNERS
Ownership rollup across 25 nursing homes in 1 state: Texas. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 1.9 of 5 stars on the CMS overall rating — about 0.8 stars below the ~2.6 average of its state. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 25 homes rated throughout, the average rose 0.56 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.1 of 5 | 25 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.2 of 5 | 25 rated homes | from payroll (PBJ) hours |
| Quality measures | 4.0 of 5 | 25 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the all 25 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Focused Care At OrangeOrange, TX | 1 of 5 | 3 immediate-jeopardy $193,434 fined |
| Focused Care at Cedar BayouBaytown, TX | 1 of 5 | 9 immediate-jeopardy $99,628 fined |
| Focused Care at Hogan ParkMidland, TX | 1 of 5 | $9,110 fined |
| Focused Care at HumbleHumble, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $98,015 fined |
| Focused Care at LindenLinden, TX | 1 of 5 | 5 immediate-jeopardy $333,363 fined |
| Focused Care at Mount PleasantMount Pleasant, TX | 1 of 5 | 3 immediate-jeopardy Abuse flag $223,296 fined |
| Focused Care at PasadenaPasadena, TX | 1 of 5 | 6 immediate-jeopardy $131,012 fined |
| Focused Care at ShermanSherman, TX | 1 of 5 | 5 immediate-jeopardy SFF candidate Abuse flag $120,309 fined |
| Focused Care at Summer PlaceBeaumont, TX | 1 of 5 | $17,298 fined |
| Focused Care of GilmerGilmer, TX | 1 of 5 | 2 immediate-jeopardy $15,288 fined |
| Focused Care of WaxahachieWaxahachie, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $20,589 fined |
| Focused Care At Burnet BayBaytown, TX | 2 of 5 | 5 immediate-jeopardy $12,893 fined |
| Focused Care At CraneCrane, TX | 2 of 5 | 1 immediate-jeopardy $42,357 fined |
| Focused Care At HuntsvilleHuntsville, TX | 2 of 5 | Abuse flag |
| Focused Care at BeechnutHouston, TX | 2 of 5 | 8 immediate-jeopardy $90,403 fined |
| Focused Care at Fort StocktonFort Stockton, TX | 2 of 5 | 3 immediate-jeopardy |
| Focused Care at MidlandMidland, TX | 2 of 5 | 1 immediate-jeopardy $9,281 fined |
| Focused Care at OdessaOdessa, TX | 2 of 5 | — |
| Focused Care at WebsterWebster, TX | 2 of 5 | 2 immediate-jeopardy Abuse flag $28,255 fined |
| Focused Care At ClarksvilleClarksville, TX | 3 of 5 | $5,211 fined |
| Focused Care At LamesaLamesa, TX | 3 of 5 | 2 immediate-jeopardy $10,692 fined |
| Focused Care Of CenterCenter, TX | 3 of 5 | 4 immediate-jeopardy Abuse flag $262,154 fined |
| Focused Care at AllenbrookBaytown, TX | 3 of 5 | $8,400 fined |
| Focused Care at WestwoodHouston, TX | 3 of 5 | — |
| Focused Care At HamiltonHamilton, TX | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.