For profit - Corporation · 131 certified beds · CMS number 675293
Focused Care at Linden, Linden, TX
CMS records 62 health deficiencies at Focused Care at Linden in Linden, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 15, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $333,363 in the last three years.
- 62deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $333,363fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Focused Care at Linden as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Focused Care at Linden may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Apr 15, 2026. CMS counts 12 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 6, 2026 · Complaint inspection
1 deficiency, highest D
F573 · Access to personal and medical records
Requirement cited (CMS): Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 10, 2026
Jun 24, 2026 · Complaint inspection
1 deficiency, highest D
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 25, 2026
Apr 15, 2026 · Standard inspection
9 deficiencies, highest J
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2026
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Apr 22, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
Nov 19, 2025 · Complaint inspection
1 deficiency, highest D
F776 · Radiology and diagnostic services
Requirement cited (CMS): Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 24, 2025
Previous cycle: 29 deficiencies (standard inspection Feb 12, 2025)
Standard inspection Feb 12, 2025. CMS counts 29 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 16, 2025 · Complaint inspection
3 deficiencies, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 25, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 17, 2025
Apr 9, 2025 · Complaint inspection
2 deficiencies, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 11, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2025
Feb 12, 2025 · Standard + complaint inspection
21 deficiencies, highest K
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 12, 2025
F730 · Nurse aide reviews and in-service training
Requirement cited (CMS): Observe each nurse aide's job performance and give regular training.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 12, 2025
F700 · Bed rail safety
Requirement cited (CMS): Try 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 12, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 21, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 12, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 21, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
Oct 30, 2024 · Complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2024
Earlier cycle: 21 deficiencies (standard inspection Jan 10, 2024)
Standard inspection Jan 10, 2024. CMS counts 21 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 13, 2024 · Complaint inspection
3 deficiencies, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 9, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 9, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 9, 2024
Jan 10, 2024 · Standard + complaint inspection
18 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 19, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 19, 2024
Tags cited in more than one inspection
18 tags cited on more than one inspection date at Focused Care at Linden; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F580 Telling residents and families about changes | 3 | Apr 15, 2026; Mar 13, 2024; Jan 10, 2024 |
| F656 Comprehensive person-centered care plan | 3 | Apr 15, 2026; Feb 12, 2025; Jan 10, 2024 |
| F677 Help with daily care | 3 | Jul 16, 2025; Feb 12, 2025; Jan 10, 2024 |
| F689 Accident prevention and supervision | 3 | Apr 15, 2026 (PNC); Apr 9, 2025; Feb 12, 2025 |
| F690 Bladder, bowel, and catheter care | 3 | Feb 12, 2025; Oct 30, 2024; Jan 10, 2024 |
| F880 Infection prevention and control program | 3 | Feb 12, 2025; Oct 30, 2024; Jan 10, 2024 |
| F550 Dignity and the right to exercise rights | 2 | Apr 15, 2026; Jan 10, 2024 |
| F552 Being informed about health and treatment | 2 | Feb 12, 2025; Jan 10, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Feb 12, 2025; Jan 10, 2024 |
| F644 Coordinating with PASARR screening | 2 | Feb 12, 2025; Jan 10, 2024 |
| F645 Pre-admission screening for mental disorder or intellectual disability | 2 | Feb 12, 2025; Jan 10, 2024 |
| F655 Baseline care plan within 48 hours | 2 | Feb 12, 2025; Jan 10, 2024 |
| F686 Pressure ulcer prevention and care | 2 | Feb 12, 2025; Oct 30, 2024 |
| F695 Respiratory and oxygen care | 2 | Feb 12, 2025; Jan 10, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Apr 15, 2026; Feb 12, 2025 |
| F758 Psychotropic drug safeguards | 2 | Feb 12, 2025; Jan 10, 2024 |
| F760 No significant medication errors | 2 | Feb 12, 2025; Mar 13, 2024 |
| F761 Drug labeling and secure storage | 2 | Apr 15, 2026; Jan 10, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2026 | Fine | $17,796 |
| Apr 9, 2025 | Fine | $23,098 |
| Feb 12, 2025 | Fine | $113,400 |
| Mar 13, 2024 | Fine | $179,069 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.61 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.73 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.30 h
- Nursing staff turnover
- 53.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Focused Care at Linden, copied as published; Texas medians are ours.
Facility details
- Address
- 1201 W Houston St, Linden, TX 75563
- Phone
- (903) 756-5537
- County
- Cass
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Focused Post Acute Care Partners
- Certified beds
- 131
- Average residents per day
- 40.6
- In Medicare/Medicaid since
- Mar 1, 1994
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
Other nursing homes in Linden and the same chain
- Focused Care at Mount Pleasant
Mount Pleasant · 84 deficiencies - Focused Care of Gilmer
Gilmer · 49 deficiencies - Focused Care at Hogan Park
Midland · 48 deficiencies - Focused Care at Midland
Midland · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.