For profit - Corporation · 120 certified beds · CMS number 676094
Focused Care at Orange, Orange, TX
CMS records 28 health deficiencies at Focused Care at Orange in Orange, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 3, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $193,434 in the last three years.
- 28deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $193,434fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Focused Care at Orange as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Focused Care at Orange may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Jun 3, 2026. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 3, 2026 · Standard inspection
4 deficiencies, highest E
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 Jun 4, 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 Jun 4, 2026
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 Jun 4, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
Nov 18, 2025 · Complaint inspection
1 deficiency, highest E
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 25, 2025
Previous cycle: 12 deficiencies (standard inspection Apr 25, 2025)
Standard inspection Apr 25, 2025. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.
Apr 25, 2025 · Standard inspection
5 deficiencies, highest K
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 26, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 26, 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 26, 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 Apr 26, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 26, 2025
Apr 16, 2025 · Complaint inspection
1 deficiency, highest J
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Apr 15, 2025
Mar 25, 2025 · Complaint inspection
1 deficiency, highest D
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 26, 2025
Jan 24, 2025 · Complaint inspection
5 deficiencies, highest J
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
- Correction date Jan 25, 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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 25, 2025
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 25, 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 Jan 25, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Nov 11, 2024
Earlier cycle: 11 deficiencies (standard inspection Mar 6, 2024)
Standard inspection Mar 6, 2024. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 6, 2024 · Standard inspection
10 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 29, 2024
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 29, 2024
F802 · Enough kitchen and dining support staff
Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 7, 2024
F791 · Dental services in Medicaid nursing facilities
Requirement cited (CMS): Provide or obtain dental services for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 7, 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 Mar 29, 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 Mar 29, 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 Mar 29, 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 Mar 29, 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 Mar 29, 2024
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 12, 2024
Feb 15, 2024 · Complaint inspection
1 deficiency, 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 Feb 20, 2024
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Focused Care at Orange; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Jun 3, 2026; Apr 25, 2025; Mar 6, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Jan 24, 2025; Mar 6, 2024 |
| F688 Range of motion and mobility | 2 | Apr 25, 2025; Mar 6, 2024 |
| F695 Respiratory and oxygen care | 2 | Jun 3, 2026; Mar 6, 2024 |
| F760 No significant medication errors | 2 | Nov 18, 2025; Apr 16, 2025 (PNC) |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 25, 2025 | Fine | $102,448 |
| Apr 16, 2025 | Fine | $17,641 |
| Jan 24, 2025 | Fine | $73,345 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.03 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.19 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.56 h
- Nursing staff turnover
- 40.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Focused Care at Orange, copied as published; Texas medians are ours.
Facility details
- Address
- 4201 Fm 105, Orange, TX 77630
- Phone
- (409) 745-8085
- County
- Orange
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Focused Post Acute Care Partners
- Certified beds
- 120
- Average residents per day
- 110.3
- In Medicare/Medicaid since
- Mar 9, 2006
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- What restorative or exercise programs are offered to help residents stay mobile? (F688, cited 2 times)
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 2 times)
Other nursing homes in Orange and the same chain
- Focused Care at Mount Pleasant
Mount Pleasant · 84 deficiencies - Focused Care at Linden
Linden · 62 deficiencies - Focused Care of Gilmer
Gilmer · 49 deficiencies - Focused Care at Hogan Park
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.