Government - Hospital district · 152 certified beds · CMS number 455591
Focused Care of Waxahachie, Waxahachie, TX
CMS records 37 health deficiencies at Focused Care of Waxahachie in Waxahachie, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 28, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $20,589 in the last three years.
- 37deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $20,589fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Focused Care of Waxahachie as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Focused Care of Waxahachie may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Apr 28, 2026. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
May 23, 2026 · Complaint inspection
1 deficiency, highest D
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 Jun 17, 2026
Apr 28, 2026 · Standard inspection
4 deficiencies, highest F
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 1, 2026
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 1, 2026
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 Jun 1, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 1, 2026
Apr 8, 2026 · 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 Apr 28, 2026
Mar 2, 2026 · Complaint inspection
1 deficiency, 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
- Past non-compliance (fixed before the inspection), Feb 8, 2026
Jan 13, 2026 · 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 6, 2026
Dec 9, 2025 · Complaint inspection
3 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 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 Dec 12, 2025
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 Dec 12, 2025
Previous cycle: 16 deficiencies (standard inspection Feb 12, 2025)
Standard inspection Feb 12, 2025. CMS counts 16 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 1, 2025 · Complaint inspection
2 deficiencies, highest D
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 Jul 2, 2025
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 Jul 2, 2025
Feb 12, 2025 · Standard inspection
5 deficiencies, highest E
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 13, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 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 Feb 13, 2025
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 13, 2025
Dec 20, 2024 · Complaint inspection
2 deficiencies, highest E
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 Dec 21, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 21, 2024
Nov 7, 2024 · Complaint inspection
2 deficiencies, highest E
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 Dec 3, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 3, 2024
Oct 29, 2024 · Complaint inspection
2 deficiencies, highest D
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 Dec 3, 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 Dec 3, 2024
Oct 18, 2024 · Complaint inspection
3 deficiencies, highest K
F660 · Discharge planning process
Requirement cited (CMS): Plan the resident's discharge to meet the resident's goals and needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 3, 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 3, 2024
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Dec 3, 2024
Earlier cycle: 10 deficiencies (standard inspection Dec 21, 2023)
Standard inspection Dec 21, 2023. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 17, 2024 · Complaint inspection
1 deficiency, 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 18, 2024
Mar 27, 2024 · Complaint inspection
2 deficiencies, highest E
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 Mar 28, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 28, 2024
Dec 21, 2023 · Standard inspection
7 deficiencies, highest F
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 9, 2024
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 9, 2024
F882 · Qualified infection preventionist
Requirement cited (CMS): Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 9, 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 Jan 9, 2024
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 Jan 9, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 9, 2024
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 Jan 9, 2024
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Focused Care of Waxahachie; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Feb 12, 2025; Dec 20, 2024; Oct 18, 2024; Mar 27, 2024 |
| F689 Accident prevention and supervision | 3 | Mar 2, 2026 (PNC); Apr 17, 2024; Dec 21, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Dec 9, 2025; Feb 12, 2025; Nov 7, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Dec 20, 2024; Oct 29, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Jul 1, 2025; Oct 29, 2024 |
| F600 Freedom from abuse and neglect | 2 | May 23, 2026; Oct 18, 2024 |
| F644 Coordinating with PASARR screening | 2 | Apr 28, 2026; Feb 12, 2025 |
| F812 Food safety and sanitation | 2 | Apr 28, 2026; Dec 21, 2023 |
| F880 Infection prevention and control program | 2 | Apr 8, 2026; Jan 13, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 2, 2026 | Fine | $12,428 |
| Mar 27, 2024 | Fine | $8,161 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.68 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.27 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.40 h
- Nursing staff turnover
- 58.9% (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
- 4 of 5
CMS figures for Focused Care of Waxahachie, copied as published; Texas medians are ours.
Facility details
- Address
- 1413 W Main St, Waxahachie, TX 75165
- Phone
- (972) 937-2298
- County
- Ellis
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Focused Post Acute Care Partners
- Certified beds
- 152
- Average residents per day
- 62.7
- In Medicare/Medicaid since
- Jan 16, 1986
- 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 are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
Other nursing homes in Waxahachie and the same chain
- Legend Oaks Healthcare and Rehabilitation - Waxaha
Waxahachie · 36 deficiencies - Pleasant Manor Healthcare and Rehabilitation
Waxahachie · 29 deficiencies - 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.