Focused Care at Orange
4201 Fm 105 · Orange, TX · 77630 · 4097458085
120 certified beds For profit - Limited Liability company Chain: Focused Post Acute Care Partners
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $193,434 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$193,434 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 3 · $193,434 |
Inspection citations (29 in the current record)
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Potential for harm · E November 18, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 25, 2025 · Pharmacy Service
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Immediate jeopardy · K April 25, 2025
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.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · E April 25, 2025
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.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 26, 2025 · Quality of Life and Care
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Potential for harm · D April 25, 2025
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.
Corrected April 26, 2025 · Pharmacy Service
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Potential for harm · E April 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
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Immediate jeopardy · J April 16, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 25, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 26, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 24, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 25, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 25, 2025 · Quality of Life and Care
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Potential for harm · E January 24, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 6, 2024
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.
Corrected March 12, 2024 · Resident Rights
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Potential for harm · D March 6, 2024
Ensure each resident receives an accurate assessment.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2024
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.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 6, 2024
Provide or obtain dental services for each resident.
Corrected March 7, 2024 · Quality of Life and Care
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Potential for harm · F March 6, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected March 7, 2024 · Nutrition and Dietary
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Potential for harm · F March 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 29, 2024 · Nutrition and Dietary
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Potential for harm · F March 6, 2024
Keep all essential equipment working safely.
Corrected March 29, 2024 · Environmental
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Potential for harm · D February 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 20, 2024 · Infection Control
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Potential for harm · D January 24, 2023
Ensure each resident receives an accurate assessment.
Corrected January 31, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 25, 2025 | Fine | $102,448 |
| April 16, 2025 | Fine | $17,641 |
| January 24, 2025 | Fine | $73,345 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676094 · certified since March 9, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.