Focused Care of Waxahachie
Nursing Home · Waxahachie, TX
CMS certification number455591
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1413 W Main StWaxahachie, TX 75165
Ellis County
- Phone
- (972) 937-2298
- ZIP code
- 75165 – all care providers
Facility details
- Certified beds
- 152
- Residents per day
- 62.7 (41% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Fpacp Ellis LLC
- Chain
- Focused Post Acute Care Partners (25 facilities, avg 1.9★)
- Medicare certified since
- January 16, 1986
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.68 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.27 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.03 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.38 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.40 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 58.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 40.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- April 28, 2026
- Health deficiencies (last cycle)
- 11.0 (state 9.3 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 39 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-17 |
| 2026-04-28 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-04-28 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-04-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-04-28 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2026-04-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-28 |
| 2026-03-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-02-08 |
| 2026-01-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-06 |
| 2025-12-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-09 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-07-01 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-07-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-02 |
| 2025-02-12 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-13 |
| 2025-02-12 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-13 |
| 2025-02-12 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-13 |
| 2025-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-13 |
| 2025-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-13 |
| 2024-12-20 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-21 |
| 2024-12-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-21 |
| 2024-11-07 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-11-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-10-29 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-10-29 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-10-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-03 |
| 2024-10-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-12-03 |
| 2024-10-18 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-03 |
| 2024-04-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-18 |
| 2024-03-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-27 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2023-12-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-12-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-09 |
| 2023-08-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-22 |
| 2023-08-30 | Prepare residents for a safe transfer or discharge from the nursing home. F0624 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $20,589 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-02 | Fine | $12,428 |
| 2024-03-27 | Fine | $8,161 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Anderson, Dantrell (individual) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Administrator · NOT APPLICABLE | |
| Leek, Dustin (individual) | Administrator · NOT APPLICABLE | |
| White, Kasey (individual) | Administrator · NOT APPLICABLE | |
| Conley, Shawn (individual) | Corporate Officer · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Corporate Officer · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Corporate Officer · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Fpacp Ellis LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Anderson, Dantrell (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Conley, Shawn (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Fpacp Ellis LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Leek, Dustin (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Operational/managerial Control · NOT APPLICABLE | |
| White, Kasey (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Focused Care of Waxahachie?
Focused Care of Waxahachie has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Focused Care of Waxahachie have?
It has 152 certified beds and cares for about 63 residents per day.
Has Focused Care of Waxahachie been fined?
Yes. CMS lists 2 penalties totaling $20,589 in the last three years.
Who owns Focused Care of Waxahachie?
It is part of Focused Post Acute Care Partners and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Focused Care of Waxahachie?
(972) 937-2298. The facility is located at 1413 W Main St, Waxahachie, TX 75165.
Other nursing homes in Waxahachie
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Legend Oaks Healthcare and Rehabilitation - Waxaha
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.