Focused Care of Waxahachie
1413 W Main St · Waxahachie, TX · 75165 · 9729372298
152 certified beds For profit - Individual 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).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $19,120 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.82 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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 | 2.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.42 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 3 · $179,059 |
Inspection citations (42 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 28, 2026 · Infection Control
-
Immediate jeopardy · J March 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 8, 2026 · Quality of Life and Care
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Potential for harm · D January 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Potential for harm · D December 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · E December 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · E December 9, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 1, 2025 · found via complaint
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.
Corrected July 2, 2025 · Resident Rights
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Potential for harm · D July 1, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 2, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Ensure each resident receives an accurate assessment.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 12, 2025
Provide activities to meet all resident's needs.
Corrected February 13, 2025 · Quality of Life and Care
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Potential for harm · D February 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 13, 2025 · Pharmacy Service
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Potential for harm · E December 20, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 21, 2024 · Resident Rights
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Potential for harm · E December 20, 2024 · 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 December 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 7, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 3, 2024 · Resident Rights
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Potential for harm · E November 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 3, 2024 · Pharmacy Service
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Potential for harm · D October 29, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 3, 2024 · Resident Rights
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Potential for harm · D October 29, 2024 · found via complaint
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.
Corrected December 3, 2024 · Resident Rights
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Immediate jeopardy · K October 18, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 3, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 18, 2024 · 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 December 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected December 3, 2024 · Resident Assessment and Care Planning
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Actual harm · G April 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · E March 27, 2024 · 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 March 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2024 · found via complaint
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 March 28, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 2, 2026 | Fine | $19,120 |
| March 27, 2024 | Fine | $8,161 |
| July 17, 2023 | Fine | $151,778 |
| July 17, 2023 | Payment Denial | 28 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455591 · certified since January 16, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.