Focused Care At Hamilton
1315 E STATE HWY 22, Hamilton, TX, 76531
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Focused Post Acute Care Partners
- Certified beds
- 78 · avg 44 residents/day
- Total nursing staff turnover
- 48.6% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Infection control citations
- 1
State licensing & capacity
- License number
- 307278
- Service type
- Medicare/medicaid
- Licensed capacity
- 82 beds
- Bed type breakdown
- 4 licensed-only · 27 Medicare-only · 51 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fpacp Hamilton Llc
- Administrator
- Carrie Pratt
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Focused Post Acute Care Partners chain — 25 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (21 on record)
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Focused Post
Adp of The Snf · since 2025
- Focused Post Acute Care Partners ii Llc
Adp of The Snf · since 2025
- Hamilton County Hospital District
Adp of The Snf · since 2025
- Carrie Pratt
Adp of The Snf · since 2025
- Fpacp Hamilton Llc
Adp of The Snf · since 2025
+ 15 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 10)
- E0925·Sep 27, 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0812·Sep 27, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0812·Dec 4, 2023ComplaintInfection control
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0925·Jul 26, 2023
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F0812·Jul 26, 2023
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0805·Jul 26, 2023
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0679·Jul 26, 2023
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0657·Jul 26, 2023
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Sep 27, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Focused Care at Hamilton is an 82-bed nursing home in Hamilton County, Texas, licensed since 1971 and currently operated under a management contract with Focused Post Acute Care Partners. CMS rates it 5 stars overall — the top tier — with 5-star scores on health inspections and quality measures. The one outlier is a 2-star staffing rating. The facility is running at about 57% of its licensed beds, with 44 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 225 minutes of nursing care per resident per day, roughly 16 minutes less than what a 4-star-staffing facility in Texas provides. That gap may feel small in the abstract, but across an entire day it accumulates. About 32% of Texas nursing homes share this staffing rating, so it is not an outlier, but it sits below the midpoint. RN coverage in particular is 13 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility — a meaningful difference in the amount of registered nurse time available on any given shift.
The facility is operating at roughly 57% of its licensed beds — about 44 residents in an 82-bed building. That level of occupancy can affect both the day-to-day rhythm of a building and, in some cases, its financial stability. It is worth asking what is driving the vacancy rate, particularly given the facility's otherwise strong CMS scores.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
With a 2-star staffing rating and 225 nursing minutes per resident per day, ask how many nurses and aides are on duty during evenings, nights, and weekends specifically.
RN presence during a typical day
Reported RN hours work out to about 13 minutes per resident per day — ask how many hours a registered nurse is physically on-site and what triggers an RN to be called in after hours.
Why so many beds are empty
The facility averages 44 residents against 82 licensed beds — ask what accounts for the low occupancy and whether any beds, wings, or services have been scaled back.
Management company's role
Day-to-day operations are managed by Focused Post Acute Care Partners under license held by Hamilton County Hospital District — ask which entity sets staffing levels, hiring decisions, and the care budget.
Resident and family council activity
Both a Resident Council and a Family Council are on record — ask how often each meets, how concerns are documented, and what changes have resulted from those meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.