Focused Care At Orange
4201 FM 105, Orange, TX, 77630
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 - Limited Liability company · Chain: Focused Post Acute Care Partners
- Certified beds
- 120 · avg 104 residents/day
- Total nursing staff turnover
- 38.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · 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
- Fines (past 3 years)
- 3 fines · $193,434 total
State licensing & capacity
- License number
- 308265
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- March 9, 2006
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Chambers County Public Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fpacp Orange Llc
- Administrator
- Amy Wallace
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 (22 on record)
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Fpacp Orange Llc
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Llc
Adp of The Snf · since 2025
- Karteedria Marshea Polk
Operational/managerial Control · since 2024
- Eric Humphrey
Managing Control - Governing Body · since 2024
- Mark s Mckenzie
Managing Control - Governing Body · since 2024
+ 16 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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- E0760·Nov 18, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0812·Apr 25, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Apr 25, 2025
Pharmacy Service Deficiencies
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.
- K0700·Apr 25, 2025
Quality of Life and Care Deficiencies
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…
- D0690·Apr 25, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0688·Apr 25, 2025
Quality of Life and Care Deficiencies
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.
- J0760·Apr 16, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0644·Mar 25, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal penalties
By year
- 20253 fines · $193K
Most recent events
- Apr 25, 2025Fine · $102K
- Apr 16, 2025Fine · $18K
- Jan 24, 2025Fine · $73K
Largest single fine on record: $102K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Apr 25, 2025. 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 Orange is a 120-bed Medicare/Medicaid nursing home in Orange County, Texas, managed by Focused Post Acute Care Partners. CMS rates it 1 star overall, with a 1-star health inspection rating and 2-star staffing rating. Three federal fines totaling $193,434 have been assessed — nearly ten times the Texas median of $20,699. The facility is operating at roughly 87% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas, which sits at about 241 minutes. Residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those 203 minutes stretch thinner than the raw number suggests. About 32% of Texas nursing homes share this staffing rating.
Nursing staff turnover runs low: roughly 4 in 10 nursing staff left in the past year, below the Texas 25th-percentile cutoff of 42% — better than about three-quarters of nursing homes in the state on this measure. That stability means residents are less likely to cycle through unfamiliar caregivers.
Three CMS fines totaling $193,434 have been assessed. The Texas median for facilities that receive any fine at all is $20,699, and about 30% of Texas nursing homes have zero fines. This facility's total is roughly nine times the state median, placing it in a severe tier by fine volume.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What triggered the three fines
Ask what deficiencies led to $193,434 in CMS fines and what specific changes were made in response.
How the 1-star inspection score is being addressed
The health inspection rating is 1 star — ask what the most recent survey cited and what the current corrective action plan covers.
Registered nurse coverage on evenings and weekends
Reported RN hours average about 13 minutes per resident per day; ask how many registered nurses are on duty during evening shifts and weekends.
Care planning for higher-need residents
Residents here require more hands-on care than average; ask how care plans are reviewed and updated when a resident's needs change.
Current bed availability and waitlist
The facility is running at roughly 87% occupancy with 103 residents in 120 beds; ask whether specific room types or care levels have waitlists.
Role of the Resident Council
A Resident Council is listed but no Family Council; ask how families receive updates and how concerns are formally escalated.
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.