Focused Care Of Waxahachie
1413 W MAIN ST, Waxahachie, TX, 75165
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 - Individual · Chain: Focused Post Acute Care Partners
- Certified beds
- 152 · avg 68 residents/day
- Total nursing staff turnover
- 64.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $159,939 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 147149
- Service type
- Medicare/medicaid
- Licensed capacity
- 152 beds
- Bed type breakdown
- 62 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- February 1, 2026
- Current license expires
- February 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fpacp Ellis Llc (Limited Liability Company (LLC))
- Operator / manager
- Focused Post Acute Care Partners Management, Llc
- Administrator
- Tracy Kimble
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 (13 on record)
- Dantrell l Anderson
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Llc
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Kasey Mckay White
Adp of The Snf · since 2025
- Dustin Ryan Leek
Operational/managerial Control · since 2024
- Loretta Strubbe
5% or Greater Indirect Ownership Interest · 15% · since 2018
+ 7 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 44)
- D0880·Jan 13, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Dec 9, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0755·Dec 9, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0580·Dec 9, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0677·Jul 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0584·Jul 1, 2025Complaint
Resident Rights Deficiencies
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.
- D0755·Feb 12, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0679·Feb 12, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Federal penalties
By year
- 20241 fine · $8,161
- 20231 fine · $152K · 1 payment denial
Most recent events
- Mar 27, 2024Fine · $8,161
- Jul 17, 2023Payment denial · 28 days · starting Aug 25, 2023
- Jul 17, 2023Fine · $152K
Largest single fine on record: $152K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Feb 12, 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 of Waxahachie is a 152-bed nursing home in Ellis County, Texas, certified for both Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $159,939 have been assessed, and roughly 45% of licensed beds are currently occupied. The facility is managed by Focused Post Acute Care Partners Management, LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 159 minutes of nursing care per day, about 82 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those 159 minutes stretch thinner than the number alone suggests. RN coverage amounts to roughly 11 minutes per resident per day.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile see turnover at 60% — this facility sits above even that threshold. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
Two administrators have left in the past year — a level of leadership instability that residents and frontline staff typically feel.
CMS has recorded 2 fines totaling $159,939 against this facility. The state median for fines among Texas nursing homes that receive any is $20,699; this total is roughly 7.7 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 45% of its 152 licensed beds — about 68 residents on an average day. This low occupancy coincides with the other pressure points in this record.
The quality-of-care measures CMS tracks — things like pressure wounds, pain management, and mobility decline — rate 4 stars, the highest tier tied to long-stay residents. That rating sits alongside the 1-star staffing and inspection scores without reconciling them; the two sets of numbers describe different dimensions of the facility's operation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
Two administrators have left in the past year — ask who is currently in the role, how long they have been there, and whether that position is considered stable.
Nursing staff levels on nights and weekends
CMS records 159 minutes of total nursing care per resident per day and just 11 minutes of RN time — ask how many nurses and aides are on duty during overnight and weekend shifts specifically.
Staff continuity for long-stay residents
About 6 in 10 nursing staff left in the past year; ask how the facility assigns consistent caregivers to residents who live here long-term.
Details behind the two CMS fines
Two fines totaling $159,939 have been assessed — ask what deficiencies triggered them and what specific changes were made in response.
Reason for low bed occupancy
The facility is averaging about 68 residents against 152 licensed beds — ask what accounts for the low census and how staffing adjusts as occupancy changes.
Resident and family input channels
CMS shows no resident or family council on record — ask how residents and families currently raise concerns or provide feedback to management.
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.