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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.