Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

FOCUSED CARE AT HAMILTON

HAMILTON, TX · 78 certified beds · Last Life Safety survey September 30, 2025

CMS Certification Number 675140 · first certified April 1993

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Focused Care at Hamilton (1315 E State Hwy 22). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by FOCUSED POST ACUTE CARE PARTNERS · For profit - Partnership

  • Ownership changed April 1, 2019 (change of ownership)from FPACP HAMILTON LLC
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within TX

8 citations — more than 52% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was September 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 8 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility8TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0722024-0902025-09
Citations at each Life Safety survey
Survey dateCitations
July 26, 20236
September 27, 20242
September 30, 20250

Most-cited tags

Most-cited tags at this facility
K-09182K-09291K-05111E-00041E-00391K-03531K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-09-27
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12024-09-27
K-0511Have properly installed electrical wiring and gas equipment.12023-07-26
E-0004Develop and maintain an Emergency Preparedness Program (EP).12023-07-26
E-0039Conduct testing and exercise requirements.12023-07-26
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-07-26
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-07-26

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Smoke Deficiencies 2
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Smoke Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 27, 2024 — 2 citations

Citations issued on September 27, 2024
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 3, 2025)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 3, 2025)

July 26, 2023 — 6 citations

Citations issued on July 26, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (June 22, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 22, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 4, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 22, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 22, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.