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

Focused Care at Midland

Midland, TX · 106 certified beds · Last Life Safety survey August 13, 2026

CMS Certification Number 675985 · first certified August 2003

Ownership

Operated by FOCUSED POST ACUTE CARE PARTNERS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

33
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
9
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within TX

33 citations — more than 99% 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

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 18 citations; the earlier surveys on file averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 10 months from now. This facility’s last Life Safety survey was August 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,923 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 about three years in Virginia. How the window is measured

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Which alerts

5 inspection-and-testing tags have 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

10 of the 33 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)

17 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 33 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0926 Have policies on smoking.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 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.

How that compares

Citations in CMS's current file

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

This facility33TX median7National median11
Citations in CMS's current file, compared
MeasureCitations
This facility33
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
132024-0422025-06182026-08
Citations at each Life Safety survey
Survey dateCitations
April 11, 202413
June 19, 20252
August 13, 202618

Most-cited tags

Most-cited tags at this facility
K-05213E-00412E-00152E-00392K-03452K-09182E-00042K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-08-13
E-0041Implement emergency and standby power systems.22026-08-13
E-0015Address subsistence needs for staff and patients.22025-06-19
E-0039Conduct testing and exercise requirements.22026-08-13
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-08-13
K-0918Have generator or other power source capable of supplying service within 10 seconds.22026-08-13
E-0004Develop and maintain an Emergency Preparedness Program (EP).22026-08-13
K-0712Have simulated fire drills held at unexpected times.22026-08-13

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 10
  • Smoke Deficiencies 8
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 7
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies10
Smoke Deficiencies8
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies4
Egress Deficiencies3

Every citation on file

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

August 13, 2026 — 18 citations

Citations issued on August 13, 2026
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has plan of correction (September 25, 2026)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has plan of correction (September 25, 2026)
E-0031Provide emergency officials' contact information.Deficient, Provider has plan of correction (September 25, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has plan of correction (September 25, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has plan of correction (September 25, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has plan of correction (September 25, 2026)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has plan of correction (September 25, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has plan of correction (September 25, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (September 25, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has plan of correction (September 25, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has plan of correction (September 25, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has plan of correction (September 25, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has plan of correction (September 25, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has plan of correction (September 25, 2026)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has plan of correction (September 25, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has plan of correction (September 25, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has plan of correction (September 25, 2026)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has plan of correction (September 25, 2026)

June 19, 2025 — 2 citations

Citations issued on June 19, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (July 24, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has no plan of correction

April 11, 2024 — 13 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 26, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (May 26, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 26, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 26, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 26, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 26, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 26, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 26, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 26, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 26, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 26, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 26, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 26, 2024)

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