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CMS Nursing Home Compare · March 2026

Focused Care at Hamilton

1315 East State Hwy 22, Hamilton, TX 76531

Focused Care at Hamilton, a 78-bed for profit - partnership nursing facility in Hamilton, TX, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2543863171

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5 / 5
Much above average · CMS overall · nat'l 3.0
3.75
About average · nurse hrs/day · nat'l 3.89
10
Inspection findings
$0
Federal penalties (0)

Health Inspection

5/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675140
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
78
Residents
44
In Hospital
No
County
Hamilton
Last Inspection
Sep 30, 2025

Staffing Data

How the 3.75 total nursing hours per resident-day are staffed:

RN Hours
0.21 (nat'l avg: 0.68)
LPN Hours
1.17
CNA Hours
2.37
Total Nursing Hours
3.75 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
48.6%

What the CMS Record Reveals About Focused Care at Hamilton

Focused Care at Hamilton operates 78 certified beds in Hamilton, TX with approximately 44 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 2★ · quality 5★).

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.75 total nursing hours (national average 3.89) and 0.21 RN hours.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, Focused Care at Hamilton falls into a category where comparative context matters. Reported nursing turnover at this facility is 48.6%, within a range generally associated with stable care teams.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

E - Pattern - Minimal harm Sep 27, 2024 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Oct 10, 2024

E - Pattern - Minimal harm Sep 27, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 10, 2024

F - Widespread - Minimal harm Dec 4, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 5, 2023

E - Pattern - Minimal harm Jul 26, 2023 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Jul 31, 2023

F - Widespread - Minimal harm Jul 26, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2023

E - Pattern - Minimal harm Jul 26, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2023

E - Pattern - Minimal harm Jul 26, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2023

D - Isolated - Minimal harm Jul 26, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 31, 2023

D - Isolated - Minimal harm Jun 15, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 16, 2023

D - Isolated - Minimal harm Jun 15, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 16, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 13.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 1.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.6% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Focused Care at Hamilton?
Focused Care at Hamilton has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at Focused Care at Hamilton?
Focused Care at Hamilton reports 3.75 total nursing hours per resident day (national average: 3.89). RN hours are 0.21 per resident day (national average: 0.68). Nursing staff turnover is 48.6%.
How many beds does Focused Care at Hamilton have?
Focused Care at Hamilton has 78 certified beds with approximately 44 residents. The facility is located at 1315 East State Hwy 22, Hamilton, TX 76531.
Does Focused Care at Hamilton have any deficiencies on record?
Yes, Focused Care at Hamilton has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Focused Care at Hamilton received any fines or penalties?
No, Focused Care at Hamilton has no fines or penalties on record.
Who owns Focused Care at Hamilton?
Focused Care at Hamilton is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was Focused Care at Hamilton last inspected?
The most recent health inspection for Focused Care at Hamilton was on Sep 30, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Focused Care at Hamilton?
Focused Care at Hamilton is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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