PlainNursing
CMS Nursing Home Compare · August 2026

Focused Care at Linden

1201 W Houston St, Linden, TX 75563

Focused Care at Linden, a 131-bed for profit - corporation nursing facility in Linden, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #938 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy 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: 9037565537

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1 / 5
Much below average · CMS overall · nat'l 3.0
#938 of 1,165
In-state rank among rated TX homes
2.61
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 7 serious

The verdict

Focused Care at Linden, a 131-bed for profit - corporation nursing facility in Linden, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #938 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#938 of 1,165
In-state rank among rated TX homes
2.61
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 7 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675293
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
131
Residents
41
In Hospital
No
County
Cass
Last Inspection
Apr 15, 2026

Staffing Data

How the 2.61 total nursing hours per resident-day are staffed:

RN Hours
0.73 (nat'l avg: 0.69)
LPN Hours
0.65
CNA Hours
1.23
Total Nursing Hours
2.61 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
53.6%
RN Turnover
20.0%

What the CMS Record Reveals About Focused Care at Linden

According to CMS Nursing Home Compare, Focused Care at Linden ranks #938 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Focused Care at Linden operates 131 certified beds in Linden, TX with approximately 41 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 4★).

The inspection file contains 50 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $333K against this provider. Per resident day, this facility reports 2.61 total nursing hours (national average 3.86) and 0.73 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Focused Care at Linden falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.6% (CMS payroll-based measure).

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 24, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2026

C - Widespread - No harm Apr 15, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 22, 2026

D - Isolated - Minimal harm Apr 15, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 22, 2026

D - Isolated - Minimal harm Apr 15, 2026 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 22, 2026

D - Isolated - Minimal harm Apr 15, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 22, 2026

D - Isolated - Minimal harm Apr 15, 2026 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Apr 22, 2026

E - Pattern - Minimal harm Apr 15, 2026 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: Apr 22, 2026

E - Pattern - Minimal harm Apr 15, 2026 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 22, 2026

E - Pattern - Minimal harm Apr 15, 2026 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Apr 22, 2026

J - Isolated - Jeopardy Apr 15, 2026 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

D - Isolated - Minimal harm Nov 19, 2025 Tag: 0776

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Category: Administration Deficiencies

Corrected: Nov 24, 2025

D - Isolated - Minimal harm Jul 16, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2025

D - Isolated - Minimal harm Jul 16, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 17, 2025

E - Pattern - Minimal harm Jul 16, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 25, 2025

D - Isolated - Minimal harm Apr 9, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 11, 2025

G - Isolated - Actual harm Apr 9, 2025 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: Apr 11, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 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: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 12, 2025

D - Isolated - Minimal harm Feb 12, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Mar 12, 2025

E - Pattern - Minimal harm Feb 12, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2025

E - Pattern - Minimal harm Feb 12, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 12, 2025

E - Pattern - Minimal harm Feb 12, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2025

F - Widespread - Minimal harm Feb 12, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 12, 2025

K - Pattern - Jeopardy Feb 12, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 21, 2025

K - Pattern - Jeopardy Feb 12, 2025 Tag: 0635

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 21, 2025

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 25, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2024

D - Isolated - Minimal harm Oct 30, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2024

K - Pattern - Jeopardy Mar 13, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 9, 2024

K - Pattern - Jeopardy Mar 13, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 9, 2024

K - Pattern - Jeopardy Mar 13, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Apr 9, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 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: Feb 19, 2024

D - Isolated - Minimal harm Jan 10, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 19, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 13.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% 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 1.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.8% 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 96.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 30.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 72.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 64.3% No

Penalty History 4 penalties totaling $333K

Date Type Amount
Apr 15, 2026 Fine $18K
Apr 9, 2025 Fine $23K
Feb 12, 2025 Fine $113K
Mar 13, 2024 Fine $179K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Focused Care at Linden, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Focused Care at Linden

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 131 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Focused Care at Linden?
Focused Care at Linden has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (4★).
Where does Focused Care at Linden rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Focused Care at Linden ranks 938th among 1,165 rated nursing homes in TX (#938 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Focused Care at Linden?
Focused Care at Linden reports 2.61 total nursing hours per resident day (national average: 3.86). RN hours are 0.73 per resident day (national average: 0.69). Nursing staff turnover is 53.6%.
How many beds does Focused Care at Linden have?
Focused Care at Linden has 131 certified beds with approximately 41 residents. The facility is located at 1201 W Houston St, Linden, TX 75563.
Does Focused Care at Linden have any deficiencies on record?
Yes, Focused Care at Linden has 50 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Focused Care at Linden received any fines or penalties?
Yes, Focused Care at Linden has received 4 penalties totaling $333K.
Who owns Focused Care at Linden?
Focused Care at Linden is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Focused Care at Linden last inspected?
The most recent health inspection for Focused Care at Linden was on Apr 15, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Focused Care at Linden?
Focused Care at Linden 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. Verify the same CCN on Medicare.gov Care Compare and 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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