PlainNursing
CMS Nursing Home Compare · August 2026

Focused Care at Mount Pleasant

1606 Memorial Ave, Mount Pleasant, TX 75455

Focused Care at Mount Pleasant, a 122-bed for profit - limited liability company nursing facility in Mount Pleasant, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,030 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 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: 9035723618

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1 / 5
Much below average · CMS overall · nat'l 3.0
#1,030 of 1,165
In-state rank among rated TX homes
3.16
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

Focused Care at Mount Pleasant, a 122-bed for profit - limited liability company nursing facility in Mount Pleasant, TX, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,030 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,030 of 1,165
In-state rank among rated TX homes
3.16
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 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 - Limited Liability company. 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

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
455900
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
122
Residents
72
In Hospital
No
County
Titus
Last Inspection
Jul 2, 2025
Abuse citation on record

Staffing Data

How the 3.16 total nursing hours per resident-day are staffed:

RN Hours
0.38 (nat'l avg: 0.69)
LPN Hours
0.65
CNA Hours
2.13
Total Nursing Hours
3.16 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
48.4%
RN Turnover
61.5%

What the CMS Record Reveals About Focused Care at Mount Pleasant

According to CMS Nursing Home Compare, Focused Care at Mount Pleasant ranks #1,030 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Focused Care at Mount Pleasant operates 122 certified beds in Mount Pleasant, TX with approximately 72 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 4★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 5 times by CMS, for a combined $223K. Per resident day, this facility reports 3.16 total nursing hours (national average 3.86) and 0.38 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Focused Care at Mount Pleasant falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.4% (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 May 20, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jun 12, 2026

D - Isolated - Minimal harm May 20, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 12, 2026

D - Isolated - Minimal harm Jan 13, 2026 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: Feb 2, 2026

D - Isolated - Minimal harm Nov 26, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2025

D - Isolated - Minimal harm Nov 26, 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: Nov 27, 2025

D - Isolated - Minimal harm Nov 26, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2025

D - Isolated - Minimal harm Nov 26, 2025 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: Dec 19, 2025

E - Pattern - Minimal harm Nov 26, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2025

E - Pattern - Minimal harm Nov 26, 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: Dec 19, 2025

E - Pattern - Minimal harm Sep 8, 2025 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Oct 1, 2025

D - Isolated - Minimal harm Jul 2, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jul 2, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jul 2, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jul 2, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Jul 2, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Aug 1, 2025

E - Pattern - Minimal harm Jul 2, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2025

F - Widespread - Minimal harm Jul 2, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 1, 2025

F - Widespread - Minimal harm Jul 2, 2025 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: Aug 1, 2025

D - Isolated - Minimal harm Apr 17, 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: Apr 22, 2025

E - Pattern - Minimal harm Feb 13, 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: Mar 10, 2025

D - Isolated - Minimal harm Dec 19, 2024 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: Sep 27, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 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: Jun 25, 2024

D - Isolated - Minimal harm May 24, 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: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2024

D - Isolated - Minimal harm May 24, 2024 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: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 25, 2024

E - Pattern - Minimal harm May 24, 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: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 25, 2024

E - Pattern - Minimal harm May 24, 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: Jun 25, 2024

E - Pattern - Minimal harm May 24, 2024 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Jun 25, 2024

J - Isolated - Jeopardy May 24, 2024 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 25, 2024

J - Isolated - Jeopardy May 24, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 25, 2024

D - Isolated - Minimal harm Mar 24, 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 23, 2024

D - Isolated - Minimal harm Mar 24, 2024 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: Apr 23, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0840

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Category: Administration Deficiencies

Corrected: Mar 14, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2024

D - Isolated - Minimal harm Feb 14, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 14, 2024

D - Isolated - Minimal harm Feb 14, 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: Mar 14, 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 27.4% 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 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% 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 95.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 27.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 29.4% No

Penalty History 5 penalties totaling $223K

Date Type Amount
Jun 25, 2025 Fine $16K
Jun 25, 2025 Fine $16K
Jun 25, 2025 Payment Denial -
May 24, 2024 Fine $127K
Feb 14, 2024 Fine $12K
Oct 9, 2023 Fine $51K
Oct 9, 2023 Payment Denial -

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Focused Care at Mount Pleasant

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 122 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 Mount Pleasant?
Focused Care at Mount Pleasant has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (4★).
Where does Focused Care at Mount Pleasant 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 Mount Pleasant ranks 1,030th among 1,165 rated nursing homes in TX (#1,030 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 Mount Pleasant?
Focused Care at Mount Pleasant reports 3.16 total nursing hours per resident day (national average: 3.86). RN hours are 0.38 per resident day (national average: 0.69). Nursing staff turnover is 48.4%.
How many beds does Focused Care at Mount Pleasant have?
Focused Care at Mount Pleasant has 122 certified beds with approximately 72 residents. The facility is located at 1606 Memorial Ave, Mount Pleasant, TX 75455.
Does Focused Care at Mount Pleasant have any deficiencies on record?
Yes, Focused Care at Mount Pleasant has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Focused Care at Mount Pleasant received any fines or penalties?
Yes, Focused Care at Mount Pleasant has received 5 penalties totaling $223K.
Who owns Focused Care at Mount Pleasant?
Focused Care at Mount Pleasant is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Focused Care at Mount Pleasant last inspected?
The most recent health inspection for Focused Care at Mount Pleasant was on Jul 2, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Focused Care at Mount Pleasant?
Focused Care at Mount Pleasant 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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