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Focused Care at Webster

Open-data reference.

Focused Care at Webster is a for profit - limited liability company facility in Webster, TX with 120 certified beds and a 1-star overall CMS rating. The facility has 29 deficiency records on file.

17231 Mill Forest, Webster, TX 77598

Phone: 2814885224

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675848
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
74
In Hospital
No
County
Harris
Last Inspection
Jan 30, 2025
Abuse citation on record

Staffing Data

RN Hours
0.44 (nat'l avg: 0.68)
LPN Hours
0.77
CNA Hours
2.42
Total Nursing Hours
3.63 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
67.7%
RN Turnover
60.0%

What the CMS Record Reveals About Focused Care at Webster

Focused Care at Webster operates 120 certified beds in Webster, TX with approximately 74 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (3★). 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.

The inspection file contains 29 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.63 total nursing hours per resident day (national average 3.89), with RN coverage at 0.44 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Focused Care at Webster falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 67.7%, above the level where continuity of care typically begins to suffer. 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 (29 most recent)

E — Pattern - Minimal harm Nov 18, 2025 Tag: 0925

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

Category: Environmental Deficiencies

E — Pattern - Minimal harm Nov 18, 2025 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

J — Isolated - Jeopardy Oct 8, 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

J — Isolated - Jeopardy Oct 8, 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

D — Isolated - Minimal harm Jan 30, 2025 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: Dec 31, 2024

D — Isolated - Minimal harm Jan 30, 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: Jan 31, 2025

D — Isolated - Minimal harm Jan 30, 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: Jan 31, 2025

E — Pattern - Minimal harm Jan 30, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2025

E — Pattern - Minimal harm Jan 30, 2025 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: Jan 31, 2025

D — Isolated - Minimal harm Jan 30, 2025 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2025

D — Isolated - Minimal harm Nov 21, 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: Jan 6, 2025

D — Isolated - Minimal harm Oct 25, 2024 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: Nov 25, 2024

D — Isolated - Minimal harm Oct 25, 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

D — Isolated - Minimal harm Oct 25, 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: Nov 25, 2024

H — Pattern - Actual harm Feb 1, 2024 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: Feb 21, 2024

E — Pattern - Minimal harm Dec 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 8, 2024

E — Pattern - Minimal harm Dec 9, 2023 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: Jan 8, 2024

E — Pattern - Minimal harm Dec 9, 2023 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: Jan 8, 2024

D — Isolated - Minimal harm Dec 9, 2023 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: Jan 8, 2024

E — Pattern - Minimal harm Feb 22, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 1, 2023

E — Pattern - Minimal harm Sep 23, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 14, 2022

E — Pattern - Minimal harm Sep 23, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 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: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 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: Oct 14, 2022

D — Isolated - Minimal harm Sep 23, 2022 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 2.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 6.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 73.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.1% Yes

Penalty History

Date Type Amount
Oct 8, 2025 Fine $8K
Feb 22, 2023 Fine $15K

Frequently Asked Questions

What is the overall CMS rating for Focused Care at Webster?
Focused Care at Webster has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at Focused Care at Webster?
Focused Care at Webster reports 3.63 total nursing hours per resident day (national average: 3.89). RN hours are 0.44 per resident day (national average: 0.68). Nursing staff turnover is 67.7%.
How many beds does Focused Care at Webster have?
Focused Care at Webster has 120 certified beds with approximately 74 residents. The facility is located at 17231 Mill Forest, Webster, TX 77598.
Does Focused Care at Webster have any deficiencies on record?
Yes, Focused Care at Webster has 29 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Focused Care at Webster received any fines or penalties?
No, Focused Care at Webster has no fines or penalties on record.
Who owns Focused Care at Webster?
Focused Care at Webster is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Focused Care at Webster last inspected?
The most recent health inspection for Focused Care at Webster was on Jan 30, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Focused Care at Webster?
Focused Care at Webster 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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial