Nursing HomeInspections

Focused Care of Waxahachie

Nursing home in Waxahachie, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (972) 937-2298Send a messageMap ↗

Public-record details

Address
1413 W Main St, Waxahachie, TX 75165
Phone
(972) 937-2298
Listed under
Government-owned
Medicare CCN
455591
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
152
Average residents per day
63
Ownership
Government, hospital district
Legal business name
Fpacp Ellis LLC
Chain
Focused Post Acute Care Partners (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 16, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455591. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 28, 2026. CMS lists 39 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 30, 2023 to May 23, 2026): 23 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
May 23, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 28, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 28, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 28, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 28, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		F
Potential for more than minimal harm, widespread
Apr 8, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 2, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jan 13, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 9, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 9, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 9, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 1, 2025Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 39. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $20,589 in the last three years.

Mar 2, 2026Fine: $12,428
Mar 27, 2024Fine: $8,161

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.68 hours
Registered nurse (RN) time per resident per day
0.27 hours
Nurse aide time per resident per day
1.38 hours
Total nurse staffing on weekends
2.40 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
40%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Waxahachie

Pleasant Manor Healthcare and Rehabilitation3650 S. Interstate 35 E · Waxahachie, TX 75165 · (972) 937-7320 · For-profit29 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · $29,011 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Legend Oaks Healthcare and Rehabilitation - Waxaha151 Country Meadows Boulevard · Waxahachie, TX 75165 · (972) 937-1650 · For-profit35 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · $41,215 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 3 in Waxahachie →