Nursing HomeInspections

Focused Care at Orange

Nursing home in Orange, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (409) 745-8085Send a messageMap ↗

Public-record details

Address
4201 Fm 105, Orange, TX 77630
Phone
(409) 745-8085
Listed under
For-profit
Medicare CCN
676094
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
110
Ownership
For-profit, corporation
Legal business name
Chambers County Public Hospital District No. 1
Chain
Focused Post Acute Care Partners (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 9, 2006
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 676094. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 3, 2026. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 15, 2024 to Jun 3, 2026): 9 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 3, 2026Honor 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		D
Potential for more than minimal harm, isolated
Jun 3, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 3, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jun 3, 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
Nov 18, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 25, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 25, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 25, 2025Provide 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.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Apr 25, 2025Procure 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 25, 2025Try 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…
Quality of Life and Care		K
Immediate jeopardy, pattern
Apr 16, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
Mar 25, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 28. 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 3 fines totalling $193,434 in the last three years.

Apr 25, 2025Fine: $102,448
Apr 16, 2025Fine: $17,641
Jan 24, 2025Fine: $73,345

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
3.03 hours
Registered nurse (RN) time per resident per day
0.19 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.56 hours
Nursing staff turnover (yearly)
41%
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.