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Nursing HomeMedicaid Top Rated

Focused Care at Hamilton

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

1315 E State Hwy 22, Hamilton, TX 7653182 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 217 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for families seeking a warm, 'home-like' atmosphere with highly engaged staff. The strength of their activity programming and the transparency of the administration are standout features. Since there are no major documented concerns regarding staffing or care quality, you can feel confident in their ability to manage both physical and emotional needs.

Google Reviews

Google Reviews

217 reviews analyzed
Families considering Focused Care at Hamilton can expect a highly compassionate environment characterized by a staff that treats residents like family. Reviewers consistently praise the active social calendar, including field trips and special events, and the attentive nursing and therapy teams. While the facility is widely lauded for its cleanliness and warmth, there are no significant recurring negative themes reported in the reviews.

Quality Themes

Tap a score for details
Food8.0Staff10.0Clean9.0Activities10.0MedsN/AMemory9.0Comms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Engaging social activities and outings
  • Clean and well-maintained facility
  • Strong communication from administration

Rating Trends

Tap a year to see what changed

2345.02023(195)5.02024(1)5.02025(4)5.02026(1)

Distribution

5
199
4
1
3
0
2
0
1
0
170 reviews posted between Mar 21, 2023Apr 1, 2023 · 169 were 5-star
92 reviews posted between Mar 13, 2023Mar 25, 2023 · 91 were 5-star
90 reviews posted between Mar 26, 2023Apr 1, 2023 · 90 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard such wonderful things about the social outings and activities here; could you tell us more about what a typical week looks like for the residents?
  • 2The administration seems very responsive to families, so how do you typically handle updates or communication regarding a resident's daily well-being?
  • 3Since we want to ensure our loved one is always well-supported, how do you manage medical emergencies or changes in care needs during the night?
  • 4We are so impressed by how clean and well-maintained the facility looks; what is your routine for ensuring the resident rooms and common areas stay this pristine?
  • 5We've noticed many families praise the compassion of the nursing team, so how do you help new residents and their families feel comfortable and cared for during the transition?
  • 6With the facility being a cozy size of 82 residents, how do you ensure that every individual receives personalized attention from the nursing staff throughout their shift?

Personalized based on this facility's data


Key Review Excerpts

My dad spent 6 months there recently and I was impressed by the quality of care. It seamed EVERYONE from the front office to the housekeeping staff knew my dad and his situation.

Long-term resident's family · 2025★★★★★

I can't sing their praises enough. My mother fell and broke her hip. She also has dementia and early onset Alzheimer's. They handled everything. By the time she was out of the hospital they were waiting for her.

Memory care family member · 2023★★★★★

My father spent his last few weeks in Focused Care on hospice and I cannot recommend this place enough. They took great care of him from the director Carrie to the techs and aides that kept him comfortable until he passed.

Hospice patient's family · 2023★★★★★
Source: 217 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
TX
2.5%
Hamilton
29.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
19.4%
TX
14.2%
Hamilton
22.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
93.4%
TX
96.9%
Hamilton
87.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
14.4%
TX
16.1%
Hamilton
6.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.5%
TX
18.4%
Hamilton
22.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.4%
TX
9.4%
Hamilton
12.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
79.7%
TX
88.0%
Hamilton
63.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
81.8%
TX
89.2%
Hamilton
66.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hamilton
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (9.1)
3 complaint-triggered
Clean record — no deficiencies

This facility shows recurring problems with food safety and handling across three surveys, including one complaint-triggered incident in December 2023 where families filed reports about dietary concerns along with resident safety and financial protection issues. The most frequent problem areas are nutrition and dietary services, facility safety systems (emergency preparedness, fire safety, electrical), and pest control, with all deficiencies reportedly corrected but the pattern of repeated food safety violations suggests ongoing challenges in this critical area.

Sep 27, 2024Routine
4
0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0925ModerateCorrected

Environmental Deficiencies

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

0929MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Dec 4, 2023Complaint
1
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jul 26, 2023Routine
11
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0805ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0925ModerateCorrected

Environmental Deficiencies

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

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jun 15, 2023Complaint
2
0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

FPACP HAMILTON LLC

Administrator

CARRIE PRATT

Chain Affiliation

Chain Name

Focused Post Acute Care Partners

Chain Size

25 facilities nationwide

Chain avg rating: 2.2/5 · Rank 1 of 25 (Best)

Ownership & Management

Owners

Hamilton County Hospital District

Owner · Organization

Key personnel

Collett, MichaelManaging Control - Governing BodyCraig, KarenManaging Control - Governing BodyForrest, WilliamManaging Control - Governing BodyMuxworthy, NeilManaging Control - Governing BodyWitzsche, RobertManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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