Focused Care at Mount Pleasant
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 68 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (54%)
- High RN turnover (80%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in FOCUSED POST ACUTE CARE PARTNERS chain · $240,688 in fines · Abuse citation
What this means for your family
While this facility has a history of excellent activity programming and caring leadership, recent reports of physical injury, bruising, and missing narcotics are extremely alarming. If you consider this facility, you must perform an unannounced visit and specifically audit their medication administration logs and incident reporting processes.
Google Reviews
Google Reviews
68 reviews analyzed“Families should exercise extreme caution due to recent, highly severe allegations of physical abuse, medication theft, and neglect. While the facility previously earned high praise for its vibrant activities department and caring leadership, recent reviews describe a dangerous environment involving unaddressed injuries and missing narcotics.”
Quality Themes
Tap a score for detailsStrengths
- Engaging activities and events program
- Compassionate leadership and administration
- Friendly and professional staff members
- Clean and pleasant atmosphere (historically)
Concerns
- Severe physical neglect and unexplained injuries (mentioned by 2 reviewers)
- Medication mismanagement and theft (mentioned by 2 reviewers)
- Poor facility maintenance and hygiene
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a repetitive, templated script to respond to all 1-star reviews, directing users to a single phone number. Positive reviews receive a slightly more personalized, though still brief, acknowledgment.
Questions for Your Tour
- 1I've heard wonderful things about your activities program; could you tell me more about the specific events planned for residents each week?
- 2How does your team ensure that medication is administered accurately and tracked closely every day?
- 3With the recent focus on facility improvements, what specific steps are being taken to maintain high standards of cleanliness and hygiene in the resident rooms?
- 4Can you walk me through the protocols your staff follows if a resident experiences an unexpected injury or a medical emergency after hours?
- 5I noticed the administration is very involved in the community; how does the leadership team interact with families to address any concerns about care or maintenance?
- 6What is your process for monitoring resident safety and preventing any physical neglect or skin integrity issues?
Personalized based on this facility's data
Key Review Excerpts
“Mom walked in but had to be carried out. Broken elbow and possibly hip. Bruises head to even. Cuts on her face. Her hand is swelled so bad her skin is stretched to its limit. They didn't give her meds and 2 bottles of narcotics were missing”
“The activity director is amazing she cares so much for the residents.”
“My grandmother was here Two different times for therapy. She loved the staff and was able to return home after her therapy”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
8
measures
7
measures
2
measures
Residents needing more daily help over time
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of repeated deficiencies and numerous family-filed complaints. The most frequent problems involve resident care quality, nutrition and food safety, and medication management, with these issues persisting across multiple surveys despite reported corrections. With 38 complaint-triggered deficiencies out of 94 total, families have consistently raised concerns about care standards. While all deficiencies show correction dates, the recurring nature of similar problems suggests ongoing quality challenges that families should carefully consider.
Jan 13, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Nov 26, 2025Complaint6
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 8, 2025Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jul 2, 2025Routine12
Environmental Deficiencies
Keep all essential equipment working safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 17, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 13, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal Penalties
Payment Denial
Jun 25, 2025
7-day denial
Fine
Jun 25, 2025
$24,845
Fine
Jun 25, 2025
$24,845
Fine
May 24, 2024
$127,486
Fine
Feb 14, 2024
$12,259
Fine
Oct 9, 2023
$51,253
Payment Denial
Oct 9, 2023
22-day denial
Ownership & Operations
Who Operates This Facility
Fpacp Mount Pleasant LLC
for profit
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
KELVIN HAZEL
Chain Affiliation
Focused Post Acute Care Partners
25 facilities nationwide
Chain avg rating: 2.2/5 · Rank 24 of 25 (Worst)
Ownership & Management
Owners
Fpacp Mount Pleasant LLC
Owner · Organization
Focused Post Acute Care Partners LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
68 reviews from families & visitors
Official Website
Visit fpacp.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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