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Nursing HomeMedicaid Investigative

Focused Care at Orange

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4201 Fm 105, Orange, TX 77630120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 27 Google reviews

5
4
3
2
1
Focused Care at Orange Nursing Home in Orange, TX — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)

Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in FOCUSED POST ACUTE CARE PARTNERS chain · $193,434 in fines

Source: Medicare data

What this means for your family

This facility's therapy team and resident activities are notable strengths that can aid in rehabilitation. However, families must be extremely vigilant regarding dietary needs and medication schedules, as multiple recent reviews indicate serious failures in these critical areas of care.

Google Reviews

Google Reviews

27 reviews analyzed
Families should approach this facility with significant caution due to serious allegations of resident neglect, medication errors, and poor dietary management. While some long-term residents and their families praise the compassionate therapy team and warm community atmosphere, multiple recent reviews highlight critical failures in basic care and staff responsiveness.

Quality Themes

Tap a score for details
Food1.0Staff3.0Clean4.0Activities5.0Meds1.0MemoryN/AComms2.0Value1.0

Strengths

  • Attentive and professional therapy team
  • Warm and welcoming community atmosphere
  • Engaging resident activities and engagement
  • Friendly and helpful housekeeping and nursing staff

Concerns

  • Inadequate dietary care and food quality (mentioned by 3 reviewers)
  • Medication management errors
  • Unresponsive or dismissive administration (mentioned by 2 reviewers)
  • Poor communication between shifts

Rating Trends

Tap a year to see what changed

2345.02020(1)4.22021(5)3.82023(16)2.02024(4)3.02025(2)5.02026(2)

Distribution

5
15
4
0
3
0
2
0
1
7

How They Respond to Reviews

26%response rate
Generic

The owner uses highly repetitive, templated responses that avoid addressing specific allegations of neglect or misconduct. Instead of engaging with the content of the reviews, they consistently redirect complainants to specific corporate phone numbers.

Questions for Your Tour

  • 1We've heard wonderful things about your therapy team and the community atmosphere; could you tell us more about the types of engaging activities planned for residents each week?
  • 2How does the nursing team ensure that medication administration is handled accurately and consistently across every shift change?
  • 3Could you walk us through your process for managing dietary needs and how you ensure meal quality and variety meet the residents' preferences?
  • 4What specific protocols are in place to ensure clear and timely communication between the administration and the families of residents?
  • 5In the event of a medical emergency during the night, what is the immediate procedure for notifying the family and coordinating care?
  • 6We noticed you are active in responding to community feedback; how does the facility use resident and family input to improve daily operations like cleanliness and dining services?

Personalized based on this facility's data


Key Review Excerpts

The therapy team is attentive, professional, and genuinely invested in each resident’s progress and well-being.

Long-term resident's family · 2026★★★★★

He is unable to feed himself and has no teeth. These sorry excuse of CNA's bring in a food tray of regular, not soft diet food. They won't come help him try to eat.

Family member of resident · 2024☆☆☆☆

None of her prescribed meds were given on time, if at all. We experienced very rude and dismissive staff.

Short-term resident's family · 2024☆☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
35%
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
4/ 5
Better Than Avg

6

measures

Worse Than Avg

4

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
TX
2.5%
Orange
6.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
19.5%
TX
18.4%
Orange
13.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
TX
96.9%
Orange
98.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.5%
Mixed vs Avgs
Here
10.5%
US
14.4%
TX
16.1%
Orange
9.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.9%
Mixed vs Avgs
Here
13.9%
US
15.4%
TX
9.4%
Orange
8.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
19.4%
TX
14.2%
Orange
10.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.1%
Mixed vs Avgs
Here
93.1%
US
79.7%
TX
88.0%
Orange
94.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Mixed vs Avgs
Here
91.3%
US
81.8%
TX
89.2%
Orange
95.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Orange
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
3penalties
Near state avg (9.1)
10 complaint-triggered
$193,434 in fines

Focused Care at Orange has a concerning pattern of recurring deficiencies across multiple care areas, with families filing complaints that triggered 9 investigations. The facility repeatedly struggles with medication management, care planning and assessment, and food safety, with some issues persisting across multiple surveys. While most violations have correction dates, the frequency of problems in core care areas and the volume of family complaints suggest ongoing quality challenges that warrant careful consideration.

Nov 18, 2025Complaint
1
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Apr 25, 2025Routine
8
0700SevereCorrected

Quality of Life and Care Deficiencies

Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0342ModerateCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0688ModerateCorrected

Quality of Life and Care Deficiencies

Provide 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.

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.

0690MinorCorrected

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.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure 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 locked compartments, separately locked, compartments for controlled drugs.

0372MinorCorrected

Smoke Deficiencies

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

Apr 16, 2025Complaint
2
0760Severe

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0760Severe

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 25, 2025Complaint
1
0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Jan 24, 2025Complaint
5
0656SevereCorrected

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.

0689SevereCorrected

Quality of Life and Care Deficiencies

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

0600Moderate

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.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 6, 2024Routine
13
0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0342ModerateCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0578ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0372ModerateCorrected

Smoke Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656MinorCorrected

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.

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide 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.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0791MinorCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0922MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

Federal Penalties

Fine

Apr 25, 2025

$102,448

Fine

Apr 16, 2025

$17,641

Fine

Jan 24, 2025

$73,345

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chambers County Public Hospital District no 1

Organization Type

for profit

Management Company

FPACP ORANGE LLC

Administrator

AMY WALLACE

Chain Affiliation

Chain Name

Focused Post Acute Care Partners

Chain Size

25 facilities nationwide

Chain avg rating: 2.2/5 · Rank 23 of 25 (Worst)

Ownership & Management

Key personnel

Abernathy, MaryManaging Control - Governing BodyCooper, KimberlyManaging Control - Governing BodyHumphrey, EricManaging Control - Governing BodyLegg, StephenManaging Control - Governing BodyMckenzie, MarkManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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