Focused Care of Waxahachie
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 65 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (11 vs median 8.0)
- High staff turnover (65%)
- High RN turnover (57%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in FOCUSED POST ACUTE CARE PARTNERS chain · $159,939 in fines
What this means for your family
This facility offers a strong therapy program and a seemingly approachable administrator. However, you must be extremely vigilant regarding hygiene and responsiveness, as multiple families have documented instances of significant neglect and slow response to call lights.
Google Reviews
Google Reviews
65 reviews on Google“Families considering Focused Care of Waxahachie will find a polarizing environment. While some residents benefit from a strong therapy department and friendly administrative leadership, multiple reviewers have reported severe neglect, including delayed hygiene care, unresponsiveness to call lights, and issues with facility temperature and cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and therapy department
- Friendly and caring administrative leadership
- Clean facility during recent visits
- Engaging resident activities like Valentine Prom
Concerns
- Neglect regarding hygiene and timely care (mentioned by 3 reviewers)
- Unresponsive staff to call lights/assistance requests (mentioned by 2 reviewers)
- Poor communication regarding resident status/medication (mentioned by 2 reviewers)
- Facility maintenance and temperature issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 69 analyzed
How They Respond to Reviews
The owner relies heavily on templated responses that redirect all conflict to a single phone number for the Executive Director of Operations. While they acknowledge names in some instances, they avoid addressing specific allegations of neglect or unprofessionalism in the public forum.
Questions for Your Tour
- 1We've heard wonderful things about your resident activities like the Valentine Prom; what other special events do you have planned for the upcoming months?
- 2How does the nursing team ensure that medication changes or updates are communicated clearly to family members?
- 3With the recent focus on facility improvements, what specific steps are being taken to ensure resident hygiene and timely care needs are met?
- 4How does the staff manage call lights and assistance requests during the night shift to ensure no resident is left waiting?
- 5Can you tell us more about how the rehabilitation and therapy department works with residents to help them regain their independence?
- 6In the event of a medical emergency after hours, what is the specific protocol for contacting the family and coordinating with physicians?
Personalized based on this facility's data
Key Review Excerpts
“Great place for a quick and speedy recovery! They have a great therapy department!”
“My mother in law is there, and she gets wonderful care. The place is even clean every time we visit, and staff is so friendly to her and us.”
“It took them three days to get my husband another oxygen machine. He's needed someone, he's pushed his nurse button his average time to get to him has been 22 minutes.”
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
5
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents whose walking got worse
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 shows a concerning pattern of recurring serious issues that families have repeatedly reported to authorities, triggering 25 complaint-based investigations. The most persistent problems involve protection from abuse and neglect, care planning failures, and medication management errors. While the facility corrects deficiencies when cited, the same issues continue to resurface across multiple surveys, suggesting systemic problems that may put residents at risk.
Mar 2, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 13, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 9, 2025Complaint3
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 1, 2025Complaint2
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 care and assistance to perform activities of daily living for any resident who is unable.
Feb 12, 2025Routine7
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Dec 20, 2024Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Federal Penalties
Fine
Mar 2, 2026
$19,120
Fine
Mar 27, 2024
$8,161
Fine
Jul 17, 2023
$151,778
Payment Denial
Jul 17, 2023
28-day denial
Ownership & Operations
Who Operates This Facility
Fpacp Ellis LLC
for profit
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
TRACY KIMBLE
Chain Affiliation
Focused Post Acute Care Partners
25 facilities nationwide
Chain avg rating: 2.2/5 · Rank 18 of 25 (Worst)
Ownership & Management
Owners
Focused Post Acute Care Partners LLC
Owner · Organization
Fpacp Ellis 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
65 reviews from families & visitors
Official Website
Visit fpacp.com
Medicare data downloads
Original nursing home datasets
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