Focused Care at Webster

17231 Mill Forest
Webster, TX, 77598
2814885224
CCN: 675848
1
Overall
1
Health
2
Staffing
3
Quality
ChainFOCUSED POST ACUTE CARE PARTNERS
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
FOCUSED POST ACUTE CARE PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
FPACP WEBSTER LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
CONLEY, SHAWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
MCKENZIE, MARK5% OR GREATER INDIRECT OWNERSHIP INTEREST70%
STRUBBE, LORETTA5% OR GREATER INDIRECT OWNERSHIP INTEREST15%
STRUBBE, LORETTACORPORATE OFFICERNOT APPLICABLE
CONLEY, SHAWNCORPORATE OFFICERNOT APPLICABLE
MCKENZIE, MARKCORPORATE OFFICERNOT APPLICABLE
BROSSETTE, KEITHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOSTER, STACYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOYA, SHERRIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LOCKHART, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FPACP WEBSTER LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (28)
2025-11-18 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
2025-10-08 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F600 · 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.
2025-01-30 · Health
D
F842 · 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.
E
F790 · Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F694 · Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
D
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
2024-11-21 · Health
D
F600 · 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.
2024-10-25 · Health
D
F842 · 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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F580 · 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.
2024-02-01 · Health
H
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-12-09 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F656 · 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.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2022-09-23 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F657 · 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.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F577 · Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.63
3.68
RN Hrs/Resident/Day
0.44
0.54
LPN Hrs/Resident/Day
0.77
0.81
CNA Hrs/Resident/Day
2.42
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01