F

Focused Care of Waxahachie

1413 W Main St, Waxahachie, TX 75165
Score: 9 / 100

Focused Care Of Waxahachie has received an F grade based on CMS data, with a score of 9/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Waxahachie facility should carefully review its inspection history and quality metrics.

With 2.66 total nurse hours per resident per day, Focused Care Of Waxahachie falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 44 deficiencies at Focused Care Of Waxahachie, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.66 3.8 Below Average
Registered Nurses (RN) 0.19 0.7 Below Average
Licensed Practical Nurses (LPN) 1.11 0.7 Above Average
Certified Nursing Assistants (CNA) 1.37 2.4 Below Average
Weekend Total Nursing 2.31 3.8 Below Average
Weekend RN Hours 0.18 0.7 Below Average

🔍 Inspection & Deficiency History

44
Total Deficiencies
Jan 12, 2026
Most Recent Inspection
🟠 40 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jan 12, 2026 · Infection Control Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Dec 8, 2025 · Pharmacy Service Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 8, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Dec 8, 2025 · Resident Rights Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jun 30, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.4% 4.5% Worse
Falls with major injury 5.7% 3.0% Worse
On antipsychotic medication 7.1% 14.5% Better
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 9.4% 14.0% Better
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 23.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $159,939

How This Grade Was Calculated

This facility's grade of F is based on a score of 9 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
152
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 11, 2025
Deficiencies (Cycle 1)
11