C79

FOCUSED CARE AT WESTWOOD

Grade C 79/100 composite score

For profit - Partnership

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
5/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

125

Ownership

For profit - Partnership

Total Fines

None

Last Survey

N/A

8702 COURSE DRIVE, HOUSTON, TX 77099
2107054560

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.24h
LPN
0.92h
CNA
1.89h
Total
3.05h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FOCUSED POST ACUTE CARE PARTNERS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2019

FPACP HOUSTON LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2019

CONLEY, SHAWN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2019

15%

MCKENZIE, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2019

70%

STRUBBE, LORETTA

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2019

15%

FOCUSED POST ACUTE CARE PARTNERS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2019

FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2019

FPACP HOUSTON LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2019

BAILEY, KEISHA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

CARSON, SABRINA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2022

CONLEY, SHAWN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2019

MCKENZIE, MARK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2019

NGO, MICHAEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2019

ROBINSON-COBBIN, ROBBIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

STRUBBE, LORETTA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2019

CONLEY, SHAWN

IndividualCORPORATE OFFICERSince Mar 2019

MCKENZIE, MARK

IndividualCORPORATE OFFICERSince Mar 2019

STRUBBE, LORETTA

IndividualCORPORATE OFFICERSince Mar 2019

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (30)

November 6, 2025Health2 deficiencies
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

March 14, 2025Health9 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 5, 2025
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 5, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 5, 2025
0813EMinimal harm, Pattern

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Apr 5, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 5, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Apr 5, 2025
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Apr 5, 2025
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Apr 5, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 5, 2025
March 7, 2025Health2 deficiencies
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Feb 20, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 3, 2024
April 11, 2024Health1 deficiency
0644EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected May 7, 2024
January 26, 2024Health4 deficiencies
0688EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Feb 24, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 24, 2024
0814DMinimal harm, Isolated

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Feb 24, 2024
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 23, 2024
June 23, 2023Health1 deficiency
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jul 13, 2023
April 13, 2023Health2 deficiencies
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected May 1, 2023
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected May 1, 2023
January 3, 2023Health1 deficiency
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 20, 2023
December 1, 2022Health8 deficiencies1 severe
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 31, 2022
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 1, 2023
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 31, 2022
0726EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Dec 31, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 1, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Dec 29, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 1, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 1, 2023

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Frequently Asked Questions

What is the CareGrader rating for FOCUSED CARE AT WESTWOOD?

FOCUSED CARE AT WESTWOOD in HOUSTON, Texas has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for FOCUSED CARE AT WESTWOOD?

FOCUSED CARE AT WESTWOOD has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does FOCUSED CARE AT WESTWOOD have?

FOCUSED CARE AT WESTWOOD has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does FOCUSED CARE AT WESTWOOD have?

FOCUSED CARE AT WESTWOOD has 125 certified beds with approximately 98 current residents (78% occupancy). The facility is located at 8702 COURSE DRIVE, HOUSTON, Texas 77099. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.