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F
Critical

Focused Care of Waxahachie

1413 W Main St · Waxahachie, TX 75165

9729372298 · For profit - Individual

152 beds67.8 residents95 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Focused Care of Waxahachie receives an overall staffing grade of F (Critical). With 2.66 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.187 HPRD, below the recommended 0.75. It is 1.24 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.48% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.66 HPRD — needs 0.82 more hours per resident per day.
⚠️RN staffing (0.187 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.66hrs/resident/day▼ 1.24
CMS benchmark: 3.48
RN HPRD
0.187hrs/resident/day▼ 0.50
Recommended: 0.75
Weekend Drop-off
17.48%
2.7983 weekday → 2.309 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.3483hrs/resident/day
Direct care aides
LPN HPRD
1.1061hrs/resident/day
Licensed practical nurses
Consistency
0.3149std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Ellis County Average-0.71 HPRD
3.37
02.66 HPRD
vs. Texas State Average-0.74 HPRD
3.40
02.66 HPRD
vs. National Average-1.24 HPRD
3.90
02.66 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Focused Care of Waxahachie ★
Waxahachie · This facility
—
F
2.660.187★☆☆☆☆
Park Village Healthcare and Rehabilitation
Desoto
12.3 mi
F
3.28490.1917★★☆☆☆
WINDSOR GARDENS
LANCASTER
14.6 mi
D
3.41030.3478★★★☆☆
Ennis Care Center
Ennis
14.7 mi
D
2.9440.3081★☆☆☆☆
Alvarado Meadows Nursing & Rehabilitation
Alvarado
20.7 mi
D
3.14990.331★☆☆☆☆
SKYLINE NURSING CENTER
DALLAS
21.6 mi
C
3.00810.425★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

14
Inspections
43
Total Deficiencies
$231,246
Fines Assessed
Dec 9, 2025Health
3 deficiencies cited
▼
Jul 1, 2025Health
2 deficiencies cited
▼
Feb 12, 2025Health
5 deficiencies cited
▼
Dec 20, 2024Health
2 deficiencies cited
▼
Nov 7, 2024Health
2 deficiencies cited
▼
Oct 29, 2024Health
2 deficiencies cited
▼
Oct 18, 2024Health
3 deficiencies cited· Includes actual harm
▼
Apr 17, 2024Health
1 deficiency cited· Includes actual harm
▼
Mar 27, 2024Health
2 deficiencies cited
▼
Dec 21, 2023Health
7 deficiencies cited
▼
Aug 30, 2023Health
2 deficiencies cited
▼
Jul 17, 2023Health
1 deficiency cited· Includes actual harm
▼
Mar 13, 2023Health
4 deficiencies cited· Includes actual harm
▼
Oct 13, 2022Health
7 deficiencies cited
▼

Penalty History

Mar 27, 2024Fine
$8,161
Jul 17, 2023Fine
$151,778
Jul 17, 2023Payment Denial
Mar 13, 2023Fine
$71,307
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.