Quick answers
- Where is Focused Care at Orange?
- 4201 FM 105, Orange, TX 77630, in Orange County, Texas.
- What is the phone number of Focused Care at Orange?
- (409) 745-8085, as listed by Medicare (CMS).
- What is the Medicare star rating of Focused Care at Orange?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Focused Care at Orange been fined?
- Medicare lists 3 fines totaling $193,434.
- What did inspectors find at Focused Care at Orange?
- In its last three inspection cycles (February 15, 2024 to August 12, 2026), Medicare lists 29 health citations; the most serious was level K. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 15, 2024 to August 12, 2026), Focused Care at Orange had 29 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $193,434 in total (3 fines, the latest on April 25, 2025). Nurse staffing is 3.05 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 3, 2026 — 6 health citations
Inspections in this cycle: November 18, 2025 (complaint investigation); June 3, 2026 (standard health inspection); August 12, 2026 (complaint investigation).
Show 6 citations (levels A to F, no actual harm)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0584 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Previous cycle: April 25, 2025 — 12 health citations
Inspections in this cycle: January 24, 2025 (complaint investigation); March 25, 2025 (complaint investigation); April 16, 2025 (complaint investigation); April 25, 2025 (standard health inspection).
F0700 Level K
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0760 Level J
“Ensure that residents are free from significant medication errors.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Pharmacy Service Deficiencies
F0656 Level J
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0688 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0761 Level D
“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.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
Earlier cycle: March 6, 2024 — 11 health citations
Inspections in this cycle: February 15, 2024 (complaint investigation); March 6, 2024 (standard health inspection).
Show 11 citations (levels A to F, no actual harm)
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0908 Level F
“Keep all essential equipment working safely.”
F0578 Level E
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0688 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0342 Level F
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0342 Level F
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0342 Level F
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0922 Level C
“Meet requirements for the use and maintenance of medical gas equipment.”
Fines and payment denials
Total fines over about the last three years: $193,434 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 25, 2025 | Fine | $102,448 |
| April 16, 2025 | Fine | $17,641 |
| January 24, 2025 | Fine | $73,345 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.19 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.05 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.81 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.05 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.57 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.07 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 46.3% | 50.8% | 45.3% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 25 nursing homes: Focused Post Acute Care Partners.
Legal business name: Chambers County Public Hospital District No. 1.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Chambers County Public Hospital District No. 1 | Management company (operational or managerial control) | NOT APPLICABLE | May 1, 2021 |
| Focused Post Acute Care Partners LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2017 |
| Focused Post Acute Care Partners Management, LLC | Management company (operational or managerial control) | NOT APPLICABLE | May 1, 2021 |
| Fpacp Orange LLC | Management company (operational or managerial control) | NOT APPLICABLE | May 1, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 113.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Focused Post Acute Care Partners |
| Legal business name | Chambers County Public Hospital District No. 1 |
| First approved by Medicare/Medicaid | 2006-03-09 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4201 FM 105, Orange, TX 77630 |
| County | Orange County |
| State | Texas |
| Phone | (409) 745‑8085 |
| CMS Certification Number | 676094 |
| Name in Medicare records | FOCUSED CARE AT ORANGE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Oak Grove Nursing Home13 mi · Groves, TX · 4 of 5 stars
- Magnolia Manor14 mi · Groves, TX · 3 of 5 stars
- Oakwood Manor Nursing Home15 mi · Vidor, TX · 5 of 5 stars
- Vidor Health & Rehabilitation Center16 mi · Vidor, TX · 1 of 5 stars
- Sabine Heights Nursing and Rehabilitation Center16 mi · Port Arthur, TX · 1 of 5 stars
Nearest hospital emergency rooms
- The Medical Center of Southeast Texas18 mi · Port Arthur, TX · Acute Care Hospital
- Baptist Beaumont Hospital22 mi · Beaumont, TX · Acute Care Hospital
- CHRISTUS Southeast Texas- St Elizabeth22 mi · Beaumont, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13