Ellery Care
A

Focused Care At Hamilton

1315 E State Hwy 22, Hamilton, TX 76531 · Hamilton County

For-profit · 78 certified beds · 57% occupancy · (254) 386-3171

Deciding as a family?

Focused Care At Hamilton reviews: what the government record shows

The U.S. government (CMS) rates Focused Care At Hamilton 5 out of 5 stars overall, much above average. Its nurse staffing is 15% below the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
5 of 5 stars
Nurse staffing
2.77 hrs/resident/day (-15% vs TX median)
Antipsychotic drug use
8.5% of long-stay residents (TX median 8.3%)
Falls with major injury
3% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
8 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A strong option on the record. Still worth a visit to confirm it fits your parent.

Strengths

  • ✓Earns 5 of 5 stars overall from CMS.
  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !Nurse staffing of 2.77 hrs/resident/day is below the Texas median of 3.27.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Focused Care At Hamilton

Is Focused Care At Hamilton a good nursing home?

Focused Care At Hamilton in Hamilton, Texas holds a 5 of 5 star CMS overall rating. A strong option on the record. Still worth a visit to confirm it fits your parent.

How is Focused Care At Hamilton staffed?

Focused Care At Hamilton reports 2.77 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Focused Care At Hamilton been fined or flagged for abuse?

Focused Care At Hamilton has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.77 nurse hours per resident per day. 15% below the Texas median of 3.27.

Total nurse
2.77 hrs
RN
0.27 hrs
LPN
1.01 hrs
Aide
1.49 hrs

Nursing staff turnover: 41.4%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

8
total findings
0
immediate jeopardy
0
caused actual harm
1
from complaints
  • Potential for harmTag F0812 · Sep 27, 2024Corrected Oct 10, 2024

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0925 · Sep 27, 2024Corrected Oct 10, 2024

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0812 · Dec 4, 2023ComplaintCorrected Dec 5, 2023

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0812 · Jul 26, 2023Corrected Jul 31, 2023

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0679 · Jul 26, 2023Corrected Jul 31, 2023

    Provide activities to meet all resident's needs.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0805 · Jul 26, 2023Corrected Jul 31, 2023

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0925 · Jul 26, 2023Corrected Jul 31, 2023

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0657 · Jul 26, 2023Corrected Jul 31, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies

Showing the 8 most recent and serious of 8 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

8.5%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
3%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
3.7%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - partnership). It is part of the Focused Post Acute Care Partners chain, which operates 25 facilities, with a chain-average CMS rating of 1.9 stars.