Ellery Care
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Focused Care At Orange

4201 Fm 105, Orange, TX 77630 · Orange County

For-profit · 120 certified beds · 92% occupancy · (409) 745-8085

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Focused Care At Orange reviews: what the government record shows

The U.S. government (CMS) rates Focused Care At Orange 1 out of 5 stars overall, much below average. Its nurse staffing is 7% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.

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
1 of 5 stars
Nurse staffing
3.03 hrs/resident/day (-7% vs TX median)
Antipsychotic drug use
13.6% of long-stay residents (TX median 8.3%)
Falls with major injury
3.1% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$193,434
Inspection findings
28 cited, 4 immediate-jeopardy
Federal abuse-warning flag
No

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

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.03 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $193,434 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

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 Orange

Is Focused Care At Orange a good nursing home?

Focused Care At Orange in Orange, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Focused Care At Orange staffed?

Focused Care At Orange reports 3.03 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

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

Focused Care At Orange has paid approximately $193,434 in federal fines 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

3.03 nurse hours per resident per day. 7% below the Texas median of 3.27.

Total nurse
3.03 hrs
RN
0.19 hrs
LPN
1.13 hrs
Aide
1.71 hrs

Nursing staff turnover: 40.7%

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.

28
total findings
4
immediate jeopardy
0
caused actual harm
9
from complaints
  • Potential for harmTag F0755 · Jun 3, 2026Corrected Jun 4, 2026

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

    Pharmacy Service Deficiencies

  • Potential for harmTag F0812 · Jun 3, 2026Corrected Jun 4, 2026

    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 F0760 · Nov 18, 2025ComplaintCorrected Nov 25, 2025

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0584 · Jun 3, 2026Corrected Jun 4, 2026

    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

  • Potential for harmTag F0695 · Jun 3, 2026Corrected Jun 4, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies

  • Immediate jeopardyTag F0700 · Apr 25, 2025Corrected Apr 26, 2025

    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.

    Quality of Life and Care Deficiencies

  • Immediate jeopardyTag F0760 · Apr 16, 2025ComplaintCorrected Apr 15, 2025

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies

  • Immediate jeopardyTag F0656 · Jan 24, 2025ComplaintCorrected Jan 25, 2025

    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

  • Immediate jeopardyTag F0689 · Jan 24, 2025ComplaintCorrected Jan 25, 2025

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0688 · Apr 25, 2025Corrected Apr 26, 2025

    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

Showing the 10 most recent and serious of 28 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.

13.6%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

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
3.1%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.5%
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.

Total fines
$193,434
Number of fines
3
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). 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.