facebook tracking Focused Care at Hamilton, Hamilton TX: CMS Ratings
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Focused Care at Hamilton

All states › Texas › Hamilton › Focused Care at Hamilton

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

(254) 386-3171

All 2 nursing homes in Hamilton, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 78 certified beds For profit

CMS certification number 675140 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Focused Care at Hamilton a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Focused Care at Hamilton as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 10 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 2.66 hours per resident per day at Focused Care at Hamilton, below the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.27 hours, 15% below its all-week average. 51.3% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.66 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.29 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.27 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 51.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds78
Residents per day 48 About 62% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceApril 1993
Part of a chainFocused Post Acute Care Partners
Legal business nameHAMILTON COUNTY HOSPITAL DISTRICT

Paying for care at Focused Care at Hamilton: Medicare and Medicaid

Focused Care at Hamilton is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 30, 2025 and found 0 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 10 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 10 citations at Focused Care at Hamilton across 4 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (4) and environmental (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, December 4, 2023).

August 6, 2026 · 2 citations · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Aug 18, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Aug 18, 2026)

September 27, 2024 · 2 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 10, 2024)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Oct 10, 2024)

December 4, 2023 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Infection control · Deficient, Provider has date of correction (Dec 5, 2023)

July 26, 2023 · 5 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 31, 2023)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jul 31, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Jul 31, 2023)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jul 31, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jul 31, 2023)

Questions to ask on a tour of Focused Care at Hamilton

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 1/5 5/5
August 2026 5/5 5/5 1/5 5/5
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Location

Hospitals near Focused Care at Hamilton

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Pecan Creek Healthcare Center Hamilton · 0.6 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 76 beds · Medicaid
Hico Nursing and Rehabilitation Hico · 19.8 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 80 beds · Medicaid
Coryell Health Rehabliving at the Meadows Gatesville · 26.6 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 106 beds · Medicaid
Hillside Medical Lodge Gatesville · 30.0 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 128 beds · Medicaid
The Hilltop on Main Meridian · 30.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 94 beds · Medicaid

More nursing homes near Focused Care at Hamilton ›   All nursing homes in Hamilton ›

Compare Focused Care at Hamilton with the 3 closest homes side by side ›

Other Focused Post Acute Care Partners nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Focused Post Acute Care Partners nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/hamilton/focused-care-at-hamilton/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.