facebook tracking Focused Care at Orange, Orange TX: CMS Ratings & Inspections
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Focused Care at Orange

All states › Texas › Orange › Focused Care at Orange

4201 Fm 105 Orange, TX 77630 · Orange County

(409) 745-8085

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 676094 · 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 Orange 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 Orange as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 29 citations in the last three years. CMS imposed 3 penalties, including $193,434 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Staffing

Nursing staff spend about 3.05 hours per resident per day at Focused Care at Orange, below the Texas median of 3.30 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 2.57 hours, 16% below its all-week average. Ask how weekends are staffed. 46.3% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.05 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.19 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.57 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 46.3% 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 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 113 About 94% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceMarch 2006
Part of a chainFocused Post Acute Care Partners
Legal business nameCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

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

Focused Care at Orange 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 June 3, 2026 and found 4 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 29 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 29 citations at Focused Care at Orange across 9 inspection dates, 10 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 25, 2025. The most common areas cited were quality of life and care (8) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "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" (tag F0700, level K, April 25, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.

August 12, 2026 · 1 citation · includes complaint inspection

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Aug 13, 2026)

June 3, 2026 · 4 citations

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 4, 2026)

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 (Jun 4, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 4, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 4, 2026)

November 18, 2025 · 1 citation · includes complaint inspection

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Nov 25, 2025)

April 25, 2025 · 5 citations, includes immediate jeopardy

KTry 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 · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Apr 26, 2025)

EProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Apr 26, 2025)

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 (Apr 26, 2025)

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 · Deficient, Provider has date of correction (Apr 26, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 26, 2025)

April 16, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Apr 15, 2025)

March 25, 2025 · 1 citation · includes complaint inspection

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Mar 26, 2025)

January 24, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection

JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jan 25, 2025)

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 25, 2025)

EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Nov 11, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 25, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Jan 25, 2025)

March 6, 2024 · 10 citations

FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Deficient, Provider has date of correction (Mar 7, 2024)

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 (Mar 29, 2024)

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Mar 29, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Mar 12, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 29, 2024)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Mar 29, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 29, 2024)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Mar 29, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 29, 2024)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Mar 7, 2024)

February 15, 2024 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2024)

Questions to ask on a tour of Focused Care at Orange

  1. Inspectors cited the home at the immediate-jeopardy level on April 25, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 12, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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

3 penalties in the last three years, including $193,434 in fines.

DateTypeAmount or length
Apr 25, 2025 Fine $102,448
Apr 16, 2025 Fine $17,641
Jan 24, 2025 Fine $73,345

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 3/5
August 2026 1/5 2/5 1/5 3/5
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Location

Hospitals near Focused Care at Orange

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

  • 16.1 mi
    The Medical Center of Southeast Texas Port Arthur
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 10m for patients treated and sent home
  • 21.7 mi
    Mem Hermann Baptist Hospital Beaumont
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 27m for patients treated and sent home
  • 22.4 mi
    CHRISTUS Hospital Beaumont
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 15m for patients treated and sent home

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

Nearby nursing homes

Oak Grove Nursing Home Groves · 13.3 mi away ★★★★☆ Inspection 5/5 · Staffing 1/5 120 beds · Medicaid
Magnolia Manor Groves · 13.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 126 beds · Medicaid
Oakwood Manor Nursing Home Vidor · 15.5 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 100 beds · Medicaid
Vidor Health & Rehabilitation Center Vidor · 15.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 144 beds · Medicaid
Sabine Heights Nursing and Rehabilitation Center Port Arthur · 15.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 150 beds · Medicaid

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

Compare Focused Care at Orange 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/orange/focused-care-at-orange/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.