All states › Texas › Sherman › Focused Care at Sherman
817 W Center Sherman, TX 75090 · Grayson County
All 4 nursing homes in Sherman, TX (4 take Medicaid)
CMS certification number 675089 · See this home on Medicare Care Compare
Is Focused Care at Sherman 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 Sherman as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
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 3.23 hours per resident per day at Focused Care at Sherman, about the same as the Texas median of 3.30 (US median: 3.72). About 0.22 of those hours are from registered nurses. On weekends it falls to 2.81 hours, 13% below its all-week average. 70.1% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Focused Care at Sherman: Medicare and Medicaid
Focused Care at Sherman 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 July 28, 2026 and found 6 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 47 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 47 citations at Focused Care at Sherman across 10 inspection dates, 33 of them from complaint investigations. 8 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 9, 2026 (complaint inspection). The most common areas cited were quality of life and care (11) and resident rights (8). The most serious was cited under the CMS rule to "develop and implement policies and procedures to prevent abuse, neglect, and theft" (tag F0607, level K, May 9, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
July 28, 2026 · 6 citations
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
July 23, 2026 · 2 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
July 9, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 31, 2026 · 2 citations · includes complaint inspection
EProvide bedrooms that don't allow residents to see each other when privacy is needed.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
January 13, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 9, 2025 · 12 citations, includes immediate jeopardy · includes complaint inspection
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure 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.
EProvide and implement an infection prevention and control program.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 13, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
February 17, 2025 · 2 citations · includes complaint inspection
EEnsure 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.
DProtect each resident from the wrongful use of the resident's belongings or money.
June 25, 2024 · 1 citation · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
April 5, 2024 · 18 citations, includes immediate jeopardy · includes complaint inspection
KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
KProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EReasonably accommodate the needs and preferences of each resident.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProvide and implement an infection prevention and control program.
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure medication error rates are not 5 percent or greater.
DProvide routine and 24-hour emergency dental care for each resident.
Questions to ask on a tour of Focused Care at Sherman
- Inspectors cited the home at the immediate-jeopardy level on May 9, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 9, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.1% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 51% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 $120,309 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 9, 2026 | Fine | $27,378 |
| Mar 13, 2025 | Fine | $10,361 |
| Apr 5, 2024 | Fine | $82,570 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Focused Care at Sherman
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.8 mi
Wilson N Jones Regional Medical Center ShermanEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
- 3.1 mi
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3.5 mi
Baylor Scott and White Surgical Hospital at Sherma ShermanEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 8m 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
More nursing homes near Focused Care at Sherman › All nursing homes in Sherman ›
Compare Focused Care at Sherman with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Beacon Hill · Denison · 4 stars · 7.1 mi
- Woodlands Place Rehabilitation Suites · Denison · 3 stars · 9.1 mi
- Cedar Hollow Rehabilitation Center · Sherman · 2 stars · 3.1 mi
- Denison Nursing and Rehab · Denison · 2 stars · 9.0 mi
Other Focused Post Acute Care Partners nursing homes in Texas
- Focused Care at Hamilton · Hamilton · 5 stars
- Focused Care at Huntsville · Huntsville · 4 stars
- Focused Care of Center · Center · 3 stars
- Focused Care at Westwood · Houston · 3 stars
- Focused Care at Allenbrook · Baytown · 3 stars
- Focused Care at Burnet Bay · Baytown · 3 stars
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.